FOR APPROVAL

B 18.OCT.2019 KHASAN GUNA MADE FOR APPROVAL

A 07.OCT.2019 KHASAN GUNA MADE FOR APPROVAL
REV DATE PREPARED CHECKED APPROVED STATUS
Owner

Owner’s Engineer

Contractor

Sub-Supplier

Project

JAWA 9 & 10 COAL FIRED STEAM POWER PLANT

Document Title

ITP FOR FENCE AND GATE WORK

Document Type
□ Basic Engineering Document □ Detail Engineering Document ■ N/A

Document No.

J910-DH02-P0ZEN-049002
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002

RECORD OF REVISION
Rev. Date Page Affected Description of Revision

A 07.OCT.2019 First Issue

B 18.OCT.2019 7,8,9,10,11 Second Issue

Rev.B 2 of 11
 Jawa 9&10 Coal Fired Steam Power Plant_ITP Comment Sheet
From : O/E Mr. - -
To : HK Mr. I Made Japasunu j_japasunu@yahoo.com Comment Sheet Document No : J910-DH02-P0ZEN-049002_CS
cc : IRT Mr. Steve Adrianto Steve.adrianto@irt.co.id
Doc Title : ITP FOR FENCE AND GATE
Doc No : J910-DH02-P0ZEN-049002
Purpose : FA
Review Category
A = Approved
B = Approved with comments, forward final document C
C = Not Approved
I = Accepted for reference (For information only)
No. Rev. Sheet/ Page/ Sect. O/E Comments Consortium Response Status
1. Update the legend
2. Additional Point for Fence Material
1 A 7-8/11/- These are applied on Rev. B. Closed
3. Correction on CONTROL DOCUMENT, ACCEPTANCE CRITERIA and VERIFYING
DOCUMENT.
We added new ITP form for Fence Material Inspection and updated the ITP
1. Add new Appendix: Fence Material Inspection
Form number to ITP-C-0001-27.
2 A 9/11/- Closed
It is applied on the ITP Form for Inspection for Boundary of Fencing
2. Add: Coordinate Check. And revise the mistyped words.
Foundation and updated ITP Form number to ITP-C-0001-28.
1. Please add Coordinate check We don't use Precast Post and Panels, those points are added to Inspection for
3 A 10/11/- Boundary Fencing Foundation form. We updated some points related to Closed
2. Please add Strightness/Plumbness Check Precast Post and Panels on the Detals of ITP table.
Add: 5. General Connection Check
4 A 11/11- a. Bolt Tightening Check (if any) These are applied on Rev. B. Closed
b. Welding Connection Check (if any)
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
TABLE OF CONTENTS

I. INTRODUCTION…………………………………………………………………. 4
1.1.Inspection and Test Plan (ITP)
1.2.Acceptance Conditions
1.3.Request for Inspection and Test (RFI)
1.4.Documentation

II. FLOW CHART OF SITE MATERIAL INSPECTION………………………... 6

III.DETAIL ITP FOR FENCE AND GATE….….………………..…………………7

IV. APPENDICES…………………… ……………………….…………..……………8

Appendix 1
Form No. ITP-C-0001-27 INSPECTION FOR FENCING MATERIAL
Appendix 2
Form No. ITP-C-0001-28 INSPECTION FOR BOUNDARY FENCING FOUNDATION
Appendix 3
Form No. ITP-C-0001-29 INSPECTION FOR STEEL, BRACES, AND ACCESSORIES

Rev.B 3 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
I. INTRODUCTION

1.1. Inspection and Test Plan (ITP)

a. Scope
The Inspection and Test Plan (ITP) is an engineering document, which described the inspection
and tests to be performed. The inspection is performed in accordance with Owner specification
requirements and specified codes & standards.
b. Composition
This ITP is composed as belows:
-Cover Sheet with project name, Owner name, application and related personnel's name.
- Introduction with general notes
- ITP with Inspection and test activities

1.2. Acceptance Conditions

a. The equipments, materials are inspected and tested at Site in confirmation of the conditions
specified in the ITP. Each operation refers to the whole or part of a standard, a technical
specification and a regulation.
b. Detailed Legend
Detailed Legend for Inspection activity points shall be designated on the ITP by the related
parties as follows;
I : Responsible for undertaking Inspection/ Test
Consortium and subcontractor shall perform inspections or tests in accordance with
the contract requirements for each activities.
R : Responsible for Generating Record
Consortium and subcontractor shall make a record for each activities in the form of
documentations and reports.
W : Witness Point
Consortium shall send a notification to the Owner prior to perform the related test
or inspection. If the Owner fails to be present, the test or inspection may be carried
out by Consortium without witness of the Owner.
S/W : Spot Witness Point
The spot witness point that is handled like as a sample witness point, it will be
witnessed by related parties only for several activities/ item to be inspected. But, if
inadequate working procedures are detected by related parties, this point will be
treated as witness points after the proper action.
V : Verification of Record
The result of reports and documentation will be reviewed and approval by the
owner.

Rev.B 4 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
H : Hold Point
Consortium shall also send a notification to the Owner prior to perform the related
test or inspection. If the Owner fails to be present, any construction activities shall
not be proceeded by Consortium without attendence or any written approval of the
Owner.

1.3. Request for Inspection and Test (RFI)

a. RFI will be issued by Consortium in written letter or E-mail or Aconex at least two (2) days in
advance, when the equipments is ready for inspection or test.
b. RFI will contain as a minimum of the following details:
- ITP No./Drawing No./Equiment name/System Name
- Inspection tem/activities on the ITP to be inspected
- Inspection date and time
- Unit No./Area/Building/Location/Elevation
- Any comments to be considered

1.4. Documentation
a. The results of inspections and tests shall be documented in writing and signed by the related
parties as a token of approval
b. Signed documents shall be controlled as a QA records in accordance with the related procedure.

Rev.B 5 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
II. FLOW CHART OF SITE MATERIAL INSPECTION

Flow Chart of Site Material Inspection

SHOP

Engineering Purchase Order Fabrication and Owner Witness Transport,

Design Issue to Manufacturing Inspection as Shipping &
Information as Supplier (PO) in shop per approved Pass Customs
per Contract ITP

SITE

Move to Material &

Warehouse Inspection at Warehouse as per Accept Laydown area Equipment to
Receiving Packing list. or Warehouse be released to
point at Site as per Storage Site
Receiving Inspection report Issue. Levels Construction

Package damaged Re-packing Reject

Open box Inspection

Issue HOLD
Inspection to activity as per
Tag & NCR
check package approved ITP
inside

Rev.B 6 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002

III. DETAIL ITP FOR FENCE AND GATE

Document No. : J910-DH02-P0ZEN-040007 Legend : Approved by :
Prepared by : Contractor Verified by :
Owner/Client : PT INDO RAYA TENAGA I : Inspection Owner Third Party
Item No. : R : Responsible
Description : W : Witness
Project Title : Jawa 9 & 10 ( 2x 1000 MW ) CFSPP SW : Spot Witness
Date : V : Verification
Rev. : H : Hold Point
Page No. :

INSPECTION AND TEST PLAN FOR FENCE AND GATE WORK

INSPECTION
REF PROCESS DESCRIPTION INSPECTION CONTROL ACCEPTANCE CERTIFYING VERIFYING
NO ACTIVITIES DOCUMENT CRITERIA DOCUMET
Contractor Owner Third Party

1 Fence Material
1.1 Material of Fence (Post, Chainlink, and Comply with
Contract Book 4.8.4.15.2 Vendor's Brochure I/R V -
Barbed Wire, ect.) Specification
Comply with
B 1.2 Warehouse/Receiving Point at Site Contract Book 4.4.2
Specification
ITP-C-0001-27 I/R V -

2 Foundation
2.1 Concrete Mix Design include Mixing Approved Concrete Mix Comply with
proportion Design/Approved Specification and Lab.Report I/R SW R
Specification and Drawing Drawing
Comply with
2.2 Main Reinforcing Bar ASTM A615M Grade 60 I/R V R
Specification Lab.Report
Comply with Method
2.3 Excavation for Foundation Method Statement I/R V -
Statement ITP-C-0001-28
Slump/Compressive Comply with
2.4 Field Test for Concrete I/R V -
Strength Test Specification Lab.Report
Comply with Method
2.5 Formwork Method Statement I/R V -
Statement ITP-C-0001-28
3 Prefabricated Fence Post
Comply with
3.1 Size and dimension Contract Book 4.8.4.15.2 I/R SW -
Specification ITP-C-0001-28
Comply with
3.2 Fixing of post Contract Book 4.8.4.15.2 I/R V -
Specification ITP-C-0001-28
3.3 Corners and juction shall be provided per Comply with
Contract Book 4.8.4.15.2 I/R V -
drawing Specification ITP-C-0001-28

Rev.B 7 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002

INSPECTION AND TEST PLAN FOR FENCE AND GATE WORK

INSPECTION
REF PROCESS DESCRIPTION INSPECTION CONTROL ACCEPTANCE CERTIFYING VERIFYING
NO ACTIVITIES DOCUMENT CRITERIA DOCUMET
Contractor Owner Third Party

4 Gate, Chainlink, and Barbed Wire

4.1 Chainlink, Barbed Wire, Bolt, Nut, Hook Comply with Contract
Contract Book 4.8.4.15.2 I/R SW -
shall be hot dip galvanized Requirement ITP-C-0001-29
4.2 Gate type, materials as indicated Comply with Contract
Contract Book 4.8.4.15.2 I/R SW -
approved drawing Requirement ITP-C-0001-29

Rev.B 8 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
IV. APPENDICES
APPENDIX 1
Form No. ITP-C-0001-27

INSPECTION FOR FENCING MATERIAL

Ref.Dwg / No. : ____________________ Report No. : _____________________

Area / Unit : ____________________ Date : _____________________
Location : ____________________ Subcon. Name : _____________________
Project : Jawa 9 & 10 (2x1000 MW) CFSPP

Inspection Result
No. Description Remarks
Accept Reject
1 Vertical Post
- Diameter
- Length
- Coating Thickness
2 Chainlink
- Diameter
- Size of Mesh
- Coating Thickness
3 Barbed Wire
- Dimensions
- Coating Thickness

Note :

Submitted by __________ Checked by __________ Inspected by __________ Witnessed by __________ ________

Sub-con Sign/Date Construction Sign/Date QC Inspector Sign/Date IRT Inspector Sign/Date Sign/Date
(Rep.) (IRT)

Rev.B 9 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
APPENDIX 2
Form No. ITP-C-0001-28
INSPECTION FOR BOUNDARY
FENCING FOUNDATION

Ref.Dwg / No. : ____________________________ Report No. : ________________________

Project : Jawa 9 & 10 (2x1000 MW) CFSPP Date : ________________________
Area / Unit : ____________________________ Subcon. Name : ________________________
Location : ____________________________

Inspection Result
No. Description Remarks
Accept Reject
1 Excavation
Dimension :
- Width and Length
- Depth
2 Field Test

Slump Test Result

3 Formwork

- Dimension

- Elevation
B
4 Rebar Work

- Diameter Size and Number

- Bending

5 Coordinate Check

- Straightness / Plumbness Check

Note :

Submitted by __________ Checked by __________ Inspected by __________ Witnessed by __________ ________

Sub-con Sign/Date Construction Sign/Date QC Inspector Sign/Date IRT Inspector Sign/Date Sign/Date
(Rep.) (IRT)

Rev.B 10 of 11
 ITP FOR FENCE AND GATE WORK
J910-DH02-P0ZEN-049002
APPENDIX 3
Form No. ITP-C-0001-29
INSPECTION FOR STEEL, BRACES AND
ACCESSORIES

Ref.Dwg / No. : ____________________ Report No. : _____________________

Area / Unit : ____________________ Date : _____________________
Location : ____________________ Subcon. Name : _____________________
Project : Jawa 9 & 10 (2x1000 MW) CFSPP

Inspection Result
No. Description Remarks
Accept Reject
Bolt, Nut, U Clip shall be hot dip galvanized with minimum
1
thickness of 75 microns

All wire shall be galvanized with the weight of zinc coating not
2 less than 0.24 kg/m2 for 2.5mm wire and 0.20 kg/m2 for 2.11
wire

Barbed wire across the top of gates, as well as continously along

3
the entire top of fence
4 Gate type as indicated approved drawing
a). Size material for posts, rails, brace and gate frame shall
conform as shown on the approved drawings
b). Gate shall be swing and / or sliding type
- The swing type shall be hinged to swing 180 degrees
from closed to open
B
- The sliding type shall be rolled on rail, complete with
frame, latches, stops, keepers, hinges, fabic and
braces rail
5 General Connection Check

a). Bolt tightening check

b). Welding connection check

Note :

Submitted by __________ Checked by __________ Inspected by __________ Witnessed by __________ ________

Sub-con Sign/Date Construction Sign/Date QC Inspector Sign/Date IRT Inspector Sign/Date Sign/Date
(Rep.) (IRT)

Rev.B 11 of 11