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Work Location: Nilam Warehouse Pipe Yard: 113/SBH/V/2020

The document is an inspection report for concrete stagging work at the Nilam Warehouse Pipe Yard. It details the work inspected including cutting and filling, concrete pouring, reinforcement bar installation, and demolition. The report notes the quantities inspected and whether each item was accepted or not. It also documents the contractor, completion date, and acceptance by the project manager.

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Luiz Haryst Suarez
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64 views

Work Location: Nilam Warehouse Pipe Yard: 113/SBH/V/2020

The document is an inspection report for concrete stagging work at the Nilam Warehouse Pipe Yard. It details the work inspected including cutting and filling, concrete pouring, reinforcement bar installation, and demolition. The report notes the quantities inspected and whether each item was accepted or not. It also documents the contractor, completion date, and acceptance by the project manager.

Uploaded by

Luiz Haryst Suarez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Date Issued : 15 Oktober 2020 Work Performing :

Contract Title : Drilling Location Construction Services – Southern & Northern Area [ ] General
Contract No : SC1800303 [ ] Civil
Contractor : PT.PETRONESIA BENIMEL. [ ] Rehabilitation
[ ] Vegetation

Inspected by,
PHSS – PL NA & SA Department Contractor :
1. 1.
2. 2.

WORK LOCATION :
STATEMENT OF THE WORK :
SPK NO : 113/SBH/V/2020
Nilam Warehouse Pipe Yard
“Concreting Stagging at Nilam Pipe Yard”

Inspection detail :
a. Cut and Fill Type = Cu.M [ ] Accepted , [ ] Not Comment :

b. Concrete K-275 = Cu.M [ ] Accepted , [ ] Not Comment :

c. Lean Concrete K-125 = Cu.M [ ] Accepted , [ ] Not Comment :

d. Suplly and Installation Reinforcement Bars = Kg [ ] Accepted , [ ] Not Comment :

e. Demolish Concrete = Cu.M [ ] Accepted , [ ] Not Comment :

Completion of construction : Date : …………………………

Change Control Record : (any changes in cost and schedule must be recorded and must not be executed
without prior written approval from Pertamina Hulu Sanga Sanga).

Acceptance : Contractor :

Date : ………………………… Agus Subiandono


Project Manager

ANNEX - 1 OPERATION SUPPORT LOCATION CONSTRUCTION AND MISCELLANEOUS


(Brief description of comments inspection)
CIVIL WORK SERVICES
CONTRACT NO. SC1800303

PUNCH LIST & INSPECTION REPORT


ANNEX - 1
(Brief description of comments inspection)

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