Job No.

:
ULTRASONIC INSPECTION Report No: 380-UT-FAB-WQT-1/19

REPORT Date:
Page No:
27-Jan-19
1 of 1
CLIENT: KSO Waskita-Acset
Project: Proyek Pembangunan Jalan Tol Jakarta - Cikampek 2 Elevated / Welder Qualification Test
Job Location: Workshop PT. Bukaka Teknik Utama, Tbk
Order/Contract No.: - Request No. -
Client Job No. - Work Instruction No. -
Material Type: Carbon Steel Material Thickness: 16mm
NDT Procedure: BTU-B520-QMP-PR-047 Weld Joint AWS: Butt Joint
Welding Process: FCAW Sizing Method: 6 db drop
Acceptance Criteria: AWS D1.5 (Table 6.4) Quality requirements-section N
Test Restriction:
Equipment Details: Ultrasonic Set: Olympus Epoch 650 Calibration BlocV1

SN 170467208 Reference Block:1.5 mm SDH set to 80%Probes: 70°

Abbreviations used in Interpretation as Per AS-4749-2001

A No. Defects Detected BT Burn Through CP Crater Pipe DIP Debris In Pipe

DM Diffraction mottling EC Elongated Cavity GP Gas Pore HB Hollow Bead

IC Copper inclusion IL Linear Inclusion IN Inclusion IO Oxide Inclusion

IT Tungsten Inclusion KC Crater Crack KE Edge Crack KL Longitudinal Crack

KT Transverse crack LI Lack of Inter-Run Fusion LP Incomplete Root Penetration LP (HL) Incomplete Root Penetration

LR Lack of Root Fusion KS Lack of Side Fusion PD Processing Defect (High/Low)

PGIP Purge Gear in Pipe PL Linear porosity PSP Poor Surface Profile PG Localized Porosity

SED Excessive Dressing SGI Incompletely Fillet Groove SGS Shrinkage Groove PU Uniform Porosity

SMH Hammer mark SMT Tool Mark SPT Surface Pitting SMG Grinding Mark

SSP Spatter STS Torn Surface SUCE Undercut, External SRC Root Concavity

SXP Excessive Penetration Bead WH Worm Hole WT Wagon Tracks SUCI Undercut, Internal

C - Complies DNC Does Not Comply

UT Examination Result
Decibels Discontinuity
Indication Number

Transducer Angle

Attenuation

Discountinuity
Reference
Indication

Indication

(Sound Path)
Length (mm)
Line Number

Depth From
Leg (Note 1)

Evaluation
Form Face

Rating
Factor
Level

Level

Distance
Angular

Distance
OD

a b c d From X From Y Remark

Cusyadi 0 70° A&B 1-2 - 58 - - - - - - - C ACC

*Use Leg I, II, or III. See glossary of terms (Annex D).

Notes:
1. In order to attain Rating "d"
a. With instruments with gain control, use the formula a-b-c=d.
b. With instruments with attenuation control, use the formula b-a-c=d
c. A plus of minus sign shall accompany the "d" figure unless "d" is equal to zero
2. Distance from X is used in describing the location of a weld discontinuity in a direction perpendicular to the weld reference line.
Unless this figure is zero, a plus or minus sign shall accompany it.
3. Distance from Y is used in describing the location of a weld discontinuity in a direction parallel to the weld reference line. This figure is attained
by measuring the distance from the "Y" end of the weld to the beginning of said discontinuity.
4. Evaluation of Rested Repaired Weld Areas shall be tabulated on a new line on the report form. If the original report from issued,
Rn shall prefix the indication number, if additional forms are used, the R number shall prefix the report number
Welder Qualification Test

We, the undersign, certify that the statements is this record are corrected an that the welds were prepare and tested in conformance with the
requirements of Clause 6, Part G of ASSHTO/AWS D1.5M/D1.5 (2015) Bridge Welding Code

Inspected By Approved by Verified By

PT Bukaka Teknik Utama PT Bukaka Teknik Utama Client Consultant

Name: Name:
Date : Date : Name: Name:
NDT Inspector Lvl II Head Of Welding & NDT Inspection Date : Date :
 Job No.:
ULTRASONIC INSPECTION Report No: 381-UT-FAB-WQT-1/19

REPORT Date:
Page No:
27-Jan-19
1 of 1
CLIENT: KSO Waskita-Acset
Project: Proyek Pembangunan Jalan Tol Jakarta - Cikampek 2 Elevated / Welder Qualification Test
Job Location: Workshop PT. Bukaka Teknik Utama, Tbk
Order/Contract No.: - Request No. -
Client Job No. - Work Instruction No. -
Material Type: Carbon Steel Material Thickness: 16mm
NDT Procedure: BTU-B520-QMP-PR-047 Weld Joint AWS: Butt Joint
Welding Process: FCAW Sizing Method: 6 db drop
Acceptance Criteria: AWS D1.5 (Table 6.4) Quality requirements-section N
Test Restriction:
Equipment Details: Ultrasonic Set: Olympus Epoch 650 Calibration BlocV1

SN 170467208 Reference Block:1.5 mm SDH set to 80%Probes: 70°

Abbreviations used in Interpretation as Per AS-4749-2001

A No. Defects Detected BT Burn Through CP Crater Pipe DIP Debris In Pipe

DM Diffraction mottling EC Elongated Cavity GP Gas Pore HB Hollow Bead

IC Copper inclusion IL Linear Inclusion IN Inclusion IO Oxide Inclusion

IT Tungsten Inclusion KC Crater Crack KE Edge Crack KL Longitudinal Crack

KT Transverse crack LI Lack of Inter-Run Fusion LP Incomplete Root Penetration LP (HL) Incomplete Root Penetration

LR Lack of Root Fusion KS Lack of Side Fusion PD Processing Defect (High/Low)

PGIP Purge Gear in Pipe PL Linear porosity PSP Poor Surface Profile PG Localized Porosity

SED Excessive Dressing SGI Incompletely Fillet Groove SGS Shrinkage Groove PU Uniform Porosity

SMH Hammer mark SMT Tool Mark SPT Surface Pitting SMG Grinding Mark

SSP Spatter STS Torn Surface SUCE Undercut, External SRC Root Concavity

SXP Excessive Penetration Bead WH Worm Hole WT Wagon Tracks SUCI Undercut, Internal

C - Complies DNC Does Not Comply

UT Examination Result
Decibels Discontinuity
Indication Number

Transducer Angle

Attenuation

Discountinuity
Reference
Indication

Indication

(Sound Path)
Length (mm)
Line Number

Depth From
Leg (Note 1)

Evaluation
Form Face

Rating
Factor
Level

Level

Distance
Angular

Distance
OD

a b c d From X From Y Remark

Nasiman 0 70° A&B 1-2 - 58 - - - - - - - C ACC

*Use Leg I, II, or III. See glossary of terms (Annex D).

Notes:
1. In order to attain Rating "d"
a. With instruments with gain control, use the formula a-b-c=d.
b. With instruments with attenuation control, use the formula b-a-c=d
c. A plus of minus sign shall accompany the "d" figure unless "d" is equal to zero
2. Distance from X is used in describing the location of a weld discontinuity in a direction perpendicular to the weld reference line.
Unless this figure is zero, a plus or minus sign shall accompany it.
3. Distance from Y is used in describing the location of a weld discontinuity in a direction parallel to the weld reference line. This figure is attained
by measuring the distance from the "Y" end of the weld to the beginning of said discontinuity.
4. Evaluation of Rested Repaired Weld Areas shall be tabulated on a new line on the report form. If the original report from issued,
Rn shall prefix the indication number, if additional forms are used, the R number shall prefix the report number
Welder Qualification Test

We, the undersign, certify that the statements is this record are corrected an that the welds were prepare and tested in conformance with the
requirements of Clause 6, Part G of ASSHTO/AWS D1.5M/D1.5 (2015) Bridge Welding Code

Inspected By Approved by Verified By

PT Bukaka Teknik Utama PT Bukaka Teknik Utama Client Consultant

Name: Name:
Date : Date : Name: Name:
NDT Inspector Lvl II Head Of Welding & NDT Inspection Date : Date :
 Job No.:
ULTRASONIC INSPECTION Report No: 446-UT-FAB-WQT-9/18

REPORT Date:
Page No:
18-Sep-18
1 of 1
CLIENT: KSO Waskita-Acset
Project: Proyek Pembangunan Jalan Tol Jakarta - Cikampek 2 Elevated / Welder Qualification Test
Job Location: Workshop PT. Bukaka Teknik Utama, Tbk
Order/Contract No.: - Request No. -
Client Job No. - Work Instruction No. -
Material Type: Carbon Steel Material Thickness: 25mm
NDT Procedure: BTU-B520-QMP-PR-047 Weld Joint AWS: Butt Joint
Welding Process: SAW Sizing Method: 6 db drop
Acceptance Criteria: AWS D1.5 (Table 6.4) Quality requirements-section N
Test Restriction:
Equipment Details: Ultrasonic Set: Olympus Epoch 650 Calibration BlocV1

SN 170467208 Reference Block:1.5 mm SDH set to 80%Probes: 70°

Abbreviations used in Interpretation as Per AS-4749-2001

A No. Defects Detected BT Burn Through CP Crater Pipe DIP Debris In Pipe

DM Diffraction mottling EC Elongated Cavity GP Gas Pore HB Hollow Bead

IC Copper inclusion IL Linear Inclusion IN Inclusion IO Oxide Inclusion

IT Tungsten Inclusion KC Crater Crack KE Edge Crack KL Longitudinal Crack

KT Transverse crack LI Lack of Inter-Run Fusion LP Incomplete Root Penetration LP (HL) Incomplete Root Penetration

LR Lack of Root Fusion KS Lack of Side Fusion PD Processing Defect (High/Low)

PGIP Purge Gear in Pipe PL Linear porosity PSP Poor Surface Profile PG Localized Porosity

SED Excessive Dressing SGI Incompletely Fillet Groove SGS Shrinkage Groove PU Uniform Porosity

SMH Hammer mark SMT Tool Mark SPT Surface Pitting SMG Grinding Mark

SSP Spatter STS Torn Surface SUCE Undercut, External SRC Root Concavity

SXP Excessive Penetration Bead WH Worm Hole WT Wagon Tracks SUCI Undercut, Internal

C - Complies DNC Does Not Comply

UT Examination Result
Decibels Discontinuity
Indication Number

Transducer Angle

Attenuation

Discountinuity
Reference
Indication

Indication

(Sound Path)
Length (mm)
Line Number

Depth From
Leg (Note 1)

Evaluation
Form Face

Rating
Factor
Level

Level

Distance
Angular

Distance
OD

a b c d From X From Y Remark

Akbar Kurnia Firliadien 0 70° A&B 1-2 - 58 - - - - - - - C ACC

*Use Leg I, II, or III. See glossary of terms (Annex D).

Notes:
1. In order to attain Rating "d"
a. With instruments with gain control, use the formula a-b-c=d.
b. With instruments with attenuation control, use the formula b-a-c=d
c. A plus of minus sign shall accompany the "d" figure unless "d" is equal to zero
2. Distance from X is used in describing the location of a weld discontinuity in a direction perpendicular to the weld reference line.
Unless this figure is zero, a plus or minus sign shall accompany it.
3. Distance from Y is used in describing the location of a weld discontinuity in a direction parallel to the weld reference line. This figure is attained
by measuring the distance from the "Y" end of the weld to the beginning of said discontinuity.
4. Evaluation of Rested Repaired Weld Areas shall be tabulated on a new line on the report form. If the original report from issued,
Rn shall prefix the indication number, if additional forms are used, the R number shall prefix the report number
Welder Qualification Test

We, the undersign, certify that the statements is this record are corrected an that the welds were prepare and tested in conformance with the
requirements of Clause 6, Part G of ASSHTO/AWS D1.5M/D1.5 (2015) Bridge Welding Code

Inspected By Approved by Verified By

PT. AAAAAA PT AAAAA Client Consultant

Name: Name:
Date : Date : Name: Name:
NDT Inspector Lvl II Head Of Welding & NDT Inspection Date : Date :
 SKETCH
Client: KSO Waskita-Acset Method: Ultrasonic Test
Project: Proyek Pembangunan Jalan Tol Jakarta - Cikampek 2 Elevated Branch ID: -
Location: Workshop PT. Bukaka Teknik Utama, Tbk Job No.: -
Specification: - Report No: #VALUE!
Acceptance: AWD D1.5 Test Date:
Page: 1 of 1

XXX) N
000 TIO
(S00
X mm
SEC
mm
mm XX
TS375 OSS XX

A
CR
B A B
Face Face
Face Face

mm
XXX
D=
Form No. BTU-B520-QMP-FM-039

m m
mm 20m
XXX 20m
C
face
B
from Face
ss
Acce
No
AREA
IR
REPA
UT

Inspected By Approved By Verified By

NDT Inspector Level II Head Of Welding & NDT Inspection Client: KSO Waskita-Acset Consultant: Virama Karya

Signature

Name
Date