Inspection Test Plan For: Project Title

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Contractor Name Here

Document Number Document Type Template Contractor Logo


Utilized by
Doucment Title Inspection Test Plan Template Issued by Here

Revision Number Issue Date Start Date End Date

Inspection Test Plan for


ITP Number Discipline ITP Approval Date

Project Title Subcontractor Name

WIR No
INSPECTION
ITEM RESPONSIBILITY
PROJECT PHASE TASK / ACTIVITY Reference Checklist ASSIGNMENTS REMARKS
NO. Contractor Consultant
1.0 DOCUMENT REVIEW

1.1 Sieve Analysis and Atterberg Limits Test Reports Review Checklist 1 H R

2.0 MATERIAL RECEIVING

2.1 Fill, Select Fill and Marl Cap Materials Receiving Inspection Checklist 2 W W

3.0 INSTALLATION
Soil Protection and Control, Drainage and De-watering
3.1 Checklist 3 W S
Inspection
3.2 Fill Placement and Compaction Inspection Checklist 4 W W

3.3 Compaction Testing Checklist 5 W W


Check List
3.4 Final Fill Inspection W W
Template
4.0 PRE-COMMISSIONING

4.1 Not Applicable

GENERAL NOTES

The first three incidents of each Inspection or testing activity listed require 100 % participation by the Consultant. After this period, the Consultant may adjust the levels of QDC participation based
1
upon the Contractor’s performance.

2 Surveillance: QA/QC organization to monitor work in progress without notice from Construction Organization

3 Witness: QA/QC organization shall be notified of the timing of Inspection or test in advance. However, the inspection or test shall be performed as scheduled if the QA/QC
organization representative is not present.
Hold: QA/QC organization shall be notified of the timing of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC organization
4
representative in attendance.

5 If the Main Contractor delegates the assigned responsibility to the Subcontractor, then the Main Contractor will have the same degree of responsibility as assigned to Consultant.

LEGEND
H Hold Point for QC Inspection/ Test R Review Documents and Reports
W Witness Inspection/Test
S Surveillance
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Form Ref. No. QD0002-ADM-TEM-QTY-00003– Rev.0A

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