PT. SHAHIB SEJATI BO SS Batan Quality System Services BQSS-10-2010 Komite Akreditasi Nasional Lembaga Sertifikasi Sistem Mutu LSSM - 027 - IDN Jl. Timbul / Jl. H. Abdullah No. 2 Pondok Kelapa, Duren Sawit, Jakarta Timur 13450 Telp. : (021) 86900522 / 86903426 Fax. : (021) 86903426 E-mail : [email protected]
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PT. SHAHIB SEJATI BO SSBatan Quality System Services
BQSS-10-2010Komite Akreditasi Nasional
Lembaga Sertifikasi Sistem MutuLSSM - 027 - IDN
Jl. Timbul / Jl. H. Abdullah No. 2 Pondok Kelapa, Duren Sawit, Jakarta Timur 13450Telp. : (021) 86900522 / 86903426 Fax. : (021) 86903426
E-mail : [email protected]
CLIE
NT :
PT. SHA
HIB
SEJAT
IR
AD
IOG
RA
PHY IN
SPECTIO
N R
EPOR
TP
RO
JEC
T :C
ontract No.
Testing Date
Reporting D
ate :R
eport No. :
Page :
Procedure :
Acceptance C
riteria :
Draw
ing No.
Intensifying Scr :
Peny/IQ
I : S
ource Side
Film S
ideS
OD
/FFD :
Exposure time
:D
evelop time
:Film
type :
Single load
Double load
S. Im
poseS
WS
ID
WD
ID
WS
ITechnique :
Source
:
Dia./Foc.S
pot :
mm
Activity
:
Ci/kV
Current
:
mA
Job LocationC
ON
TRA
CTO
R :
Welding P
rocess :
Object Inspected :
Material :
FILM
IDE
NTIFIC
A-
TION
JOIN
T NO
.M
AT’LD
IME
NS
IO
N
THIC
KN
ES
SFILM
SE
QU
EN
CE
WE
LDE
RC
OD
E
Density
Sensitivity
Cracks
IncompleteFusionIncompletePenetration
Hi - Low
Hollow Bead
Isolated Slag
ElongatedSlag
Gas Pore
ClusterPorosity
Concavity
Burn Trough
Undercut
TungstenInclusionExcessivePenetrationSurfaceProfileMaterialDefect
RE
SU
LTSR
EMAR
KS
TOTA
L WE
LD :
JOIN
T
TOTA
L FILM :
4” x 10” sheets.
4” X 15”
sheets. 7” X
17”
sheets.TH
IRD
PAR
TY :
CLIE
NT R
EP
RE
SE
NTATIV
E :
QC
/AU
THO
RIZE
D IN
SP
EC
TOR
:R
AD
IOG
RA
PH
ER
:
ULTRASONIC EXAMINATION REPORT
Job/Contract No. :Project :
Customer :UT Equipment :
Probe Cable Type & Make : Surface Condition :
Couplant : Metylan Oil Stage of Examination : After Welding After Repair
Welding Process : SMAW SAW Calibration Block : IIW V1 ( S/N : ) IIW V2 ( S/N : )
Test Range : Procedure No. :
Scanning Technique :Probe Identification :
Report No. : :
Ref. Drawing No. : :
BCB ( S/N : )
Applicable Code :
PL=Planar
Part Identification
Pro
be A
ngle
Freq
uenc
y (M
hz)
Sca
nnin
g Fa
ce
Decibels Record of Discontinuity Result
Sca
nnin
g Le
vel
Ref
eren
ce L
evel
Gai
n C
orre
ctio
n
% D
AC
Dis
t. Fr
om R
ef.
Poi
nt (m
m)
Leng
th (m
m)
Hei
ght (
mm
)
Dep
th fr
omS
cann
ing
Face
Type
of
Dis
cont
inui
ty
AC
C
Rep
air Remark
Serial No :
As Welded Ground Flush Other ( )
Other ( )
Other ( )
Other ( )
Cable Length :
Discontinuity Type: SP=Spherical CL=Cylindrical
NDE LevelDate :
Examined By, Reviewed /Witnessed by Reviewed /Witnessed by Reviewed /Witnessed by
IOW ( S/N : )
LIQUID PENETRANT EXAMINATION REPORTJob/Contract No. :Project :Constumer :Lighting Equipment :Surface Equipment :Stage of Examination :Welding Process :Scope Of Examination :Penetrant Type :
PenetrantDeveloper Type
Cleaner Type
Part Identification
Report No. :Ref. Drawing No. :Material Examined :Illumination Level :
:::::
As WeldedAfter WeldingSMAWBase MaterialWater washable ( )Solvent RemovablePost EmulsifiableFluorescent
((
))
Ground FlushAfter ExcavationGTAWWeldment
Other ( )Other ( )Other ( )Other ( )
Application By :Brushing Spraying Other ( )
Dwell Time : .......................... min.Colors ContrastDry Developer Aqueous Dev. Non Aqueous Dev.
Developing Time : ....................... min. Procedure No. :Applicable Code :
Joint No.WelderCode
Lengthexamined
Type ofDiscontinuity Result Remark
SKETCH
Examined By, Reviewed /Witnessed by Reviewed /Witnessed by Reviewed /Witnessed by
NDE LevelDate :
PT. SHA
HIB SEJATI
Consultant Inspection &
Certification S
ervices*
CLIENT :LO
CATION :
JOB NO
:PERIO
D :
MO
NDAYDATE:
DATE:DATE:
DATE:DATE:
DATE:DATE:
DATE:TUESDAY
WEDNESDAY
THURSDAYFRIDAY
SATURDAYSUNDAY
TOTAL
JOB DESCRIPTIO
NM
ON
DAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
WORKING DAYCONSUMABLEEQUIPMENTTIM
E COM
MENCE
TIME FINISH
TOTAL HO
URS
OVER TIM
E
FILMS 10” X 4”
FILMS 15” X 4”
FILMS .........................
FILMS .........................
M.P.I. CHEM
/SET
D.P.T CHEM/SET
G. RAY IR. 192 UNIT
X. RAY
ULTRASONIC UNIT
M.P.I. UNIT
HOT TEMP. PROBE/SET
THICKNESS METER
DARK ROO
M UNIT
VEHICLE
NAME O
F PERSONNEL / Q
UALIFICATION
1. .....................................................................................6. .....................................................................................
2. .....................................................................................7. .....................................................................................
3. .....................................................................................8. .....................................................................................
4. .....................................................................................9. .....................................................................................
5. .....................................................................................10. .....................................................................................
SIGNED :
CLIENT APPROVAL :
REMARK :
(PT. SHA
HIB
SEJATI)(
)
TIME SHEET
MAGNETIC PARTICLE EXAMINATION REPORT
Job/Contract No. :Project :
Location :
Customer :
Magnetizing Equipment :Contrasting Paint : ..........................Particle Type & Manufacturer : Wet Non-Fluorescent ( ) Wet Fluorescent ( )
Dry Non-Fluorescent ( ) Dry Fluorescent ( )
Examination Date :Report No. :
Ref. Drawing No. :
Illumination Level :
Serial No. :Material Examined :
Surface Condition
Magnetizing MerhodStage of ExaminationWelding Process
Scope of Examination
As Welded
ContinuousAfter Welding
SMAW
Base Material
Weldment
Ground Flush
RasidualAfter ExcavitiomGTAW
Edge PreparationOther ( )
Other ( )
Other ( )
Other ( )Other ( )
Procedure No. :
Applicable Code :
Part Identification Joint No. WalderCode
Lengthexamined
Type ofDiscontinuity Result Remark
SKETCH
Examined By Reviewed / Witnessed by Reviewed / Witnessed by Reviewed / Witnessed by
Attachment 1
SKETCH
Client :
Project :
Material Inspected :
Date :
Service :
Report No. :
PT. Shahib Sejati
SUR
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