BERITA ACARA SERAH TERIMA PERTAMA PEKERJAAN KONSTRUKSI (PHO) Nomor : .................................. ..................................................... ...................
Program Kegiatan Output/Pekerjaan/Paket Nomor Kontrak Tanggal Kontrak Nomor Adendum Kontrak Kontrak Tanggal Adendum Kontrak Tahun Anggaran
: : : : : : : :
………………………………………… ………………………………………… ………………………………………… ………………………………………… ………………………………………… ………………………………………… ………………………………………… 20.....
Pada hari ini, ................... tanggal ............... bulan .................. tahun Dua Ribu ....................., bertempat di Kantor ..................................... ........................................................... ........................., ..., kami yang bertanda tangan dibawah ini : 1. Nama
: …………………………………..
Jabatan
: Pejabat Pembuat Komitmen
Alamat
: …………………………………………
Dalam hal ini bertindak dalam jabatan tersebut dan oleh karena itu dalam hal ini bertindak untuk dan atas nama Pemerintah Republik Indonesia, berdasarkan Keputusan ………………………… Nomor : ………………………… …………………………,, tanggal ……………………. 20….. 20…..,, selanjutnya disebut PIHAK PERTAMA. 2. Nama
:
…………………………………..
Jabatan
: …………………………………………
Alamat
: …………………………………………
Dalam hal ini bertindak dalam jabatan tersebut, dan oleh karena itu bertindak untuk dan atas nama perusahaan CV./PT./DLL ………………… berdasarkan Akte Pendirian Notaris ………………….. No. …… tanggal ………………. di ………………… dan Akte Perubahan Terakhir Notaris ………………….. No. …… tanggal ………………. di …………………selanjutnya ………………… selanjutnya disebut PIHAK KEDUA. Berdasarkan : 1. Kontrak Nomor : ............................................. tanggal ...................... 20.... antara Pihak Pertama dan Pihak Kedua tentang Surat Perjanjian/SPK (Kontrak) paket ………………………………... ………………………………..... 2. Surat Panitia Penerima Hasil Pekerjaan pada ………………………. Nomor : ................................, ................................, tanggal ………………… 20… 20… perihal Rekomendasi / Penyampaian Berita Acara Hasil Pemeriksaan Pekerjaan Dalam Rangka Serah Terima Pertama Pekerjaan (PHO). Menyatakan bahwa : 1. Pihak Kedua untuk pertama kalinya menyerahkan pekerjaan konstruksi paket ................................................ kepada Pihak Pertama dan Pihak Pertama menerima penyerahan pekerjaan konstruksi tersebut terhitung dari tanggal …………… 20…. 20…...
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2. Waktu pelaksanaan pekerjaan tidak melampaui waktu yang telah ditentukan dalam Kontrak dan Adendumnya (apabila ada). Masa pemeliharaan ditetapkan 180 (seratus delapan puluh) hari kalender, mulai tanggal …………. 20….. 20….. sampai dengan …………. 20….. 3. Selama masa pemeliharaan Pihak Kedua wajib memelihara hasil pekerjaan tersebut.
Demikian Berita Acara Serah Terima Pertama Pekerjaan (PHO) ini dibuat dengan sebenarnya dalam rangkap 10 (sepuluh) dan 3 (tiga) rangkap diantaranya dibubuhi materai Rp. 6.000,- (enam ribu rupiah), masing-masing rangkap mempunyai kekuatan hukum yang sama.
..nama tempat.., tanggal tersebut diatas
Yang Menerima Pekerjaan
(nama) ………………. NIP. …………………………. ………
Yang Menyerahkan Pekerjaan
(nama)…………………
……………
Jabatan
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..nama tempat.., …………… 20… 20… Nomor Sifat Lampiran Perihal
: ....................... ....................... : Biasa :: Permintaan PHO
Sehubungan dengan
Kepada Yth. Pejabat Pembuat Komitmen ……………………………….. Tahun 20……. 20 ……. di ………………….
pelaksanaan Paket ……………………………….. yang
dipercayakan pelaksanaannya kepada kami CV./PT./DLL ……………….. sesuai Kontrak Nomor : ................................., tanggal ....................... dengan Nilai Rp ................,Berkenaan dengan hal tersebut di atas, dapat kami sampaikan kepada Bapak bahwa pelaksanaan pekerjaan dilapangan telah selesai 100% pada tanggal ………….. sesuai dengan Kontrak, maka dengan ini kami mengajukan permohonan untuk Serah Terima Pertama Pekerjaan (PHO) paket tersebut. Demikian kami sampaikan kepada Bapak, atas kerja sama yang baik diucapkan terima kasih.
...........nama penyedia...........
................(nama)................ Jabatan
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..nama tempat.., …………… 20…
Perihal
: Laporan Kemajuan Fisik
Sehubungan dengan pelaksanaan
Kepada Yth. Pejabat Pembuat Komitmen ……………………………. di ……………………
paket
.........................................
yang
pelaksanaannya dipercayakan kepada perusahaan CV./PT./DLL ................................ ................................ sesuai Kontrak Nomor : ................................, tanggal .......................... 20.... dan Adendum Kontrak (apabila ada) Nomor : ........................................, ........................................, tanggal ...................... ...................... 20..... Berkenaan dengan hal tersebut di atas, dapat kami sampaikan kepada Bapak bahwa pelaksanaan pekerjaan dilapangan telah selesai 100 % pada tanggal ………….. 20…. 20…. sesuai dengan Kontrak dan Adendumnya (apabila ada). Demikian kami sampaikan kepada Bapak, atas perhatiannya diucapkan terima kasih.
Direksi Lapangan (apabila ada PPTK, maka ditandatangani PPTK)
…………..…(nama)………… NIP. ……………………………
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..nama tempat.., …………… 20… Nomor Lampiran Kepada Yth
: ......................................... .................................................... ........... : : Ketua Panitia Penerima Hasil Pekerjaan pada ............................................. ............................................. di .......................................
Perihal
: Pelaksanaan Serah Terima Pertama Pekerjaan (PHO) Paket ........................................... ............................................... ....
Sehubungan dengan surat CV./PT./DLL ................................ pelaksana paket ......................., tanggal ………… 20… 20… perihal permintaan PHO, dengan ............................ Nomor : ......................., Kontrak Nomor : ...................., tanggal ................... 20..... dan surat Direksi Lapangan tentang Laporan Kemajuan Fisik bahwa pekerjaan telah selesai 100% tanggal ………….. 20… 20…, maka dengan ini diminta kepada Panitia Penerima Hasil Pekerjaan untuk melaksanakan : 1. Pemeriksaan pekerjaan paket .................... yang menyangkut kelengkapan administrasi dan pemeriksaan pekerjaan secara visual. 2. Membuat laporan/Berita Acara Hasil Pemeriksaan Pekerjaan atas pekerjaan tersebut dalam rangka proses Serah Terima Pertama Pekerjaan Konstruksi (PHO). Demikian disampaikan untuk dilaksanakan dan atas perhatiannya diucapkan terima kasih.
Pejabat Pembuat Komitmen
………….nama…………….
NIP. …………………….
Tembusan : 1. CV./PT./dll
2. 3. 4. 5.
PPTK (apabila ada) Direksi Lapangan Pengawas Pekerjaan Pertinggal
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..nama tempat.., ……….… 20… Nomor Sifat Lampiran Prihal
: ......................................... ............................................ ... : Biasa :: Undangan
Kepada Yth. Sdr. Anggota PPHP 1. 2. di – di – ……………………
Berkenaan dengan surat Pejabat Pembuat Komitmen tanggal ……… 20… 20…, tentang Pelaksanaan Serah Terima Pertama Pekerjaan (PHO) paket ................................... dengan Kontrak Nomor : ……………………… tanggal ……………….. 20…. 20…. maka dengan ini saudara diundang untuk mengikuti rapat yang akan diadakan pada : Hari / Tanggal
: ….... / …………. 20…. 20….
Tempat
: Kantor …………………………………… Kantor …………………………………… Jl. …………………………..
Acara
: Rapat dalam rangka Serah Terima Pertama Pekerjaan (PHO) paket ........................................ ............................................ .... .
Demikian disampaikan untuk dihadiri, dan atas perhatiannya diucapkan terima kasih.
Panitia Penerima Hasil Pekerjaan Ketua,
………....nama………….
NIP. ……………………
cc. Pertinggal
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..nama tempat.., ……….… 20… Nomor Sifat Lampiran Prihal
: ........................................ ............................................ .... : Biasa :: Undangan
Kepada Yth. PT./CV./DLL .............. di – di – ……………………
Berkenaan dengan surat Pejabat Pembuat Komitmen tanggal ……… 20…, 20…, tentang Pelaksanaan Serah Terima Pertama Pekerjaan (PHO) paket ................................... dengan Kontrak Nomor : ……………………… tanggal ……………….. 20…. maka dengan ini saudara diundang untuk mengikuti rapat yang akan diadakan pada : Hari / Tanggal
: ….... / …………. 20….
Tempat
: Kantor …………………………………… Jl. …………………………..
Acara
: Rapat dalam rangka Serah Terima Pertama Pekerjaan (PHO) paket ........................................ ............................................ .... .
Demikian disampaikan untuk dihadiri, dan atas perhatiannya diucapkan terima kasih.
Panitia Penerima Hasil Pekerjaan Ketua,
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Hari / Tanggal Tempat Acara
: ….... / …………. 20…. : Kantor ............................................ ................................................................. ................................. ............ : Rapat dalam rangka Serah Terima Pertama Pekerjaan (PHO) paket .......................................... ............................................ ..
No
Nama
.
Kedudukan
Tanda Tangan
1
UNSUR PANITIA …………..nama………………..
Ketua PPHP
………………………………..
2
…………..nama………………..
Sekretaris PPHP
…………………………………
3
…………..nama………………..
Anggota PPHP
…………………………………
1
UNSUR TERKAIT …………..nama………………..
PPTK (apabila ada)
…………………………………
2
…………..nama………………..
Direksi Lapangan
…………………………………
3
…………..nama………………..
Pengawas Pekerjaan
…………………………………
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NOTULEN RAPAT Nomor : .................................... ........................................................ ....................
Pada hari ini, ………………. tanggal ……….. bulan ……….. tahun Dua Ribu ………….., ………….., Panitia Penerima Hasil Pekerjaan mengadakan rapat dalam rangka proses Serah Terima Pertama Pekerjaan Konstruksi untuk paket ................................................... ................................................... Rapat diadakan di Kantor ......................................... ............................................................... ........................ .. I.
PESERTA Rapat dipimpin oleh Ketua Panitia dan dihadiri oleh : A. Panitia Penerima Hasil Pekerjaan (PPHP) 1. Ketua : ........................................... ............................................. 2. Sekretaris : ........................................... ............................................. 3. Anggota : ........................................... ............................................. B. PPTK (apabila ada) : ........................................... ............................................. C. Direksi Lapangan : ........................................... ............................................. D. Pengawas Pekerjaan : .......................................... ............................................ .. E. Penyedia : ........................................... .............................................
II.
POKOK BAHASAN Untuk lebih jelasnya keadaan pekerjaan yang akan diperiksa diperlukan penjelasan dari PPTK (apabila ada)/Direksi Lapangan berupa Penjelasan Umum, Umum, Progress, Teknis dan lain-lain yang berkaitan dengan paket pekerjaan yang akan diperiksa. 1. Penjelasan Umum a. Paket b. Lokasi Pekerjaan c. Penyedia
: .......................................... ............................................ : .......................................... ............................................ : .......................................... ............................................
2. Kontrak Original a. Nomor
: ........................................... ...........................................
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g. Masa Pelaksanaan
: -
4. Permohonan PHO berdasarkan surat CV./PT./dll ............................. Nomor : ......................., tanggal ………………….. ………………….. III.
TATA KERJA PANITIA Setelah penjelasan dari Direksi Lapangan, Ketua Panitia memberi arahan mengenai tugas-tugas Panitia sebagai berikut : a. Melaksanakan pemeriksaan kuantitas pekerjaan sesuai kuantitas Kontrak dengan kuantitas pekerjaan terlaksana dilapangan. b. Melaksanakan pemeriksaan pekerjaan pada beberapa titik yang dapat dilihat. c. Memeriksa hasil pekerjaan dilapangan dan membuat daftar kekurangan, kerusakan atau cacat-cacat pekerjaan jika ada pekerjaan yang kurang sempurna. d. Memeriksa kelengkapan administrasi yang berkaitan dengan pengendalian pekerjaan serta persyaratan-persyaratan lainnya sesuai dalam Dokumen Kontrak.
IV.
PERSONAL TIM Untuk melaksanakan tugas-tugas pemeriksaan personil disusun sebagai berikut : Pemeriksaan lapangan dan administrasi. No
1 2 3 4 5 6 7
V.
Nama
Jabatan
Unsur
PPHP PPHP PPHP PPTK (apabila ada) Direksi Lapangan Pengawas Penyedia
JADWAL PELAKSANAAN PEMERIKSAAN Rencana pelaksanaan pemeriksaan telah disepakati bersama-sama sebagai berikut : 1. Pemeriksaan administrasi dilaksanakan : Hari / Tanggal : ….... / …………. 20…. Pukul : ……… WIB s/d selesai
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Demikian Notulen Rapat ini diperbuat sesuai dengan kesepakatan bersama untuk dipergunakan seperlunya.
Notulis,
…………nama……….
NIP. ………………………..
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PEMERIKSAAN PEMERIKSAAN ADMINISTRASI
No
Uraian
1 Kontrak 2 Surat Perintah Mulai Kerja (SPMK) 3 Adendum Kontrak 4 Final Quantity 5 Asbuilt Drawing 6 Shop Drawing 7 Laporan Harian 8 Laporan Mingguan 9 Laporan Bulanan 10 Back Up Data 11 Jadwal Pelaksanaan Pekerjaan 12 Struktur Organisasi Kontraktor 13 Termijn 14 Retensi 15 Job Mix Design
Ada / Tidak Ada
Jumlah
Keterangan Keterangan
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Hari / Tanggal Pukul Tempat Acara No
Nama
: ….... / …………. 20…. : ........ WIB : Lapangan Pekerjaan : Kunjungan Lapangan Kedudukan
Tanda Tangan
1
UNSUR PANITIA …………..nama………………..
Ketua PPHP
………………………………..
2
…………..nama………………..
Sekretaris PPHP
…………………………………
3
…………..nama………………..
Anggota PPHP
…………………………………
1
UNSUR TERKAIT …………..nama………………..
PPTK (apabila ada)
…………………………………
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Hari / Tanggal Pukul Tempat Acara No
: ….... / …………. 20…. : ............. WIB. : Kantor ........................................ ........................................ : Rapat Hasil Kunjungan Lapangan.
Nama
Kedudukan
Tanda Tangan
1
UNSUR PANITIA …………..nama………………..
Ketua PPHP
………………………………..
2
…………..nama………………..
Sekretaris PPHP
…………………………………
3
…………..nama………………..
Anggota PPHP
…………………………………
1
UNSUR TERKAIT …………..nama………………..
PPTK (apabila ada)
…………………………………
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DAFTAR CACAT DAN KERUSAKAN
Tanggal Pemeriksaan Lapangan : ………………… 20… 20…
No
Lokasi
Jenis Pekerjaan
Jenis Kekurangan dan Kerusakan
Cara Penanggulangan
Hasil Pelaksanaan
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NOTULEN RAPAT HASIL KUNJUNGAN LAPANGAN Nomor : ................................... ............................................... ............
Pada hari ini, ............ tanggal ............... bulan ................... tahun Dua Ribu ..................., Panitia Penerima Hasil Pekerjaan Paket ........................... mengadakan rapat membahas Hasil Kunjungan Lapangan yang dilaksanakan pada tanggal …………. 20….. 20….... Rapat diadakan di Kantor ........................................ ........................................ Setelah membahas laporan hasil kunjungan, Panitia mengambil kesimpulan sebagai berikut : 1. Dari Hasil Kunjungan Lapangan yang dilaksanakan tanggal …………. 20… 20…, Panitia berpendapat bahwa Penyedia telah melaksanakan kewajiban-kewajibannya dalam melaksanakan pekerjaan sesuai dengan Kontrak. 2. Dengan demikian Panitia berkesimpulan bahwa Penyedia telah melaksanakan pekerjaan konstruksi sesuai dengan ketentuan-ketentuan dari persyaratan dalam Kontrak Nomor : ………………, ………………, tanggal …………. 20… 20… Pekerjaan konstruksi benar telah selesai 100% tanggal …………. 20… paket .......................................... ............................................. ... 3. Sehubungan dengan hal tersebut, maka masa pemeliharaan yaitu 180 (seratus delapan puluh) hari kalender. 4. Penyedia wajib menyediakan peralatan dan personil yang diperlukan untuk melaksanakan pemeliharaan dimaksud. 5. Serah Terima Akhir Pekerjaan (FHO) akan dilakukan setelah berakhirnya masa pemeliharaan. Demikian Notulen Rapat ini dibuat dengan sebenarnya sesuai dengan hasil pembahasan bersama
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BERITA ACARA HASIL PEMERIKSAAN PEKERJAAN PANITIA PENERIMA HASIL PEKERJAAN TAHUN 20....
Nomor Tanggal
: ................................................. : …………….. 20 20…… ……
Pada hari ini, ....... tanggal .......... .......... bulan .......... .......... tahun Dua Ribu .........., .........., sesuai dengan Kontrak Kontrak Nomor : .........., tanggal ............. 20 … paket ...................... dan Keputusan ……………………………… ………………………………,, tentang Pembentukan Panitia Penerima Hasil Pekerjaan pada ……………………….. ………………………..,, maka Panitia Penerima Hasil Pekerjaan bersama-sama dengan unsur proyek, CV./PT.?dll…………………. CV. /PT.?dll…………………. mengadakan rapat yang dihadiri oleh seperti dalam daftar hadir t erlampir. Panitia mengambil kesimpulan sebagai berikut : 1. Setelah mempelajari secara seksama hasil pemeriksaan lapangan dan hasil pemeriksaan kelengkapan Administrasi Panitia menyatakan bahwa Penyedia telah melaksanakan pekerjaan
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No
Nama
Kedudukan
Tanda Tangan
1
UNSUR PANITIA …………..nama………………..
Ketua PPHP
………………………………..
2
…………..nama………………..
Sekretaris PPHP
…………………………………
3
…………..nama………………..
Anggota PPHP
…………………………………
1
UNSUR TERKAIT …………..nama………………..
PPTK (apabila ada)
…………………………………
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Nomor Lampiran
: ............................................ ............................................... ... : 1 (satu) berkas
........................, ........................, ……………. 20… 20…
Kepada Yth. Pejabat Pembuat Komitmen di ................................ Perihal
: Rekomendasi/Penyampaian Berita Acara Hasil Pemeriksaan Pekerjaan Dalam Rangka Serah Terima Pertama Pekerjaan (PHO)
Berdasarkan Berita Acara Hasil Pemeriksaan Pekerjaan PPHP Tahun 20... Nomor : ............................, tanggal ……………….. 20…. 20…. paket .................................................., maka bersama ini dilaporkan kepada Bapak bahwa tim Panitia Penerima Hasil Pekerjaan telah meninjau kelapangan pada tanggal
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PHOTO VISUAL SERAH TERIMA HASIL PEKERJAAN
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PHOTO VISUAL SERAH TERIMA HASIL PEKERJAAN
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