Doc.

Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092

Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160614 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160614, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160172 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160172, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160107 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160107, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160116 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160116, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160165 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160165, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160184 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160184, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160227 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160227, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160183 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160183, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160126 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160126, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date
Doc. Ref : TEP-930-PRC-HS-BP4-0001 Form No: FORM-TEP-HSSE-092
Date : 22 July 2016
TANGGUH EXPANSION – PROJECT EXECUTE
Revision No: 0

ELECTRICAL INSPECTION REPORT

Item of Inspection : Welding Inverter Manufacturer : WIM
Model / Type : ES 2500 Date of Inspection : 23-Jul-19
Serial Number : MMA18001201401160089 Location of Inspection : HO - GTA Construction

Checklist Conformance
NR Remarks :
Certification Information C NC

1 Manufacturer Certificate of Conformity  - - MMA18001201401160089, Surya Teknik, 17 July 2019

2 Document / Manual Books  - - Welding Inverter, WIM - ES 2500

General
3 Equipment Condition  - - Completed
4 Cable Power Cord  - - Completed
5 Electrical Plug  - - Completed
6 Electrical Outlet  - - Completed
7 Electrical Switches  - - Completed
8 Electrical Breaker  - - Completed
9 Electrical Grounding  - - Completed
10 Connection Cable  - - Completed
11 Terminal Connection  - - Completed
12 Voltage Power - - 
13 Shut Down system - - 
14 Pilot Lamp  - -
15 Fuse - - 
16 Control System Ampere Gauge - - 
17 Control System volt gauge - - 
18 Control System Hz gauge - - 
19 Alarm system - - 
20 Over load control - - 
21 Control Panel - - 

Remarks :
Prepare By Inspect By Review By
C : Conform
NC : Not Conform
Name Akbar Kamil Ahmad Surulil Muhammad Fatahillah
NR : Not Required
Note:
Welding Inverter has been inspected and tested, this
equipment is in good condition and good operating Signature
properly.

Position Quality Control Inspector Project Control

Date