QUALITY CHECK LIST

Work Title: GENERAL REPAIR TRPIPLEX PUMP # 01 Date Start: 03 - 08 - 2009 1. GENERAL CONTRACT NO SECTION 2. EQUIPMENT DESCRIPTION ITEM NAME ITEM CODE 3. PROCEDURE SPESIFICATION NO 1 2 3 4 REQUIREMENT REFERENCE MAN POWER TOOLS PROCEDURE Y N REMARKS DESCRIPTION TAIL GATE MEETING GWP SOP JSA LOTO OTHER 5. PICTURE 6. ACTIVITY ACTION Y N SAFETY HEAD SAFETY SHOES PPE REQUIRED MUD PUMP TYPE BRAND TRIPLEX PUMP GARDNER DENVER SIZE WWDR NO TP # O1 Ex RIG LOCATION 4. MAN POWER NAME SYAFDES HENDRIZAL SYAHRUL DEPT OWNER RIG MAINTENANCE CPI JOB CODE WO. NO BEFORE 45% Date Completed: Page: 1 of 2

Doc No Rev Date Effective

DM/FRM/QAC/08 01 01/05/2009

PERCENTAGE CONDITION CONDITION

LIMBAT SHOP BADGE # 92067 DATE IN DATE OUT REMARKS

SAFETY EYE HAND GLOVE

OTHER

NON CONFORMANCE ACTION FINAL INSPECTION REMARKS PIC VERIFIED BY

INSPECTION DESCRIPTION

PRE INSPECTION

IN-PROCESS INSPECTION

CHECK A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ENGINE S/N:6TB05587 BATTERY STATER MOTOR 24 VOLT ALTENATOR 24 VOLT SWITCH ON/OFF WIRINGS TACHOMETER INDICATORS FUEL TANK FUEL FITER INJECTION PUMP PRIMING PUMP THROTLE ENGINE SPEED SCREEN FUEL FILTER FUEL TRANSFER PUMP INDICATORS FUEL FUEL LINES RADIATOR AIR FAN FANDRIVE V - BELT TEMPERATUR GAUGE WATER PUMP AFTER COOLER LUBE OIL FILTER LUBE OIL PUMP ENGINE LUBE OIL ENGINE SAE 40 HOSES EXHOUSE PIPE N/A N/A N/A N/A N/A

REPAIR

REPLACE

CLEAN UP

QTY 1 UNIT 2 EA 1 EA 1 EA 1/1 EA 1 EA 1 EA 1 EA 1 EA 1 EA 1EA 1 EA 1 EA 1EA

VISUAL

WAITING PART WAITING PART WAITING PART WAITING PART WAITING PART

Destruction of documentation which related to cont. / plan Return of material to supplier/ Owner Return / repair equipments by supplier

N/A

100 100

NEW PART NEW PART NEW PART

100

Reworking of certain shares from result of work Work of remaking or addition result of work according
to requirement according to requirement or request of [cutomer/ client]

N/A

100 60 60 80 80 80 100 80 80 100 80 100

NEW PART

Comment:

1 EA 1 EA 1 EA 3 EA 1 EA 1 EA 1 EA 1 EA 1 EA

NEW PART Recommendation:

NEW PART

CHECK ACCEPTED
1 2 3

REPAIR REPLACE THIRD PARTY

1 EA

80

INSPECTION ATTACHMENT
ATTACHMENT NO : NO
29 30 31 32 33 34 35 36 37 B C SPARK ARRESTER BLANKET TURBO CHARGER BREATHER PIPE ACTUATOR AIR CLEANNER EMERGENCY KILL LINE AFTER COOLER EXHOUSE MANIFOLD TRANSMISSION S/N HIDRAULIC SYSTEM TRIPLEX PUMP UNIT DAMPENER RELEASE VALVE 3"DISCHARGE OUTLET 6"SUCTION INLET CRANKSHAFT MAIN BEARING CONNECTING ROD ROD BEARING PISTON ASSY VALVES ASSY GEAR FLUID END POWER END PRESSURE GAUGE PACKING PLUNGER OIL GEAR BOX WATER PUMP COOLING UNIT CHECK VALVE 2" 3000 PSI SKID/BASE FLOUR

ITEM NAME : 5 X 6 SLUSH PUMP INSPECTION DESCRIPTION

PRE INSPECTION

REFER TO REPORT NO : ACTION IN-PROCESS INSPECTION REPAIR REPLACE CLEAN UP QTY 1 EA 1 EA 1 EA 1 EA 1 EA 1 EA 1 EA 1 EA 1 EA

FINAL INSPECTION

Page : _2__of 2____ COMMENTS / NCR WAITING PART WAITING PART

D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 E

CHECK N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

VISUAL

100% NEW PART WAITING PART

W.O

1 EA 1 EA 1 EA 1 EA 1 EA 1 pcs 3 Pcs 3 Pcs 3 Pcs 6 EA 1Pcs 1Pcs 1Pcs 1 EA

W.O

NOT COMPLETE 1 EA

W.O

1 UNIT 1 EA I UNIT

W.O

8. TESTING
NO 1 2 3 DESCRIPTION FUNCTION TEST HYDRO TEST SET Y N RESULT

INSPECTED BY: Date:

VERIFIED BY: Date:

APPROVED BY Date:

Name :

Name:

Name:

QA/QC

CPI - REP Drilinco Maju ISO 9001:2000

COMPLICATION

TRIPLEX PUMP # 01

WAITING RE-PAINT

WAITING TRANSMISSION

PUMP UNIT

SUMMARY WAITING PART TRIPLEX PUMP #01

NO

DESCRIPTION PART

SIZE

QTY

REMARK

1 2 3 4 5 6 7 8 9

BATTERY STATER MOTOR ENGINE ALTENATOR SWITH ON OFF SCREEN FUEL FILTER SPARK ARRESTER EMEGENCY KILL ENGINE(ESD) TRANSMISSION DAMPENER

150 AV 24 VOLT 24 VOLT

2 EA 1 EA 1 EA 1 SET 1 EA 1 SET 1 SET W.O MATERIAL FABRICATE

CLT 754

1 UNIT 1 UNIT

10. PISTON ASSY/ RUBBER PISTON 11 CHECK VALVE 12 WATER PUMP COOLING

5" 2" 3M

1 EA 1 EA 1 UNIT

WAITING TRANSMISSION

REMARK

W.O MATERIAL FABRICATE