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INSPECTION & TEST PLAN AT FIELD

CIVIL WORK
LEGEND:
"H" HOLD POINT " W " = WITNESS INSPECTION
"A" APPROVAL DOCUMENT " R " = REVIEW AND COMMENT

QUALITY CONTROL
NO ITEM ACTIVITY
ACTIVITY

1 Document Review
1.1 Review all technical specifications, Drawing, Procedure &
Work Instruction
1.2 All tech. spec, procedures, work instruction shall be
clarified & Implementation.
1.3 Finalise deviation, generate new procedure and work
Instruction if Required

2 Execution
2.1 Prepare Job Mix Formula for Concrete Laboratory Test Report
Laboratory Test Report
2.2 Prepare Material Material Verfication
- Pipe 8" Dia SCH 40-(By CPI) Material Verfication
- Pipe 4" Dia SCH 40-(By CPI) Material Verfication
- # 4 Rebar (12.17 mm) - (By BP3) Material Verfication
- # 3 Rebar (9.525 mm ) - (By BP3) Material Verfication
- Serrated Grating (By BP3) Material Verfication
- Stell Structure (By BP3) Material Verfication
- 3/4" Dia x 6" LG Anchor Bold (By BP3) Material Verfication
- Bolt & Nust (By BP3) Material Verfication
- Stell Plate (By BP3) Material Verfication
- Anggel 4" x 4" x 3/8" (By ADK) Material Verfication
- Gravel (By BP3) Material Verfication
- Form Work Material Material Verfication
- Fine Aggregate (By BP3) Material Verfication
- Coarse Aggregate (By BP3) Material Verfication
- Sement type PC (By BP3) Material Verfication
- Water for Conrete(By BP3) Material Verfication

3 PREPARATION
3.1Material Receiving, Handling and Storage. PP-CO-GG-007
3.2Check compliance with specification & procedure SP-CI-CC-002

4 REINFORCING BAR WORK


4.1 Material inspection PP-CO-GG-007

4.2 Storing condition to prevent corrosion PP-CO-GG-006

4.3 Workmanship in cold bending operation PP-CO-GG-005


4.4 Surface cleaning PP-CI-SV-001
4.5 Location, slope, size, number checking PP-CI-SV-002
4.6 Length and location of lap splice PP-CI-SV-002
4.7 Testing of reinforcing steel SP-CI-SS-001

5 Survey Activity (Before During and after Execution)


3.1 Verification Instrument and Inspection Calibration Certificate
3.2 Survey and Stake out the location and elevation Inspection & Report
3.3 Marking Visual Inspection

6 Excavation
4.2.1. Length of Excavation Inspection & Report
4.2.2. Depth of Excavation Inspection & Report
4.2.3. Wedh of Excavation Inspection & Report
4.2.4. Elevation base of Excavation Inspection & Report

4.3 Compaction
4.3.1. Compacted of soil under sand bedding
Visual Inspection
& density test.
4.4 Survey after earthwork
4.4.1. Stake out survey after excavation Survey Report

5 Form Work
5.1 Check Dimension Visual Inspection

5.2 Bracing / Scouring Visual Inspection


5.3 Champer Visual Inspection

6 Rebar
6.1 Bar cut/bend Inspection & Report
6.2 Bar fabricate Inspection & Report
6.3 Bar Erection Inspection & Report
6.4 Install Rebars/splice & deciding Inspection & Report

7 Concrete Work
7.1 Leveling Concrete
7.1.1. Sand Bedding Test / Visual
7.1.2. Leveling Concrete

7.2 Pouring Concrete Test / Visual


7.3 Slump Test Test Report

7.4 Prepare Concrete Samples Visual Inspection

7.5 Pouring Concrete Inspection & Report

7.6 Curing Time Visual Inspection

7.7 Test Sample Concrete Test Report

7.8 Finishing
7.8.1. Demolisth Form Work Visual Inspection
7.8.2. House Keeping Visual Inspection

8 Final Survey and as Built Drawing Survey Report

10 FINAL INSPECTION
Punch list Punchlist Report
QA/QC Review of site generated hand over document Inspection Report

Prepared By,
BP3 Consortium

Name
Date
SR No. : 1259444 O1 04770 000
PLAN AT FIELD Description : Constrct Typical Cable Tail & concrete sleeper
Doc No. : WUR C-QAC-CV-ITP-017
RK Date : 15-Mar-15

= WITNESS INSPECTION " SW " = SPOT WITNESS


= REVIEW AND COMMENT " D " = VERIFICATION BY REPORT

INSPECTION ACTIVITIE
QUALITY CONTROL PROCEDURE
ACCEPTANCE CRITERIA

SIGN
BP3
REFERENCE

Contrac document Approve Document R

Site instruction form All ready sosialisation and Implementation R

Scope of work Approve Document R

SP-CI-CC-004 Approve JMF 3000 Psi W/D


SP-CI-CC-004 Approve JMF 3000 Psi W/D
Base on Bill of Quantity, IFC Drawing IFC Drawing W/D
Base on Bill of Quantity, IFC Drawing ASTM A-252 GR 2 ERW, CS,BE 0.375" WT W/D
Base on Bill of Quantity, IFC Drawing ASTM A-252 GR 2 ERW, CS,BE 0.375" WT W/D
Base on Bill of Quantity, IFC Drawing ASTM A515 GRADE 60 OR W/D
Base on Bill of Quantity, IFC Drawing ASTM A515 GRADE 60 OR W/D
Base on Bill of Quantity, IFC Drawing ASTM.A325 W/D
Base on Bill of Quantity, IFC Drawing ASTM A569 W/D
Base on Bill of Quantity, IFC Drawing ASTM A325 W/D
Base on Bill of Quantity, IFC Drawing ASTM A325 W/D
Base on Bill of Quantity, IFC Drawing ASTM A325 W/D
Base on Bill of Quantity, IFC Drawing ASTM A-36 OJ JIS G301 SS400
Meet to IFC Drawing
Base on Bill of Quantity, IFC Drawing W/D
Refers To JMF Meet to Material In K-300, K-175 No019/DM-M/NU/14 W/D
Refers To JMF Meet to Material In K-300, K-175 No019/DM-M/NU/14 W/D
Refers To JMF Meet to Material In K-300, K-175 No019/DM-M/NU/14 W/D
Refers To JMF Meet to Material In K-300, K-175 No019/DM-M/NU/14 W/D
Mill Certificate /BOM Material Inspection Report/BOM p

Material Certificate/ BOM Material Inspection Report/BOM W/D

Store above ground and protect


W/D
from dirt, oil, and grease.
Drawing Design Inspection Report W/D
SP-ME-ME-025 W/D
Drawing Design Inspection Report W/D
Drawing Design Inspection Report W/D
ASTM A615 Inspection Report W/D

PP-CI-SV-001 Valid Calibration Instrument W/D


PP-CI-SV-001 IFC Drawing CP-050GN-GG-150 W/D
PP-CI-SV-001 IFC Drawing CP-050GN-GG-150 W/D

PP-CI-GG-001 Enoght Dimention for Install From Work Concrete W/D


PP-CI-GG-001 Enoght Dimention for Install From Work Concrete W/D
PP-CI-GG-001 Enoght Dimention for Install From Work Concrete W/D
PP-CI-GG-001 Enoght Dimention for Install From Work Concrete W/D

Modified Proctor Density


Min 95 % Dry Density Modified H
ASTM D 1557

PP-CI-SV-001 Meet to IFC Drawing H

Refers to Drawing Meet to IFC Drawing Dimension


W/D
Oily Surface in side from Work
Refers to Drawing Good Eduquate Bracing/Scouring W/D
Refers to Drawing Good Eduquate Camfer W/D

Refers to Drawing Cold cut/bend and meet to IFC Drawing Dimension W/D
Refers to Drawing Meet to IFC Drawing dimension W/D
Refers to Drawing Meet to IFC Drawing W/D
Refers to Drawing Meet to IFC Drawing dimension W/D

Meet to IFC drawing (thicknees 2") W/D


Refers to Drawing
Meet to IFC drawing (thicknees 2")concrete F'c 2000 Psi days age W/D
CP-150GN-EE-609-A
Maet to Matrial in JMF K-175 No 019/DM-M/NU/14

Refers To Drawing Meet to IFC drawing, concrete F'c 3000 Psi 28 days ago H
CP-050GN-CC-411-0
Maet to Matrial in JMF K-3000 No 019/DM-M/NU/14
ASTM C 143 2 Inches to 4 inch or 10 cm ± 2 (Base on JMF) H

PP-CI-CC-001 Good samples and enough number of sample H

PP-CI-CC-001 Acceptable slump tets and clean pad for pouring concrete H

PP-CI-CC-001 Curing Concrete at Less 7 Days W

PP-CI-CC-001 Receive concrete strength F'c 3000 Psi, F'c 2000 Psi 28 days age H

Clean area form work W


Clean area location W

Design Drawing IFC Drawing R

PP-SC-GG-003 All punch list clear R


Contrac Document All Inspection Completed R

Checked & Reviewed By, Approved By,


CPI Representative PT. CPI

Name Name
Date Date
INSPECTION ACTIVITIES
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