JS Scaffolding

INVENTARISASI TANAMAN / BANGUNAN
Sheet : Of
Keperluan / Proyek :
Letak / Lokasi :
Desa : Pemilik Tanaman / Bangunan
Kecamatan :
Kabupaten : Nama :
CC / AFE No. : Alamat :
SPK No. : Hp :
Tanaman :
Klasifikasi Tanaman Jumlah
No Jenis Keterangan Tanaman
Hasil Sedang Kecil Tanaman
Bangunan :
Klasifikasi Tanaman
No Jenis Keterangan Tanama
Ukuran Luas Kondisi
Sketch / Gambar :
Dihitung Oleh, Diperiksa Oleh, Disetujui Oleh, Disaksikan Oleh Aparat
Juru hitung Surveyor Pemilik Tnm / Bang Pertanahan PT. PHR Desa
SURVEY FIELD SKETCH
Date : Location :
Job Description : Project Title :
SR No :
Checked by, Checked by, Witness by:
Drafter/instrumen-Survey PMCoW-Survey QS/CS-

PT. PERTAMINA HULU ROKAN
Construction Services Work Unit Rate Earthwork Package
Contract No :
SKETCH DRAWING (JOINT SURVEY)
Initiated Date : Location : EXISTING POLE SINTONG FEEDER
Work Title : Install Bruching power pole sintong feeder dan ketigul feeder SPK No. :
Checked by, Witness by:
QS-PDC QS-TPE
Contract No : SPHR00361A
Initiated Date : 03-May-23 Location : 29 AB 8
Work Title : Install Braching power pole sintong feeder dan ketigul feeder SPK No. : CCMSPHR/SPK/3700103287
SCAFFOLDING CALCULATION
SPOT L x P x T = M3
1 2.97 x 1.9 x 2.25 = 12.70 m3
2 2.97 x 3.8 x 3.05 = 34.42 m3
TOTAL = 47.12 m3
Spot 1 1.9
2.25
Spot 2
1.9
3.05
3.8
2.97
QS-PDC CS-TPE QS-TPE

Initiated Date : 03-May-23 Location : 29 AC 6
SPOT L x P x T = M3
1 2.92 x 1.85 x 2.4 = 12.96 m3
2 2.92 x 3.65 x 2.94 = 31.33 m3
TOTAL = 44.30 m3
Spot 1 1.82
2.4
Spot 2
1.83
2.94
3.65
2.92

Initiated Date : 03-May-23 Location : 29 AC 1
SPOT L x P x T = M3
1 3.80 x 1.7 x 2.5 = 16.15 m3
2 3.80 x 3.5 x 2.8 = 37.24 m3
TOTAL = 53.39 m3
Spot 1 1.7
2.5
Spot 2
1.8
2.8
3.5
3.8

Contractor PT.PDC
SPK No. CCMSPHR/SPK/3700103287
Scaffolding Report - Summary

Work Title Power pole Braching Installation at Ketigul and
Sintong Feeder
PHR User Chandra Sitorus / Misli
TPE CS Yudhi Novarse
Actual Scaffolding Installed

Billable Qty
No. Spot/Location ID Duration Description
Length wide Hight Volume (m3) Typical Total (m3days)
(days) (m3days)
3.00 1.50 3.50 15.75 1.00 5 78.75 78.75
1 28 AB 8 B Take measure, Welding, Penetran, Painting
3.00 4.00 2.90 34.80 1.00 5 174.00 174.00
2.85 2.70 3.80 29.24 1.00 5 146.21 146.21
2 28 AB 11 B Take Measure, Welding, Penetran, Painting
2.85 3.90 2.73 30.34 1.00 5 151.72 151.72
3.86 1.40 2.96 16.00 1.00 5 79.98 79.98
3 29 AB 15 Take measure, Fit Up, Welding, Penetran & Painting
3.86 2.85 2.86 31.46 1.00 5 157.31 157.31
4.07 1.25 2.87 14.60 1.00 5 73.01 73.01
4.07 3.07 2.73 34.11 1.00 5 170.56 170.56
2.90 1.49 2.20 9.51 1.00 5 47.53 47.53
5 29 AB 26 B Take measure, Fit Up, Welding, Penetran & Painting
2.90 3.43 2.45 24.37015 1.00 5 121.85 121.85
2.85 0.99 2.15 6.066225 1.00 5 30.33 30.33
2.85 2.89 2.58 21.25017 1.00 5 106.25 106.25
2.95 1.2 3.00 10.62 1.00 5 53.10 53.10
2.95 2.91 2.89 24.809205 1.00 5 124.05 124.05
2.85 1.8 1.75 8.9775 1.00 5 44.89 44.89
8 29 AA 10 Take measure, Fit Up, Welding, Penetran & Painting
2.85 3.85 3.00 32.9175 1.00 5 164.59 164.59
3.85 1.9 2.1 15.3615 1.00 5 76.81 76.81
3.85 2.95 2.9 32.93675 1.00 5 164.68 164.68
3.92 1.72 2.75 18.5416 1.00 5 92.71 92.71
3.92 2.95 2.75 31.801 1.00 5 159.01 159.01
Total Actual Qty 2217.32 Total Billable Qty 2217.32
Note:
1. In the event the Actual Installed Quantities are greater than the Scaffolding Plan and assuming there are no approved charges, the Billing Quantities should equal the agreed upon Scaffoldng Plan Quantities.
2. In the event the Actual Installed Quantities are less than the Scaffolding Plan and assuming there are no approved charges, the Billing Quantities should equal the agreed upon Scaffoldng Plan Quantities
3. Billable Quantities will be measured by the actual installed quantities ± any approved change.
4. Scaffolding Report - Summary should be accompanied by the Scaffolding Report-Plus any revisions and Scaffolding Report-Actual for all periods as documentation to support the summary.
Prepared by, Checked by, Reviewed by Approved by,

Quantity Surveyor PDC ECM Construction TPE ECM Quantity Surveyor TPE CPI User/Facility Representative
Name : Name : Name : Name :

Date : Date : Date : Date :
Contract No :
Initiated Date : 28-Apr-23 Location : 29 AB 3
SPOT L x P x T = M3
1 3.95 x 1.8 x 3 = 21.33 m3
2 3.95 x 3.07 x 2.95 = 35.77 m3
TOTAL = 57.10 m3
Spot 1 1.8
3.0
Spot 2
1.27
2.95
3.07
3.95

Contract No :
Initiated Date : 28-Apr-23 Location : 29 AC2
SPOT L x P x T = M3
1 3.80 x 1.85 x 2.53 = 17.79 m3
2 3.80 x 2.9 x 3.5 = 38.57 m3
TOTAL = 56.36 m3
Spot 1 1.85
2.53
Spot 2
1.05
3.5
2.9
3.8

Contract No :
Initiated Date : 28-Apr-23 Location : 29 AC 11
SPOT L x P x T = M3
1 3.84 x 1.67 x 2.9 = 18.60 m3
2 3.84 x 2.9 x 3.4 = 37.86 m3
TOTAL = 56.46 m3
Spot 1 1.67
2.9
Spot 2
1.23
3.4
2.9
3.84

Contract No :
Initiated Date : 28-Apr-23 Location : 29 AC 12
SPOT L x P x T = M3
1 2.96 x 1.9 x 4.1 = 23.06 m3
2 2.96 x 3.6 x 3.95 = 42.09 m3
TOTAL = 65.15 m3
Spot 1 1.9
4.1
Spot 2
1.7
3.95
3.6
2.98

Contract No :
Initiated Date : 17-Apr-23 Location : 29 AA 1
1 1.80 x 2.9 x 2.75 = 14.36 m3
2 2.90 x 2.9 x 2.95 = 24.81 m3
TOTAL 39.16 m3
Spot 1 1.8
2.75
Spot 2
2.75
2.95
2.9
2.9

Contract No :
1 1.72 x 2.88 x 3.92 = 19.42 m3
2 2.94 x 3.92 x 2.76 = 31.81 m3
TOTAL 51.23 m3
Spot 1 1.72
2.88
Spot 2
1.22
2.76
2.9
4
2
3.9

Contract No :
1 1.77 x 2.9 x 1.7 = 8.73 m3
2 2.90 x 2.9 x 3.08 = 25.90 m3
TOTAL 34.63 m3
Spot 1 1.7
7
1.7
Spot 2
3.08
2.9
2.9

Contract No :
Initiated Date : 13-Apr-23 Location : 28 AB 8 B
1 3.0 x 1.5 x 3.5 = 15.75 m3
2 3.0 x 4 x 2.9 = 34.80 m3
TOTAL 50.55 m3
1.5
Spot 1 0
3.50
Spot 2
2.90
4.0
0
0
3.0

Contract No :
Spot 1 2.7
1 2.9 x 2.7 x 3.8 = 29.24 m3
2 2.9 x 3.9 x 2.73 = 30.34 m3
TOTAL 59.58 m3
3.8
Spot 2
2.73
3.9
0
5
2.8

Contract No :
Spot 1 1.4
1 3.86 x 1.4 x 2.96 = 16.00 m3
0 2 3.86 x 2.85 x 2.86 = 31.46 m3
TOTAL 47.46 m3
2.96
Spot 2
2.86
2. 8
5
6
3.8

Contract No :
1 2.95 x 1.2 x 3 = 10.62 m3
2 2.95 x 2.89 x 2.91 = 24.81 m3

Spot 1 TOTAL 35.43 m3
3
Spot 2
2.89
2.9
1
6
2.9

Contract No :
Spot 1 1.2
5 SCAFFOLDING CALCULATION
SPOT 1
4.07 M X 1.25M X 2.87M = 14.60 M3
SPOT 2
4.07M X 3.07M X 2,73M = 34,11 M3
TOTAL VOLUME
2.87
14.60M3 + 34.11M3 = 48.71 M3
Spot 2
2.73
3.0
7
7
4. 0

Contract No :
Spot 1 0.9
SPOT 1
2,85 M X 0,99M X 2.15M = 06,06 M3
SPOT 2
2,89M X 2,85M X 2,58M = 21,25 M3
TOTAL VOLUME
2.15
06,06M3 + 21,25M3 = 27,3 M3
Spot 2
2.58
2.8
9
5
2. 8

Contract No :
Spot 1 1.4
SPOT 1
2,9 M X 1,49M X 2.2M = 09,50 M3
SPOT 2
3,43M X 2,9M X 2,45M = 24,57 M3
TOTAL VOLUME
2.2
09,50M3 + 24,57M3 = 33,87 M3
Spot 2
2.45
3.4
3
2.9

PT. PERTAMINA PDC PATRA DRILLING CONTRACTOR
Contract No : 39PHR21-0681
SURVEY FIELD SKETCH
PROPOSED FINAL
WELL NO NORTHING EASTING ELEVATION NORTHING EASTING LATITUDE LONGITUDE
ELEVATION
NORTHING EASTING ELEVATION
METER FEET

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INVENTARISASI TANAMAN / BANGUNAN

Dihitung Oleh, Diperiksa Oleh, Disetujui Oleh, Disaksikan Oleh Aparat

Checked by, Checked by, Witness by:

Drafter/instrumen-Survey PMCoW-Survey QS/CS-

Checked by, Witness by:

1 2.97 x 1.9 x 2.25 = 12.70 m3

2 2.97 x 3.8 x 3.05 = 34.42 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

1 2.92 x 1.85 x 2.4 = 12.96 m3

2 2.92 x 3.65 x 2.94 = 31.33 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

1 3.80 x 1.7 x 2.5 = 16.15 m3

2 3.80 x 3.5 x 2.8 = 37.24 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

Scaffolding Report - Summary

Actual Scaffolding Installed

Prepared by, Checked by, Reviewed by Approved by,

Name : Name : Name : Name :

1 3.95 x 1.8 x 3 = 21.33 m3

2 3.95 x 3.07 x 2.95 = 35.77 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

1 3.80 x 1.85 x 2.53 = 17.79 m3

2 3.80 x 2.9 x 3.5 = 38.57 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

1 3.84 x 1.67 x 2.9 = 18.60 m3

2 3.84 x 2.9 x 3.4 = 37.86 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

1 2.96 x 1.9 x 4.1 = 23.06 m3

2 2.96 x 3.6 x 3.95 = 42.09 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

2 2.90 x 2.9 x 2.95 = 24.81 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

2 2.94 x 3.92 x 2.76 = 31.81 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

2 2.90 x 2.9 x 3.08 = 25.90 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

2 3.0 x 4 x 2.9 = 34.80 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

2 2.9 x 3.9 x 2.73 = 30.34 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

0 2 3.86 x 2.85 x 2.86 = 31.46 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

2 2.95 x 2.89 x 2.91 = 24.81 m3

Checked by, Checked by, Witness by:

QS-PDC CS-TPE QS-TPE

14.60M3 + 34.11M3 = 48.71 M3

Checked by, Checked by, Witness by: