Form RT Isbl2 Edit
Form RT Isbl2 Edit
Form RT Isbl2 Edit
6A)
Client
Contractor
Area / Plant
Date
NDT REQUEST
FORM
NUMBER *
Page : 1 of 1
NDT Team
RT JOINTS
RT
FILMS
NDT Service
Radiographic Test
Vacuum Test
Other:
Location
Pipe / Coil
Tank
Other:
WELDING DETAILS
S/
N
Joint
10-TOH-001-C12B100A
1B
(SHEET 1 OF 1)
3B
Process
Size
Sch.
Mat.
GTAW
10
40
A53
GTAW
10
GTAW
10
GTAW
10
GTAW
10
GTAW
10
1B
GTAW
14
2B
GTAW
14
4B
6B
7B
10B
14-TOH-001-C12B100A
(SHEET 1 OF 1)
Position
Requested by:
Name
Dept.
MATERIAL
FARID
Contractor
Welder
W2057
W0958
W0958
W2023
W2024
W2057
Acknowledged by:
HERU A W
Project Construction
Signatur
e
Telp.
081233760334
Alokasi Budget :
Note:
40
40
40
40
40
40
40
18
Remarks
A53
A53
A53
A53
A53
A53
A53
Verified by:
M FIRMAN
QC Inspector
QC-FRM-GEN-E1 (REV.6A)
Client
Contractor
Area / Plant
Date
NDT REQUEST
FORM NUMBER *
Page : 1 of 1
NDT Team
RT
JOINTS
RT
FILMS
11
NDT Service
Radiographic Test
Vacuum Test
Other:
Location
Pipe / Coil
Tank
Other:
S/
N
WELDING DETAILS
Line / Item No.
Joint
80-MO-1021-S12A25ST
(SHEET 1 OF 1)
14
19
80-MO-1024-S12A25ST
(SHEET 1 OF 1)
10
20
80-MO-1065-S12A25ST
(SHEET 1 OF 1)
10
15
11
17
12
80-MO-1029-S12A25PP
13
(SHEET 1 OF 1)
14
15
Position
MATERIAL
Welder
W0157
W0157
W0157
W0157
W0157
W0157
W0157
W0157
W0157
W0157
W0157
W2024
W2024
W2024
W2024
Process
Size
Sch.
Mat.
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
16
18
80-MO-1038-S12A25PP
19
(SHEET 1 OF 1)
20
21
W2024
W2024
W2024
W2024
33
Remarks
QC-FRM-GEN-E1 (REV.6A)
Client
Contractor
Area / Plant
Date
NDT REQUEST
Page : 1 of 1
W2024
22
Requested by:
Acknowledged by:
KHULAFAUR
Contractor
Name
Dept.
GTAW
10
A312
Verified by:
RUSDI SAAD
Project Construction
AGUNG PRAMONO
QC Inspector
Signatur
e
Telp.
081230474243 / 085314329717
FORM NUMBER *
Alokasi Budget :
Note:
NDT Team
RT
JOINTS
RT
FILMS
21
NDT Service
Radiographic Test
Vacuum Test
Other:
Location
Pipe / Coil
Tank
Other:
S/
N
WELDING DETAILS
Line / Item No.
Joint
150-PME-1521-S12A25PP
(SHEET 1 OF 1)
5A
15
19
26
29
33
10
36
11
40
12
43
13
14
100-RPO-0002-S12A25ST
(SHEET 3 OF 5)
3
7
Position
MATERIAL
Welder
W2024
W2024
W2024
W2024
W2222
W2024
W2024
W2024
W2024
W2024
W2024
W2024
W0157
W-
Process
Size
Sch.
Mat.
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
63
Remarks
QC-FRM-GEN-E1 (REV.6A)
Client
Contractor
Area / Plant
Date
NDT REQUEST
Page : 1 of 1
0157
15
100-RPO-0002-S12A25ST
1A
16
(SHEET 4 OF 5)
17
W2222
W2222
W2222
18
80-MO-1026-S12A25ST
19
(SHEET 1 OF 1)
20
14
21
18
W0157
W0157
W0157
W0157
Requested by:
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
GTAW
10
A312
Acknowledged by:
KHULAFAUR
Contractor
Name
Dept.
GTAW
Verified by:
RUSDI SAAD
Project Construction
AGUNG PRAMONO
QC Inspector
Signatur
e
Telp.
081230474243 / 085314329717
FORM NUMBER *
Alokasi Budget :
Note:
NDT Team
RT
JOINTS
RT
FILMS
NDT Service
Radiographic Test
Vacuum Test
Other:
Location
Pipe / Coil
Tank
Other:
S/
N
3
4
WELDING DETAILS
Line / Item No.
100-MO-1005-S12A25ST
(SHEET 1 OF 1)
150-MO-1007-S12A25ST
(SHEET 1 OF 1)
100-PME-1510-S12A25ST
(SHEET 1 OF 1)
MATERIAL
Joint
Position
Welder
Process
Size
Sch.
Mat.
15
(4-8)(80)
W0157
GTAW
10
A312
(R-1) 8
(7-14)
W2024
GTAW
10
A312
(R-1) 3
(0-5)
GTAW
10
A312
(R-1) 8
(0-5)
GTAW
10
A312
W2024
W-
11
Remarks
RESHOOT
QC-FRM-GEN-E1 (REV.6A)
Client
Contractor
Area / Plant
Date
NDT REQUEST
(10-0)
5
100-PME-1517-S12A25ST
(R-1) 7
All
(SHEET 1 OF 1)
(R-1) 9
(14-0)
(R-1) 6
(4-8)
80-V-2415-S12AOONA
(SHEET 1 OF 1)
Requested by:
Name
Dept.
KHULAFAUR
Contractor
Page : 1 of 1
2024
W2222
W0157
W2222
081230474243 / 085314329717
10
A312
GTAW
10
A312
GTAW
10
A312
Acknowledged by:
RUSDI SAAD
Project Construction
Signatur
e
Telp.
GTAW
Alokasi Budget :
Note:
Verified by:
AGUNG PRAMONO
QC Inspector