F/KID-PRJ-17-003

Dept. : Project & Maintenance

Section : QC
APPLICATION FOR INSPECTION (REGULAR)
Revision : 00
Eff. Date : Jan 01st 2017
PT. KAWASAN INDUSTRI DUMAI Page : 1 of 2

Kepada Inspector
WILMAR
: Mr. Pengajuan untuk / Application for:

MATERIAL INSPECTION
Kontraktor : WELDING INSPECTION
Contractor PAINTING INSPECTION
Areal Kerja : INSULATION INSPECTION
Working Area NDT WITNESS
Tanggal
: PRESSURE TEST WITNESS
penyerahan AFI

AFI submission date

Other:
LINE / TANK / STRUCTURE NO. DETAILS

INSPECTOR COMMENTS CONTRACTOR WILMAR

Fill in the inspection status below: Name Requested by: Approved by:
Already executed and issue ITP
Form No: Dept. Contractor Project Construction Project QC

Signature
Cancel or suspend due to:

Telp. (
AFI Reguler diserahkan 1 hari sebelum inspeksi, paling lama pukul 16:00 WIB

F/KID-PRJ-17-003
Dept. : Project & Maintenance
Section : QC
APPLICATION FOR INSPECTION (REGULAR)
Revision : 00
Eff. Date : Jan 01st 2017
PT. KAWASAN INDUSTRI DUMAI Page : 1 of 2

Kepada Inspector
WILMAR
: Mr. Pengajuan untuk / Application for:

MATERIAL INSPECTION
Kontraktor : WELDING INSPECTION
Contractor PAINTING INSPECTION
Areal Kerja : INSULATION INSPECTION
Working Area NDT WITNESS
Tanggal
: PRESSURE TEST WITNESS
penyerahan AFI

AFI submission date

Other:
LINE / TANK / STRUCTURE NO. DETAILS

INSPECTOR COMMENTS CONTRACTOR WILMAR

Fill in the inspection status below: Name Requested by: Approved by:
Already executed and issue ITP
Form No: Dept. Contractor Project Construction Project QC

Signature
Cancel or suspend due to:

Telp. (
AFI Reguler diserahkan 1 hari sebelum inspeksi, paling lama pukul 16:00 WIB
 F/KID-PRJ-17-003
Dept. : Project & Maintenance
Section : QC
APPLICATION FOR INSPECTION (REGULAR)
Revision : 00
Eff. Date : Jan 01st 2017
PT. KAWASAN INDUSTRI DUMAI Page : 1 of 2

ITF No. : ITF-001/CV.ID-MESS-WINA-DUMAI/23/03

SPK / SPO No. : 8122240863

Kepada Inspector
WILMAR
: Mr. Dody Harianti Pengajuan untuk / Application for:

V MATERIAL INSPECTION
Kontraktor : CV. ISRAH DUMAI WELDING INSPECTION
Contractor PAINTING INSPECTION
Areal Kerja : MESS WINA LEPIN DUMAI INSULATION INSPECTION
Working Area NDT WITNESS
Tanggal
: 09/03/2023 PRESSURE TEST WITNESS
penyerahan AFI

AFI submission date

Other:
Judul SPK / SPO DETAILS

Perbaikan Atap Bocor & Plafon

Mess C-09 Diarea Mess Lepin
WINA Dumai

INSPECTOR COMMENTS CONTRACTOR WILMAR

Fill in the inspection status below: Name Requested by: Approved by:
Already executed and issue ITP Junaid AL Daruri Yeni H Dody Harianto
Form No: Dept. Contractor Project Construction Project QC

Signature
Cancel or suspend due to:

Telp. ( 0812-7611-116
AFI Reguler diserahkan 1 hari sebelum inspeksi, paling lama pukul 16:00 WIB

F/KID-PRJ-17-003
Dept. : Project & Maintenance
Section : QC
APPLICATION FOR INSPECTION (REGULAR)
Revision : 00
Eff. Date : Jan 01st 2017
PT. KAWASAN INDUSTRI DUMAI Page : 1 of 2

ITF No. : ITF-001/CV.ID-MESS-WINA-DUMAI/23/03

SPK / SPO No. : 8122240863

Kepada Inspector
WILMAR
: Mr. Dody Harianti Pengajuan untuk / Application for:

MATERIAL INSPECTION
Kontraktor : CV. ISRAH DUMAI WELDING INSPECTION
Contractor PAINTING INSPECTION
Areal Kerja : MESS WINA LEPIN DUMAI INSULATION INSPECTION
Working Area NDT WITNESS
Tanggal
: 09/03/2023 PRESSURE TEST WITNESS
penyerahan AFI

AFI submission date

V Other: CIVIL
Judul SPK / SPO DETAILS

Perbaikan Atap Bocor & Plafon

Pembongkaran Kusen Pintu,Jedela Dapur,Meja Kompor, Pemasangan Dinding Bata
Mess C-09 Diarea Mess Lepin
dan Plasteran
WINA Dumai

INSPECTOR COMMENTS CONTRACTOR WILMAR

Fill in the inspection status below: Name Requested by: Approved by:
Already executed and issue ITP Junaid AL Daruri Yeni H Dody Harianto
Form No: Dept. Contractor Project Construction Project QC

Signature
Cancel or suspend due to:

Telp. ( 0812-7611-116
AFI Reguler diserahkan 1 hari sebelum inspeksi, paling lama pukul 16:00 WIB