FOR APPROVAL

B 07-11-2018 Revised by Owner’s Comment H.H. Jang B.N. Jeong J.T.Baik

A 09-10-2018 Issued for Approval H.H. Jang B.N. Jeong J.T.Baik
REV. DATE DESCRIPTION DSGN CHKD APPD

PROJECT :

Cirebon 2, 1x1000MW Coal Fired Power Plant Project,

Indonesia
OWNER :

OWNER’S ENGINEER :

CONTRACTOR :

SUBCONTRACTOR / SUBSUPPLIER:

DESIGNED BY DATE TITLE :

H. H. Jang 07-11-2018 Inspection and Test Plan for Earth
CHECKED BY DATE Work
B.N. Jeong 07-11-2018

APPROVED BY DATE DOCUMENT NUMBER REV.

J.T.Baik 07-11-2018 CB2–Q–ZEN–05–60211 B

HYUNDAI ENG. & CONST. CO., LTD.

Cirebon 2, 1X1000MW Coal Fired Power Plant Project

ITP No.: CB2-Q-ZEN-05-60211

DISCIPLINE : Arch
Rev. No. : B
INSPECTION and TEST PLAN DESCRIPTION OF WORK :
PAGE : 1 OF 2
Site preparation and earth Work
DATE : 07 NOV. 2018

REFERENCE INSPECTION POINT REMARK

(PROCEDURE, Acceptance REPORTING
SN DESCRIPTION OF INSPECTION and TEST
SPEC, Criteria FORMAT Certified
Cons’t QC OWNER
CODE&STD) Authority

1 Site Preparation Design Criteria for As per design

Civil & Building drawing
Works (CB2-C- Survey report H W S/W
1.1 Check of coordinates / level
U_-04-20101)
2 Excavation As per design CB2-Q-ZEN- H W S/W
As per Approval drawing 05-60211-01
2.1 Check buried obstructions Drawing
2.2 Excavation dimension (Lines and level)
2.3 Dewatering condition Method Statement
(if required by soil investigation report)
2.4 Stockpile and disposal
2.5 Underground utility & Embedded item
: Bedding / Installation condition
3 Filling / Backfilling Design Criteria for H W S/W
Civil & Building
3.1 Material Works (CB2-C-
U_-04-20101)
LEGEND
H : HOLD POINT PREPARED BY
W : WITNESS POINT
R : REVIEW
S : SURVEILLANCE REVIEWED BY
Cons’t : Construction Discipline
QC : Quality Discipline
Owner : Cirebon Power APPROVED BY

[CB2-Q-ZEN-05-60011-02/A]
HYUNDAI ENG. & CONST. CO., LTD.

Cirebon 2, 1X1000MW Coal Fired Power Plant Project

ITP No.: CB2-Q-ZEN-05-60211.
DISCIPLINE : Arch
No. : B
INSPECTION and TEST PLAN DESCRIPTION OF WORK :
PAGE : 2 OF 2
Site preparation and earth Work
DATE : 07. NOV. 2018
REFERENCE INSPECTION POINT
(PROCEDURE, Acceptance REPORTING
SN DESCRIPTION OF INSPECTION and TEST Certified REMARK
SPEC, Criteria FORMAT Cons’t QC OWNER
CODE&STD) Authority
3.1.1 Grain size analysis : well graded soil As per Approval As per CB2-Q-ZEN-
3.1.2 Free from loam, roots, organic matter or Drawing design 05-60211-01
other deleterious material drawing

3.2 Compaction and test Method Statement CB2-Q-ZEN- H W S/W

05-60211-
3.2.1 Compaction ASTM D 1556 01/02
-The thickness of backfill layer will be not less General notes
than 300mm (compacted condition). (CB2-C-U_-04-
-Field density test : each layer 20001, CB2-A-U_-
52-20001)
Density
AREA
requirements
Standard DWG
Under foundation of equipment,
Buildings ans Structures 95%
(non-pile structrue foundation)
Under SLAB on grade 95%
Under Concrete Pavement and Roads 95%
Embankment 90%
Other non structural area 90% B
Foundation Backfill 90% H W S/W
3.2.2 Trial compaction test
Determine the number for rolling and applied
load

3.3 Finishing earth work H W S/W

3.3.1 Grading condition

3.3.2 Dimension (Slope, level, width)
[CB2-Q-ZEN-05-60011-02/B]
Attachment #1

HYUNDAI ENG. & CONST. CO., LTD

Cirebon 2, 1x1000MW Coal Fired Power Plant Project

INSPECTION REPORT FOR EARTH WORK

Inspection report no. : Discipline:

Date of inspection: Before (1) EL. m

Excavation
Location : After (2) EL. m
level
Total
Ref. Drawing.no : EL. m
(2) – (1)

No Inspection Elements CONSTRUCTION QC OWNER Remark

1 Site Preparation

2 Field level survey

Bottom of excavation (length, width, depth and side

3
slope)

Underground Utility & Embedded Item : Pipe,

4
Cable, etc. Installation

5 Proper Fill/Backfill material

6 Thickness layer for compaction

7 Field compaction test results

8 Finished condition/Final surface

Remark
● Interface check ( yes □, n/a □)
Mech Discipline Electrical Discipline Other Discipline

Name
B
Signature

CONSTRUCTION QC OE/OWNER
NAME

Signature

DATE

[CB2-Q-ZEN-05-60211-1]
Attachment #2

HYUNDAI ENG. & CONST. CO., LTD

Cirebon 2, 1x1000MW Coal Fired Power Plant Project

Field Density Test Report

(Density and Unit Weight of Soil In-place by the sand-cone method, ASTM D 1556)

Test report no. : Date of Test:

Drawing reference no : Location :

Test Result (Moisture Density) 1 2 3 Remark

A WT. of Apparatus + Sand Before Test

B WT. of Apparatus + Sand After Test

C Net WT. of Sand C=A+B

D WT of Sand in Funnel
E WT of Sand in Test Hole E=C-D

F WT of Container + Soil Subtracted in Hole

G WT of Container
H WT of Soil Subtracted in Hole H=F-G

I Unit Weight of Sand

J Volumn of Test Sand J=E/I

K Moisture Density of Soil K=H/J

Test Result (Moisture Content)

L WT of Wet Sample + Container
M WT of Dry Sample + Container
N WT of Water
O WT of Container
P WT of Dry Sample
Q Moisture Content
Test Result (Compaction)

R Dry Density of Soil R=K/(1+Q/100)

S Max. Dry Density

O.M.C
T Field Compaction T=R/S*100

Specific Compaction

Remark

CONSTRUCTION QC OE/OWNER

Name

Signature

Date

[CB2-Q-ZEN-05-60211-2]
Attachment #3
HYUNDAI ENG. & CONST. CO., LTD

SURVEY REPORT
Location : Drawing No. (Rev.) :
Project : CIREBON 2, 1X1000MW COAL FIRED POWER PROJECT, INDONESIA Date of Survey :
Survey Equipment – (Maker / Model / Serial Number) :

Coordinate Elevation
Point No. Remarks
Design Coordinate (1) Actual Coordinate (2) Deviation (2-1=) Design EL. Actual EL. Deviation
North East North East North East (3) (4) (4-3=)

Prepared by : HDEC : Inspector – HDEC Q.C : Owner :

[CB2-Q-ZEN-05-60211-3]