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SUMMARY DAILY ACTIVITY REPORT TUBULAR INSPECTION AT WAYANG WINDU GEOTHERMAL STAR ENERGY AS JANUARY THRU MAY, 2014 ITEM DATE KIMAP DESCRIPTION QYT QTY ACCEPTED REJECTED TOTAL OF INSPECTION INSPECT / USABLE BOX PIN BOTH BODY REJECTED 1 3-5 JAN 2014 54252545 CASING 4-2 TESTING REPORT 10 10 10 - - - - - TOTAL Prepared By, Mr. ARDI GINTING Japs

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Page 1: Complete Form Sheet

SUMMARY DAILY ACTIVITY REPORT

TUBULAR INSPECTION AT WAYANG WINDU GEOTHERMAL STAR ENERGY

AS JANUARY THRU MAY, 2014

ITEMDATE

KIMAP DESCRIPTION QYTQTY ACCEPTED REJECTED TOTAL

OF INSPECTION INSPECT / USABLE BOX PIN BOTH BODY REJECTED

1 3-5 JAN 2014 54252545 CASING 4-2 TESTING REPORT 10 10 10 - - - - -

TOTAL

Prepared By,

Mr. ARDI GINTING Japs

Page 2: Complete Form Sheet

PTLM - INSPECTOR (S)

Page 3: Complete Form Sheet

SUMMARY DAILY ACTIVITY REPORT

TUBULAR INSPECTION AT WAYANG WINDU GEOTHERMAL STAR ENERGY

AS JANUARY THRU MAY, 2014

DETAIL REJECTED TYPE OF

REMARKSINSPECTION

CASING 4-2 TESTING REPORT MAINTENANCE COMPLETED

ACKNOWLADGE CUSTOMER REPRESENTATIVE

Page 4: Complete Form Sheet

SE WAREHOUSE SUPERVISOR

Page 5: Complete Form Sheet

Customer : STAR ENERGY GEOTHERMAL (WW) Services Receipt No. : 007 / LM-SEWW-JKT/V-2014

Order No. : 4200001182 - 05 D a t e : May 05, 2014

Ordered by : Mr. Ardi Ginting Inspection Location : SE WAREHOUSE, PENGALENGAN

INSPECTION REPORT of NEW TUBULAR GOODS

TYPE OF INSPECTION : n Visual Body Inspection (VBI)

n VISUAL THREAD INSPECTION (VTI)

n API Full Length Drifting

n Internal / External Cleaning

n Ultrasonic Wall Thickness Spot Check

n Internal / External Coating

n Expose Thread Protection with EON 300

n Tally Length

603 Jts 9 5/8' OD CASING PERFORATED R3 CITRA TUBINDO

Length Size Type Range Manufacturer

47 PPF 11.99 mm K-55 BC SEAMLESS

Weight Wall Grade Connections

Note : This pipe was inspected for surface Imperfection to conform with :

Customer Specification Appropriate dimension per API Standart :

12.5 % of the specified wallthickness for this pipe is :

87.5 % of the specified wallthickness for this pipe is :

Drift Diameter ??? Drift Length :

SUMMARY RESULT :

??? Length were found to be free of defects exceeding 12.5 % of the specified wall thickness and comply with above drift specification, where applicable.

[ Identified by white paint band and PT. Lekom Maras inspected stenciled in white on the pipe body near the coupling or box end ].

Footage :

??? Length were found to be free of defects exceeding 12.5 % of the specified wall thickness but have defective pins and / or coupling.

[ Identified with a white paint on the pipe body near the coupling or box end and a red paint band around the defective connection ].

??? Pins ??? Coupling ??? Both Pin & Coupling found defective. Footage :

??? Lengths were found to defects exceeding 12.5 % od the specified wall thickness.

[ Identified by a red paint band and PT. Lekom Maras inspected stenciled in white on the pipe body near the coupling or box end ]Footage :

??? Lenghts were found to have decefts exceeding 12.5 % of specified wall thickness and have defective pins and / or couplings.

[Identified with a red paint band on the pipe body near the coupling/box end & a red paint band around the defective connection]

??? Pins ??? Coupling ??? Both Pin & Coupling found defective. Footage :

??? Lenghts were found would not pass an API drift [ Identified by a red paint ].

??? Jts TOTAL INSPECTED

COMMENTS : FROM 603 Jts INSPECTED, 16 Jts REJECTED CONNECTION AND 587 Jts IN GOOD CONDITION

Welded / Seamless

Mr. Ardi Ginting < Japurut >

Page 6: Complete Form Sheet

ACKNOWLEDGE CUSTOMER REPRESENTATIVE PTLM - INSPECTOR (s)

TSD.FM.QMS.010.00

Page 7: Complete Form Sheet

007 / LM-SEWW-JKT/V-2014

May 05, 2014

SE WAREHOUSE, PENGALENGAN

INSPECTION REPORT of NEW TUBULAR GOODS

CITRA TUBINDO

Manufacturer

SEAMLESS

Appropriate dimension per API Standart : ???12.5 % of the specified wallthickness for this pipe is : ???87.5 % of the specified wallthickness for this pipe is : ???

Drift Length : ???

Length were found to be free of defects exceeding 12.5 % of the specified wall thickness and comply with above drift specification, where applicable.

[ Identified by white paint band and PT. Lekom Maras inspected stenciled in white on the pipe body near the coupling or box end ].

??? Ft

Length were found to be free of defects exceeding 12.5 % of the specified wall thickness but have defective pins and / or coupling.

[ Identified with a white paint on the pipe body near the coupling or box end and a red paint band around the defective connection ].

??? Ft

Lengths were found to defects exceeding 12.5 % od the specified wall thickness.

[ Identified by a red paint band and PT. Lekom Maras inspected stenciled in white on the pipe body near the coupling or box end ]

??? Ft

Lenghts were found to have decefts exceeding 12.5 % of specified wall thickness and have defective pins and / or couplings.

[Identified with a red paint band on the pipe body near the coupling/box end & a red paint band around the defective connection]

??? Ft

Lenghts were found would not pass an API drift [ Identified by a red paint ].

TOTAL INSPECTED

FROM 603 Jts INSPECTED, 16 Jts REJECTED CONNECTION AND 587 Jts IN GOOD CONDITION

Welded / Seamless

Mr. Ardi Ginting < Japurut >

Page 8: Complete Form Sheet

PTLM - INSPECTOR (s)

TSD.FM.QMS.010.00

Page 9: Complete Form Sheet

TIME - SHEET

Name : Mr. Ardi Ginting < Japurut > CustomerPosition : Inspector < ASNT Level II > Contract No.Month : Feb 01, 2014 Thru Feb 28, 2014 Location

Type of Services : VISUAL BODY INSPECTION (VBI), VISUAL THREAD INSPECTION (VTI)

API FULL LENGTH DRIFT (FLD), ULTRASONIC WALL THICKNESS SPOT CHECK (UT),

INTERNAL/EXTERNAL CLEANIN, INTERNAL / EXTERNAL COATING, EXPOSED THREAD WITH EON FILM 300

DATE DESCRIPTION MANDAY REMARKS

MARCH

1 STARTED INSPECTION CASING 9-5/8" 47 PPF 0.472" WT L-80 AB TC R-3 1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

31 TOTAL MAN DAYS 31 31

Page 10: Complete Form Sheet

TIME - SHEET

: STAR ENERGY

: 4200001182-OS

: PANGALENGAN / WW

VISUAL BODY INSPECTION (VBI), VISUAL THREAD INSPECTION (VTI)

API FULL LENGTH DRIFT (FLD), ULTRASONIC WALL THICKNESS SPOT CHECK (UT),

INTERNAL/EXTERNAL CLEANIN, INTERNAL / EXTERNAL COATING, EXPOSED THREAD WITH EON FILM 300

SUBMITTED BY

Mr. Ardi Ginting Japs

REVIEWED BY

Mr. DJOKOWI'ng

PTLM REPRESENTATIVE

APPROVED BY

COMPANY REPRESENTATIVE

NOTE :

Page 11: Complete Form Sheet

Custumer : STAR ENERGY GEOTHERMAL (WW) Service Receipt No. : 008/LM-SEWW-JKT/III-2014

Order No. : 4200001182-OS D a t e : March 22,2014

Ordered By : Mr. Ardi Ginting < Japs > Inspection Location : SE WAREHOUSE, PENGALENGAN

SERVICED : INTERNAL CLEANING

PERFORMD EXTERNAL CLEANING

INTERNAL COATING WITH EON 240

EXTERNAL COATING WITH EON 450

STORAGE COMPOUND WITH EON FILM 300

SPECIFICATION : API 5 CT

MATERIAL : CASING 7" 26 PPF 0.362" WT K-55 BC R3 SCC

INSPECTED : KIMAP 408030901

(SERVICED)

SUMMARY REPORT

64 Jts WERE UNIFORMLY INTERNAL / EXTERNAL CLEANING ACCEPTABLE CONDITION

PRIOR TO APPLICATION.

64 Jts WERE UNIFORMLY EXTERNAL COATED WITH EON 450.

64 Jts WERE UNIFORMLY INTERNAL COATED WITH EON 240. ALL EXCESS COATING WAS

FLOWED OUT.

64 Jts THE ABOVE MENTION WERE PROCTECED WITH EON FILM 300 ON THE THREDS

RESULT

55 Jts ACCEPTED

9 Jts REJECTED CONDITION

64 Jts TOTAL SERVICED

Mr. Ardi Ginting <Japs>

Page 12: Complete Form Sheet

PTLM - INSPECTOR (s)

TSD.FM.QMS.010.00 (2)

Page 13: Complete Form Sheet

008/LM-SEWW-JKT/III-2014

March 22,2014

SE WAREHOUSE, PENGALENGAN

SUMMARY REPORTWERE UNIFORMLY INTERNAL / EXTERNAL CLEANING ACCEPTABLE CONDITION

PRIOR TO APPLICATION.

WERE UNIFORMLY EXTERNAL COATED WITH EON 450.

WERE UNIFORMLY INTERNAL COATED WITH EON 240. ALL EXCESS COATING WAS

FLOWED OUT.

THE ABOVE MENTION WERE PROCTECED WITH EON FILM 300 ON THE THREDS

ACCEPTED

REJECTED CONDITION

TOTAL SERVICED

Mr. Ardi Ginting <Japs>

Page 14: Complete Form Sheet

PTLM - INSPECTOR (s)

Page 15: Complete Form Sheet

NEW / USED TUBING

INSPECTION TALLY SHEET

CUSTOMER : STAR ENERGY WAYANG SINDU W.O No. : 4200001182-OS

PIPE : CSG O.D : 9-5/8" WEIGHT : 47 PPF WALL : 11.99 MM GRADE : L-80 CONN. : AB TC MANUFACTUR : CITRA TUBINDO

LENGTH VISUAL THREAD CONDITION API FULL VISUAL BODY INSPECTION

NO. INSPECTION BOX PIN LENGTH DRIFT Incl. UT. SPOT CHECK

126 SVC SVC PASSED RWT 11.7 MM

127 SVC SVC PASSED RWT 11.9 MM

128 SVC SVC PASSED RWT 11.8 MM

129 SVC SVC PASSED RWT 11.6 MM

130 SVC SVC PASSED RWT 11.6 MM

131 SVC SVC PASSED RWT 11.9 MM

132 SVC PT PASSED RWT 11.7 MM

133 SVC SVC PASSED RWT 11.8 MM

134 SVC SVC PASSED RWT 11.8 MM

135 SVC SVC PASSED RWT 11.9 MM

136 SVC SVC PASSED RWT 11.9 MM

137 SVC SVC PASSED RWT 11.8 MM

138 SVC SVC PASSED RWT 11.9 MM

139 SVC SVC PASSED RWT 11.9 MM

140 SVC SVC PASSED RWT 11.9 MM

141 SVC SVC PASSED RWT 11.6 MM

142 SVC SVC PASSED RWT 11.8 MM

143 SVC SVC PASSED RWT 11.8 MM

144 SVC SVC PASSED RWT 11.9 MM

145 SVC SVC PASSED RWT 11.9 MM

146 SVC SVC PASSED RWT 11.9 MM

147 SVC SVC PASSED RWT 11.8 MM

148 SVC SVC PASSED RWT 11.8 MM

149 SVC SVC PASSED RWT 11.9 MM

150 SVC SVC PASSED RWT 11.9 MM

REMARKS : 1 Joint Rejected Connection

TOTAL ACCEPTED FOOTAGE : 1084.60 FT TOTAL REJECTED FOOTAGE :

ABBRECIATIONS :CT - CORRODED THREAD CO - CUT OFF SD -

TD - THREAD DAMAGED WO - WASHED OUT GT -

M - MASHED SVC - SERVICEABLE

Mr/ Ardi Ginting < Japs >

NEW /

Page 16: Complete Form Sheet

PTLM - Inspector (s)

TSD-FM/QMS.012.00.1 (6)

Page 17: Complete Form Sheet

NEW / USED TUBING

INSPECTION TALLY SHEET

DATE : 15-Feb-14

COLOR LENGTH

CODE TALLY (FT)

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.40

WHITE 45.35

WHITE 44.85

WHITE 44.86

WHITE 44.87

WHITE 44.88

WHITE 44.89

WHITE 44.90

WHITE 44.91

WHITE 44.92

WHITE 44.93

WHITE 44.94

WHITE 44.95

WHITE 44.96

WHITE 44.97

WHITE 44.98

WHITE 44.99

1 Joint Rejected Connection

TOTAL REJECTED FOOTAGE : 45.50 FT

SEAL DAMAGE

GALLING THREAD

Mr/ Ardi Ginting < Japs >

NEW / USED CASING

Page 18: Complete Form Sheet

PTLM - Inspector (s)

Page 19: Complete Form Sheet

INSPECTION AND MAINTENANCE OF OILFIELD COUNTRY TUBULAR GOODS

TUBULAR SERVICES DIVISION

Jl. TB. Simatupang Kav. 20

Jakarta 12560 - INDONESIA

BERITA ACARA INSPEKSI

Pada hari ini, 17 Maret 2014 telah dilakukan inspeksi Casing milik Star Energy Geothermal (WW),Dengan data sebagai berikut :

Nama Barang : Casing 4-1 / 2" 11.60 PPD J-55 BC R-2

Jumlah : 1 Joints

Tempat : Pengalengan Wayang Windu

Waktu : Senin, 17 Maret 2014 - Jam 15.25 s/d 15.40 Wib

Jenis Inspeksi : Visual Body Inspection (VBI) & API Full Length Drifted

Inspektor dari PT. LEKOM MARAS telah melakukan verifikasi dan inspeksi terhadap 1 joint Casing

Sesuai dengan permintaan diatas.

Setelah dilakukan verifikasi inspeksi dan Drifting ditemukan sebagai berikut :

1 . Casing 4-1/2" 11.66 PPD J-55 BC R-2 1 Jts Bent/Bengkok

Ini terjadi pada saat penyusunan Pipa dan pada saat manuver ban belakang Forklift mengenai Box

/ Coupling dari Pipa tersebut.

Demikian berita acara inspeksi Casing ini dibuat dengan sebenarnya.

Pengalengan, 17 Maret 2014

INSPEKTOR PIHAK III MengetahuiPT. Lekom Maras Star Energy Geothermal (WW)

Ardi Ginting < Japs > Amir Mukmini Inspection Operator SE Reps

Gedung Ratu Prabu 2nd Floor

< Gambar terlampir >

Page 20: Complete Form Sheet

INSPECTION AND MAINTENANCE OF OILFIELD COUNTRY TUBULAR GOODS

Telp : (62-21) 788-46221

Fax : (62-21) 788-46219

BERITA ACARA INSPEKSI

Pada hari ini, 17 Maret 2014 telah dilakukan inspeksi Casing milik Star Energy Geothermal (WW),Dengan data sebagai berikut :

Casing 4-1 / 2" 11.60 PPD J-55 BC R-2

1 Joints

Pengalengan Wayang Windu

Senin, 17 Maret 2014 - Jam 15.25 s/d 15.40 Wib

Visual Body Inspection (VBI) & API Full Length Drifted

Inspektor dari PT. LEKOM MARAS telah melakukan verifikasi dan inspeksi terhadap 1 joint Casing

Sesuai dengan permintaan diatas.

Setelah dilakukan verifikasi inspeksi dan Drifting ditemukan sebagai berikut :

1 . Casing 4-1/2" 11.66 PPD J-55 BC R-2 1 Jts Bent/Bengkok

Ini terjadi pada saat penyusunan Pipa dan pada saat manuver ban belakang Forklift mengenai Box

/ Coupling dari Pipa tersebut.

Demikian berita acara inspeksi Casing ini dibuat dengan sebenarnya.

Pengalengan, 17 Maret 2014

MengetahuiStar Energy Geothermal (WW)

Amir Mukmini

Page 21: Complete Form Sheet

DAILY PROGRESS REPORT

CUSTOMER : STAR ENERGY DATE

ITEM NO. : 07 / Cm - SE/IV/14 LOCATION

REPORT NO. : 8 WEATHER

MATERIAL INSPECT : Casing 9 5/8" 47 PPF K-35 BC R-3 PERFORATED

SCOPE OF WORK : Visual Thread Inspection / VTI

KIMAP : 408031031

VBI VTI FLD EMI UTCLEAN CLEAN COAT COAT

DOPEI.D O.D I.D O.D

- - - - - - - - - -

Remarks :

TOTAL UP TO DATE

TYPE OF INSPECTION QTY OK REJECT REMAININGPERCENTAGE

REMARKPROCESS

VISUAL BODY INSPECTION (VBI)

API FULL LENGTH DRIFT (FLD)

ULTRASONIC WALL THICKNESS (UT)

EXTERNAL CLEANING BY GRINDER

INTERNAL CLEANING BY RATLING

EXTERNAL COATING

INTERNAL COATING

DOPE / COMPOUND THREAD

TALLY LENGTH

VISUAL THREAD INSPECTION (VTI)

REJECT

BOX PIN BOX S PIN ND

TOTAL JOINT COMPLETED

PERCENTAGE (%)

PREPARED BY

Daily

TOTAL INSPECT

Page 22: Complete Form Sheet

ARDI GINTA GINTING

Page 23: Complete Form Sheet

DAILY PROGRESS REPORT

: 15/04/2014

: PENGALENGAN

: GOOD

Casing 9 5/8" 47 PPF K-35 BC R-3 PERFORATED

Visual Thread Inspection / VTI

408031031

DOPE TALLY

- -

TOTAL UP TO DATE

REMARK

REJECTTOTAL % VTI

ND

::

Page 24: Complete Form Sheet