CERTIFICATE

OF
INSPECTION
PRINCIPALS
SUBJECT
PLACE OF INSPECTION
DATE OF INSPECTION
REFERENCES

:
:
:
:
:

PT. M-I INDONESIA

Re - Certification of Lifting Equipment
W/H. PT. M-I Indonesia, Tanjung Batu, East Kalimantan
May 27, 2010
- AWS D1.1
- BS EN 13414
- BS EN 12079
- BS 3551

Result:
1. Visual inspection & dimensional was performed with satisfactory result.
2. NDT was performed with satisfactory result.
No

Description

Item Number

Asset Number

Max. Gross Weight

Hose Basket

HB 002

7831208035

2
3

Sling 4 Legs
Shackle

SL 01 HB 002
SC 01 up to 04 HB 002

Conclusion:
Based on
with Safe

the above result, we recommend that the lifting equipment can be

Working Load as stated above and should be re inspected on

This certificate reflects our findings at time and place of inspection only and is issued without prejudice.
Balikpapan, May 31, 2010
PT. GERBANG KRENINDO SAKTI

SUMARDI
Representative Manager

No. BPN.2144

Max. Gross Weight

Safe Working Load

4000 Kg
2,4 Ton
3,25 Ton

pment can be used for operation

nspected on November 27, 2010

d without prejudice.

RENINDO SAKTI

ARDI
ive Manager

PT.GERBANG KRENINDO SAKTI

INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001 : 2000 & OHSAS 18001 : 1999 CERTIFIED COMPANY
Telephone : 62 542 7026372 Facsimile : 62 542 7204387

VISUAL INSPECTION & DIMENSIONAL REPORT

: May 27, 2010

: W/H. PT. M-I Indon

Color Code

: Yellow

Acc

Struc.
Rejected

PE

Rejected

Acc

Rejected

Acc

Not done

Done

General Condition
Painting
Dim.
SC
Joint
Good

Heavy

Part of Inspection
Light

No

Medium

Corrotion

Date of Insp.
Location of Insp.

Acc

Hose Basket
HB 002

Repair

PT. M-I INDONESIA

Medium

:
:
:

Poor

Client
Name of Equip.
Item Number

Structure Completeness (SC)

-

Structure Straightness

Structure Type

Top Plate

Base Plate

Wall Plate

Frame

P
P
P
P
P

Joint
-

Weld Soundness

Weld Completeness

P
P

Pad Eye ( PE )
-

Pad Eye Straightness

Weld Soundness

Dimensional

Result of General Inspection

P
P
P
L : 688Cm x W :122Cm x H :122Cm
Accepted

Conclusion ;
Based on Visual Inspection The Above Equipment can be used for operation with safe working load stated above

* Note:
Corrotion
Light
Medium
Heavy

2
:
:
:

Less Than 10 % up to 15 % on surface area of CTU

More than 16 % up to 40 % on surface area of CTU
More than 41 % from surface area of CTU

Painting
Good
Medium
Poor

:
:
:

All surface area was

Half of surface area h
All surface area havin

PADEYES: 4 EA
THICKNESS: 20 mm

mm

Inspected by

MUKTI SEKTIADI
PT. Gerbang Krenindo Sakti

NG KRENINDO SAKTI

NSPECTION AND CERTIFICATION AGENCY

AS 18001 : 1999 CERTIFIED COMPANY
7026372 Facsimile : 62 542 7204387

ON & DIMENSIONAL REPORT

May 27, 2010
W/H. PT. M-I Indonesia, Tanjung Batu, East Kalimantan
Yellow

Remark

:
:
:
:

Tare Weight
Safe Working Load
Max Gross Weight
Load Test 2,5xMGW

1200 Kgs
4000 Kgs
5200 Kgs
Kgs

safe working load stated above

All surface area was good painted condition

Half of surface area having paint in peeled off
All surface area having paint in peeled off

28mm
67mm

28mm
107mm

PT. GERBANG KRENINDO SAKTI

INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001:2000 & OHSAS 18001 :1999 CERTIFIED COMPANY
Telephone : 62 - 542 - 7026372 Facsimile: 62 - 542 - 7204387

SHACKLE INSPECTION AND DIMENSIONAL REPORT

Client
Name of Equip
Item Number
Date of Inspection

:
:
:
:

INSPECTION ITEM

Location of Inspection

Refference
Color Code

:
:

Solic Yellow

RESULT

1. Shackle Data
- Manufacturer
- Type
- Safe Working Load
2 Inspection
- Shackle
- Pin Shackle
3 Dimensional
- Dimensional Nominal

REMARK

Crosby,
Bolt Type Anchor Shackle
Tones
Good
Good

- Dimensional Actual
Item No.
: SC 01
: SC 02
: SC 03
: SC 04
4 Nondestructive Examination
- Dye Penetrant Inspection
- Magnetic Partical Inspection

Open
mm
Open

Pin

Pin to Top
mm
Pin to Top

Shackle

mm
Pin

mm
mm
mm
mm

mm
mm
mm
mm

mm
Shackle

mm
mm
mm
mm

mm
mm
mm
mm

Good
Good

SLING INSPECTION AND DIMENSIONAL REPORT

Client
Name of Equip
Item Number
Date of Inspection
-

:
:
:
:

WIRE ROPE DATA

RESULT

DIAMETER
LENGTH
SAFE WORKING LOAD (SWL)
ROPE CONDITION

Good

A-A'

C-C'
B-B'

Inspected By

Location of Inspection

Refference
Color Code

:
:

MASTER LINK

A= Diameter
B= Length
C= Width

Link Condition

Good

SUB LINK

A= Diameter
B= Length
C= Width

Link Condition

Good

PT. Gerbang Krenindo Sakti

KRENINDO SAKTI

TION AND CERTIFICATION AGENCY

01 :1999 CERTIFIED COMPANY
2 Facsimile: 62 - 542 - 7204387

ND DIMENSIONAL REPORT

Solic Yellow

REMARK

D DIMENSIONAL REPORT

REMARK

Bolt Type Anchor Shackle

Bolt Type Chain Shackle
Screw Pin Shackles

BS6,
Crosby,
GRS,
OMS

Good
Rejected
-

mm
tones
kg
mtr

PT.GERBANG KRENINDO SAKTI

INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001 : 2000 & OHSAS 18001 : 1999 CERTIFIED COMPANY

MAGNETIC PARTICLE INSPECTION REPORT

### /

MPI-GKS

Report No
Description
Item Number
Date of Test
Illumination

:
:
:
:
:

Procedure No
Acc. Criteria
Welding Process
Client

: IP - 55
: AWS D1.1
:
: PT. M-I INDONESIA

No.

1
2
3
4

/ ###

Hose Basket
HB 002
May 27, 2010
- Sun Light

Part of.

Pad Eyes No.1

Pad Eyes No.2
Pad Eyes No.3
Pad Eyes No.4

Inspector
Method
Equipment
Type
Chemical

Observetion

No indication of defect
No indication of defect
No indication of defect
No indication of defect

Pad Eyes No.1

Pad Eyes No.2

:
:
:
:
:

Location

MUKTI SEKTIADI
CONTINUOUS METHOD
YOKE
YOKE PERMANENT
- WCP 2
WHITE CON
- 7HF
PREPARED
- SKC - S
CLEANER
: W/H. PT. M-I Indonesia, Tanju

Sheet

: 1 of 1

Result
Accepted
Rejected

Type of Discontinut

Pad Eyes No.3

INSPECT
Name
Balikpapan Representative Office:
Sign
Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

MUKT

Sign

MT &

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

MUKTI SEKTIADI

DI
METHOD

NENT
WHITE CONTRAST PAINT
PREPARED BATH
CLEANER

donesia, Tanjung Batu, East Kalimantan

of Discontinuties

RUSDIANSYAH
BENNY SETYA NUGROHO
ANDI BASRI
WISNU HATTA
AGUS WAHYUDI
SMAW
GMAW
GTAW
After Repair
Before Repair
After Load Test
Before Load Test
Before & After Load Test

I
MPI-GKS YOKE ELECTRIC
II
PT-GKS YOKE PERMANENT
IP - 55
SURFACE CLEANING
III
IP
56
APPLY WHITE CONTRAST
IV
AWS D1.1
MAGNETIZATION
V
ASME V
APPLY MAGNETIC INK
VI
INSPECTION
VII
CLEANING
VIII
APPLY RED PENETRANT
IX
APPLY DEVELOPER
X
INSPECTION
XI
XII

Remaks

Pad Eyes No.4

INSPECTED BY
MUKTI SEKTIADI
Balikpapan Representative Office:
Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

MT & PT Level II

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

No indication of defect
Indication of defect

WET MAGNETIC METHOD

SOLVENT REMOVABLE
MAGNETIC PARTICLE INSPECTION REPORT

CONTRAST DYE PENETRANT INSPECTION REPORT

SKC - S

CLEANER

SKL - SP1
SKD - S2

PENETRANT
DEVELOPER

WCP - 2

WHITE CONTRAST PAINT

7HF

PREPARED BATH

NETRANT

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

RAST PAINT

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur