HYDROSTATIC TEST INSTRUCTION

Job No : MAWP : ( Psig )/( Kg/cm2 )

Name of Equipment : Design Pressure : ( Psig )/( Kg/cm2 )

Test Pressure ( Psig )/( Kg/cm2 )

Serial No. : Holding Period : ( Minutes )

Date of Test :

Test Position : Horizontal Vertical

Test Media : Fresh Water Fresh water < 50 Fresh water with
ppm cl additional

Pressure gauge range : psig Serial No.

Pressure recorder range : psig Serial No.

Temperature recorder range : 0
F Serial No.

Note :

1. To increase or decrease pressure please contact Authorized personal

2. Change the pressure without notice is forbidden

3. Planning and finishing testing please contact Quality Control personal for Witnessing.

Prepared by Approved by Witnessed / Reviewed by Witnessed / Reviewed by

QC Inspector QC Mng./QC Engineer Client Inspector WIKA

Date Date Date Date
 HYDROSTATIC TEST REPORT
LAPORAN PENGUJIAN HIDROSTATIK
Report No. : / XII - 07 / QC - HT

TEST SPECIFICATION / SPESIFIKASI PENGUJIAN

Customer / Pemakai :

Location / Lokasi :

Tag Number / Nomor Tag :

Serial No / Nomor Seri :

Type / Tipe :

; Size / Ukuran :

Capacity / Kapasitas : m2

Service / Penggunaan :
Pressure & Design Temp.
Tekanan & Suhu Design : ( Psig )/( Kg/cm2 ) &
Maximum Allowable Working Press.
Max. Tekanan kerja yang diperbolehkan : ( Psig )/( Kg/cm2 )
Normal Working Press. & Temp.
Tekanan & Suhu operasi Normal : N/A

Joint Efficiencies : Shell Head

Radiographiy / Ultrasonic :

Test Pressure / Tekanan Uji : ( Psig )/( Kg/cm2 )

Holding Time / Lama Pengujian : Minutes

Standard / Code : ASME SECTION VIII DIV.1 2004 EDITION ADD.2006

Manufacturer / Pabrik Pembuat :

Date of Manufacturing / Tgl. Pembuatan :

 HYDROSTATIC TEST REPORT
LAPORAN PENGUJIAN HIDROSTATIK
JOB NO. :
During the test, there is no evident of leakage, nor deformation occurred and the Vessel
TEST RESULT :
structure was able to with stand the pressure forces

Test Medium / Media untuk Pengujian

Actual Pressure Test / Tekanan Uji Kenyataan ( Psig ) / ( Kg/cm2 )

Holding Time / Lama Pengujian Minutes

Test Condition / Hasil Uji Acceptable

Date of Testing / Tanggal Pengujian

WITNESSED BY / DISAKSIKAN OLEH :

COMPANY SIGNATURE
NO NAME / NAMA
PERUSAHAAN TANDA TANGAN
1 PT. DAYA MUDA PRAKARSA

2 DISNAKERTRANS DKI

TEST EQUIPMENT USED :

Pressure Gauge No.

Pressure Recorder No.

Temperature Recorder No.

Remark / Catatan
 HYDROSTATIC TEST RESULT
LAPORAN PEMERIKSAAN HIDROSTATIK

DESCRIPTION :

Tag No. :

JOB NO. :

MSN NO. :

PRESSURE WATER TEMP. AMBIENT TEMP. HOUR PERIODE REMARK

ITEM TEKANAN TEMP. AIR TEMP. UDARA JAM SELAMA CATATAN
( Psi / Kg/cm2 ) ( o
C ) ( o
C ) ( Minute )

P.1

P.2

P.3

P.4

P.5

P.6

P.7

P.8

P.9

P.10

P.11

P.12

P.13

P.14

P.15

P.16

P.17
P.18

P.19

P.20

P.21
REMARK
CATATAN
 HYDROSTATIC TEST REPORT

Pressure Force
(225 PSI) JOB NO.
Pressure Gauge No.
Pressure Recorder No.
Temperature Recorder No.
Test Pressure
Holding Time
225 PSI
Psig / Kg/cm2
( ……. Minutes )

MAWP
Inspection Time inspection time
150 PSI
Psig / Kg/cm2
( …....Minutes ) ( ……Minutes )

0 (…Barg..)
Release

Time ( Minute )

Prepared by Accepted by Witnessed / Reviewed Witnessed / Reviewed

QC Inspector QC Mng./ QC Eng. Client Inspector WIKA

Date : Date : Date : Date :
 KOP DAYA MUDA

Document No. : 001 / -- - 15 / QC-ITP Legend : Prepared by. Approved By. Verified By.

Customer : PT. DAYA MUDA PERKASA V : Verify M : Monitor PT. DAYA MUDA PERKASA PT. WIKA PT. PERTAMINA

Project Title : PEMBANGUNAN PIPA TRANSMISI GAS DARI GRESIK - SEMARANG H : Hold P : Prepare

Date : W : Witness A : Approve

Rev. :0 R : Review
Page No. :1 AFC : App. For Construction Drawing

SW : Spot Witness

INSPECTION AND TEST PLAN

INSPECTION
REF
PROCESS DESCRIPTIONS INSPECTION ACTIVITIES TOOLS REF. DOCUMENT ACCEPTANCE CRITERIA VERIFYING DOCUMENTS PT. DAYA MUDA PERKASA PT. WIKA PERTAMINA
NO
STATUS SIGN STATUS SIGN STATUS SIGN

1.0 COMPRESSOR

1.1 SPECIFICATION DOC. CONTRACT PURCHASE ORDER P A R

1.2 PERFORMANCE DOC. CONTRACT USER MANUAL P A R

1.3 SKID COMPRESSOR

1.3.1 MATERIAL CERTIFICATE P

1.3.2 WELDING TRACIBILITY RECORD P

1.3.3 NDE REPORT P

1.3.4 PAINTING REPORT P

1.3.5 WELDER QUALIFICATION RECORD P

1.4 POSITIONING GA DRAWING GRSM-04-PROS-PID-035 A

PID PTG-10-PRO-PID-10D13B A

2.0 DRYER P-1275-AD-002

2.1 SPECIFICATION DOC. CONTRACT PURCHASE ORDER P A R

2.2 PERFORMANCE DOC. CONTRACT USER MANUAL P A R

2.3 POSITIONING GA DRAWING GRSM-04-PROS-PID-035 A

PID PTG-10-PRO-PID-10D13B A

2.0 PRE FILTER & AFTER FILTER P-1275-AD-002

2.1 SPECIFICATION DOC. CONTRACT PURCHASE ORDER P A R

2.2 PERFORMANCE DOC. CONTRACT USER MANUAL P A R

2.3 POSITIONING GA DRAWING GRSM-04-PROS-PID-035 P A R

PID PTG-10-PRO-PID-10D13B A

3.0 PIPING INSTALATION GA DRAWING PID

3.1 LAY-OUT DRAWING 107023/02522B/ REV. E POSITION BASED ON LAY-OUT P A R

3.2 VISUAL INSPECTION MANUAL SAFETY PROCESS P A R

3.2.1 VISUAL & PIPING DIMENTIONAL REPORT

3.2.2 MATERIAL CERTIFICATE

3.2.3 WELDING TRACIBILITY RECORD

3.2.4 PAINTING REPORT

KOP DAYA MUDA

Document No. : 001 / -- - 15 / QC-ITP Legend : Prepared by. Approved By. Verified By.
Customer : PT. DAYA MUDA PERKASA V : Verify M : Monitor PT. DAYA MUDA PERKASA PT. WIKA PT. PERTAMINA
Project Title : PEMBANGUNAN PIPA TRANSMISI GAS DARI GRESIK - SEMARANG H : Hold P : Prepare
Date : W : Witness A : Approve
Rev. :0 R : Review
Page No. :2 AFC : App. For Construction Drawing
SW : Spot Witness

INSPECTION AND TEST PLAN

INSPECTION
REF
PROCESS DESCRIPTIONS INSPECTION ACTIVITIES TOOLS REF. DOCUMENT ACCEPTANCE CRITERIA VERIFYING DOCUMENTS PT DAYA MUDA PERKASA PT WIKA PERTAMINA
NO
STATUS SIGN STATUS SIGN STATUS SIGN

3.2.5 WELDER QUALIFICATION RECORD

3.2.6 PRESSURE TEST REPORT

4.0 INSTALATION EXHAUST DUCT GA DRAWING P A R

4.0.1 VISUAL & DIMENTIONAL REPORT P