PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-01

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) AOGAA12AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Forwarding Pump B Discharge Valve
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-02

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) AOGAA11AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Forwarding Pump A Discharge Valve
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-03

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) AOGAA11AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Check Valve Forwarding Pump A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-04

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) AOGAA12AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Check Valve Forwarding Pump B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-05

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAB11AA003
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Port Venting Discharge Header CWP
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-06

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA11AA007
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Inlet MOV Travveling Screen A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-07

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA12AA007
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Inlet MOV Travveling Screen B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-08

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA13AA007
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Inlet MOV Travveling Screen C
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-09

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA11AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Traveeling Screen Wash Pump Inlet Vlv A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-10

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA12AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Traveeling Screen Wash Pump Inlet Vlv B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-11

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA13AA002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Traveeling Screen Wash Pump Inlet Vlv C
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-12

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA11AA004
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Traveeling Screen Wash Pump Outlet Vlv A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-13

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA12AA004
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Traveeling Screen Wash Pump Outlet Vlv B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-14

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA13AA004
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Traveeling Screen Wash Pump Outlet Vlv C
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-15

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA11AA005
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Screen Wash Pump A Discharge Isolation Vlv
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-16

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA12AA005
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Screen Wash Pump B Discharge Isolation Vlv
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-17

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAA13AA005
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Screen Wash Pump C Discharge Isolation Vlv
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-18

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAB11AA001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Discharge Isolation Venting Port Valve CWP A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-19

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAB12AA001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Discharge Isolation Venting Port Valve CWP B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-20

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10PAB13AA001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Discharge Isolation Venting Port Valve CWP C
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-21

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GCF21AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION BWRO HPP A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-22

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GCF22AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION BWRO HPP B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-23

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GCL11AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION New pit pump A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-24

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GCL12AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION New pit pump B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-25

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GTA62AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Intermediate pump B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-26

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0QCL43AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Impact dosing valve no. 4 (south side forebay)
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-27

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GAD01AA001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION SW treated basin A outlet valve
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-28

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GAD02AA001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION SW treated basin B outlet valve
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-29

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GMF21AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Transfer pump A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-30

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GMF31AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Reuse pump A1
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-31

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GMF32AP001
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Reuse Pump A2
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-32

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0LDF21AA004
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Booster valve inlet mixedbed A
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-33

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GHE01AA501
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Service water relief valve (near booster fan)
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-34

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0GHE01AA502
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Service water relief valve (near dewatering house)
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-35

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO)
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Discharge Fire Fighting near H2 Plant
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-36

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) A0SGA41AA003
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Relief Valve back to Tank
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-37

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) LBA0GCP42AP002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION BWRO Cleaning Pump
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-38

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) LBA0GCP42AP002
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION BWRO Cleaning Pump
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-39

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10LDF11AA003
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION Prefilter A Booster Valve
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager
 PT Lestari Banten Energi

INSPECTION TEST PLAN

Responsible Person Issue Date Revision No : File No : PAGE
TS/Planning 01/11/2022 1 R01WTS08020 1 OF 1

A ITP REFERENCE NO MTB-ITP-2023-115-40

WORK ORDER NUMBER 4100015259
EQUIPMENT NUMBER (KKS NO) 10LDF20AA053
EQUIPMENT DESCRIPTION INSPECT & REPAIR TURBINE AUX VALVES
ACTIVITY DESCRIPTION High Speed Mixbed Bypass valve manual isolation valve B
WORK DURATION/ DATE December 2023 - February 2024

B Inspection by Section Name of Inspectors Control Activity

1. Maintenance Engineer 1. Rudi KT W: Witness M : Modification
2. Maintenance Supervisor 2. Sugeng/Warisman C : Calibration I : Inspect
3. Contractor 3. Agung Nugroho S : Setting V : Verification
4. Operation 4 R : Repair/ Replace N : NDT
5. Condition Monitoring 5 T : Testing (Function) X : Performed
6. Others (Scaffolding/Insulation/Cladding) 6

C Pre Shutdown Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
1 Pre-inspection I I X
Receive and mark control number (KKS/Stamp)
2 I I X
at local site.
3 Strip, clean, and inspect. I I X
4
5

D Shutdown/ Outage Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
Disassembly valve actuator (motorized /
1 pneumatic), *During this process the vendors will be I I X
accompany with LBE personnel.

2 Valve Inspection and Repair (Cleaning process) I I X,R

3 Valve Inspection and Repair (NDT inspection) I I X,N

4 Inspect and check all trims parts condition. I,W I,W X
Lapping for seat, disc, and other parts as
5 I,W I,W X,R
appropriated.
6 Polish and run out spindle. I,W I,W X
Recondition all broken parts to the dimension as
7 I,W I,W X
standards
Conduct blue contact check for finalize the
8 I,W I,W X
contact/sealing point
Replace and Install new soft kits parts (gasket,
9 I,W I,W X,R
packing, bonnet seal, etc.)
Re - Assembly the Valve assemble and Re-install
10 I,W I,W,C X,S
Valve actuator
Re-setting and adjust valve position (Close or
11 open) to its actuator stroke appropriatly and I,W I,W,C X,S
tighly.
It should be able operated smootly and
12 I I,C
appropriatly during stroking test.
13 Painting as existing color I I X

E Recommissioning Work Control Activities Signatures

Task
Task Description 1 2 3 4 5 6 LBE Sign Contr Sign Date
No
 Inspect and check condition valve during tsrt-up
1 I,T I,T I,T
(check lekakage / passing)
2
3
4
5

FINAL CONDITION
F Final Result

Measurement (Standard) Value (as found)

CLOSE OUT SIGNATURES

Department/
G Name Name Designation Signature Date
Company
Performed By
LBE/ Contractor
Checked By
LBE Supervisor
Verified By
LBE Engineer
Approved By
LBE Manager