Itp Panel Beton
Itp Panel Beton
INTIMARINDO PRIMACON
PEMBANGUNAN KAWASAN INDUSTRI
PANGKALAN BUN - KALIMANTAN TENGAH
INDONESIA
No
1
References/Requirement
( Acuan / Pedoman Yang
dipakai )
Frequency/Timing
( Waktu
Pelaksanaan )
( ITP )
Record Form
( Catatan
Kondisi Matrial)
Owner Inspector
Remarks
Prior Construction
Prior Construction
R,A
Owner Spec
Mill Certificate
Prior Construction
As per Construction Specification
W,A
Frequency/Timing
( Waktu
Pelaksanaan )
( ITP )
Record Form
( Catatan
Kondisi Matrial)
Owner Inspector
W,A
W,A
W,A
R ,M
Prior Construction
During Construction
Every Delivery
Elevasi
Cek elevasi, ketinggian bangunan
harus ditentukan dari elevasi aktual
dari dasar pondasi
References/Requirement
( Acuan / Pedoman Yang
dipakai )
After Construction
As PerConstruction Specification
Catatan :
P
W
A
R
M
:
:
:
:
:
Performed
adalah bahwa mempunyai tanggung jawab untuk melaksanakan aktivitas dan pekerjaan sesuai kontrak
Witness , organisasi yang terkait yang akan selalu menyaksikan selama inspeksi dan / atau test
Approved,
Review dokumen yang memuat laporan inspeksi dan test
Monitor,
Remarks
IR-2014-01
INTIMARINDO PRIMACON
PEMBANGUNAN KAWASAN INDUSTRI
: 01/PC.CW/XII/2014
Date
Contrac item no.
Structure
Ref. Drawing
: 22/12/2014
:
: Foundation Tank (T.13 )
: Foundation Detail Tanki 2000 Dwg No. 1-4 dan ( 01-4 s/d 04-04 )
Contractor
Owner
Inspection Item
Accepted
N/A
Accepted
1. Steel Reinforcement
- Rust & Debris
- Re-Bar Arrangement & Tie
- Spacer
2. Formwork
- Surface Treatment & Size
- Support
3. Additional
- Embedded Plate & stud Bold
- Pipe Water
- Conduit Etc. Electrical Embedded
4. Others
- Cleaning & Removed Water
- Water Stop/Joint
- Chipping & Laitance Removed
Remarks
Prepared by Contractor
SURYA MAS PERKASA
Name
:
Approved by Owner
SURYA BORNEO INDAH
Name
:
Date
Date
Signature :
Signature :
Owner
N/A
ed by Owner
NEO INDAH
IR-2014-02
: 01/PC.CW/XII/2014
Date
Contrac item no.
Structure
Ref. Drawing
: 22/12/2014
:
: Foundation Tank (T.13 )
: Foundation Detail Tanki 2000 Dwg No. 1-4 dan ( 01-4 s/d 04-04 )
Contractor
Owner
Inspection Item
Accepted
N/A
Accepted
5. Placing of Concrete
- Equipment & Chute
- Concrete Delivery Time (Max. 1.5 hr)
- Slump
90mm
10025mm
- Temperatur (not Greather than 40c)
c
- Vibrating
- Cold Joint
- Concrete Dropped (Max. height 2000mm)
6. Curing
- Curing & Prepared
7. Finishing
- Surface
8. After Form Removed
- Conc. Surface Repair
- Bitumen
- Water Proofing
9. Concrete
- Grade
K.300
- Quantity
110 m
- Working Time
- Sample No.
Remarks
Prepared by Contractor
SURYA MAS PERKASA
Name
:
Approved by Owner
SURYA BORNEO INDAH
Name
:
Date
Date
Signature :
Signature :
ete)
Owner
N/A
0
m
ed by Owner
NEO INDAH
QR-CLSTR-2010-03
INSPECTION REPORT
Inspection no.
Date
Contrac item no.
Structure
Ref. Drawing
:
:
:
:
:
Consultant
Accepted
N/A
Inspection Item
PLN
Accepted
1. Preparation
- Ground surface
- Elevation
2.Formwork
- Material
3. Placing of Concrete
- Equipment & Chute
- Concrete Delivery Time (Max. 1.5 hr)
- Slump
- Temperatur (not Greather than 40c)
- Vibrating
- Concrete Dropped (Max. height 2000mm)
4. Curing
- Curing & Prepared
5. Finishing
- Surface
6. Concrete
- Grade
- Quantity
- Working Time
- Sample No.
Remarks
10025mm
c
Prepared by Contractor
MOKA-GMG COSORTIUM
Name
:
Reviewed by Consultant
KSK.AMYTHAS-GEOACE
Name
:
Approved by Owner
PT.PLN (persero) KIT KALINUSA
Name
:
Date
Date
Date
Signature :
Signature :
Signature :
INSPECTION REPORT
PLN
N/A
Approved by Owner
PT.PLN (persero) KIT KALINUSA