Field ITP Civil Rev-8after Lump-Sump.

Inspection and Test Plan For Civil, Structural & Architectural Work
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Identification
Commodity
HC-T-&C/2010/0008
Activity
No.
Inspection/ Test Activity Item
SOIL INVESTIGATION and SURVEYING
Involvement & Signature
SOIL INVESTIGATION and SURVEYING (1/1)
Sub-Contractor
Contractor
OWNER
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document
Verifing
Document
Elevation and Coordinate
Visual &
Dimensional
100%
AFC drawings
Survey Report
Ws
Ws
Correct Location
Dimensional &
Survey
100%
AFC drawings
Sub-cont. report
Ws
Appearance
Visual
100%
correct function
Sub-cont. report
Correct dimension and depth
Visual &
Dimensional
100%
BS 1377
Sub-cont. report
Ws
Ws
Depth
Test
each 1.5 m
depth of soil
BS 1377
Sub-cont. report
Ws
Ws
Charateristic to be
Verified/Inspected/Tested
Date/Sign
Date/Sign
Regulatory
Date/Sign
SURVEYING
a)
Survey of location protection of

coordinates and benchmark
SOIL INVESTIGATION
a)
Location of Soil Investigation
b)
Check of Equipments
c)
Boring
d)
Standard Penetration Test (SPT)
e)
Undisturbed Sampling
Sample
Visual
100%
BS 1377
Sub-cont. report
Ws
Ws
f)
Dutch Cone Sounding ( if required )
Density
Test
Measuring
interval less
than 20 cm
BS 1377
Sub-cont. report
g)
Laboratory Soil Test
Soil characteristic
Test
as specified
BS 1377
Sub-cont. report
Ws
Ws
h)
Unconfined Compression Test
Compression
Test
as specified
BS 1377
Sub-cont. report
i)
Consolidation Test
Load
Test
as specified
BS 1377
Sub-cont. report
j)
Chemical analysis of Soil
Chemical properties
Test
as specified
BS 1377
Sub-cont. report
Requisition
Sub-cont. report
Ws
Ws
Requisition
Boring Logs
k)
Method of Storing Samples
Method
Visual
each 1.5 M of
boring hole
(SPT sample)
l)
Boring Logs
Record
Visual
each Log
Prepared by (Contractor)
Approved by (Contractor)
Rev.No:
Date:
8
Name : Yudha Kristanto / QC Engineer
6-Aug-14
Pages.:
ITP Sheet No.6419R A437-00001

Project No.
Date
16-Oct-14
I: RFI, mandatory inspection and repprt

W: RFI, option inspection and as report
H: RFI, mandatory inspection and as report
R: No RFI, No inspection and review/sign report
S: No RFI, monitoring works and no sign report
Name : Amir GJ Tarigan / FQM
Certified Complete (Contractor-PM/CM)
Authorization (FQM-REKIND/APEX)
Authorization (FQM-MHI)
Date:
Date:
Date:
Date/Sign
Remarks
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Sub-Contractor
Contractor
OWNER
Frequency
Dimensional &
Survey
100%
AFC drawings
QI-S.0.01, QIS.0.02
Ws
Correct Location
Dimensional &
Survey
each protection
coordinate and
BM
AFC drawings
QI-S.0.01, QIS.0.02
Ws
Cleaning Area
Visual
100%
AFC drawings
QI-C-0.01
Ws
Drainage & Slit Trap
Visual
100%
AFC drawings
QI-C-0.01
Ws
Correct Location
Survey
100%
AFC drawings
QI-C-0.01
Ws
Visual
100%
AFC drawings
QI-C-0.01
Ws
Ws
Visual
100%
AFC drawings
QI-C-0.01
Ws
Correct dimension
Survey
100%
AFC drawings
QI-C-0.01
Ws
Ws
Correct dimension
Survey
100%
AFC drawings
QI-C-0.01
Correct protection
Visual
100%
AFC drawings
QI-C-0.01
Ws
Ws
4) Quality of Cleaning
Cleaning
Visual
100%
AFC drawings
QI-C-0.01
Ws
Ws
5) Excavation In Work
Correct dimension
Visual
100%
AFC drawings
QI-C-0.01
Ws
Ws
Cleaning
Visual
Random
PTS 34.11.00.11
QI-C-0.06
Ws
Ws
Charateristic to be
Verifing
Document
Date/Sign
Date/Sign
Date/Sign
Regulatory
Date/Sign
SITE PREPARATION (EARTH WORK)

SURVEYING
Location, number, stability and protection
of coordinates and Benchmark
Topography Survey After Completion of
b) Clearing, Striping , Removal of
Vegetation
CLEARING, STRIPPING, AND
REMOVAL VEGETATION
TEMPORARY DRAINAGE AND SLIT
TRAP
a)
SITE PREPARATION (EARTH WORK) (1/2)

Methode of
Inspection
Acceptance
Criteria/Reference
Document
Activity
No.
II
Identification
Commodity
HC-T-&C/2010/0008
Correct Location
EXCAVATION
A Preparation
Set out location, based on shop drawing
and endorsed Benchmark
Demolition or Protection of Existing
2)
Facility
Investigation of Existing under-ground
3)
Facilities
1)
Protection of Existing
Facilities
Protection of Existing
Facilities
B Excavation Work
1) Depth and width of excavation
2)
Line, Slope and Grades according to

approved drawing
3) Protection of Slope, Accepted
BACK FILLING
A Preparation
1) Quality of cleaning before filling
2) Quality of filling material
correct filling material

Visual
Random
PTS 34.11.00.11
Rev.No:
8
6-Aug-14
Pages.:

Project No.
Date
QI-C-0.06 & others

reports for soil test
Date:
16-Oct-14
I:
W:
H:
R:
S:
RFI, mandatory inspection and repprt

RFI, option inspection and as report
RFI, mandatory inspection and as report
No RFI, No inspection and review/sign report
No RFI, monitoring works and no sign report
Authorization (FQM-REKIND/APEX) Authorization (FQM-MHI)
Date:
Date:
Date:
Remarks
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Identification
Commodity
HC-T-&C/2010/0008
Activity
No.
SITE PREPARATION (EARTH WORK) (2/2)
Sub-Contractor
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document
Verifing
Document
Cleaning
Visual
Random
PTS 34.11.00.11
QI-C-0.06
correct as per specification
Visual
Random
PTS 34.11.00.11
QI-C-0.06
IFC Drawing
AFC drawings
QI-C-0.06, QIS.0.01, QI-S.0.02
each Layer
AASHTO T 180,
ASTM D 5195, BS
1377
ASTM D 5195, BS
1377
Charateristic to be
Contractor
Date/Sign
OWNER
Date/Sign
Date/Sign
Regulatory
Date/Sign
B Placement of fill
Cleaning (removal of trash debris, etc.)
in soil
Sand filling around underground pipe
2)
and cable (if any)
1)
3) Final Elevation
4) Spreading Thickness per Layer
Correct Elevation
As Field Compaction Trial
(150 mm to 450 mm)
Survey
Survey
Ws
Ws
Ws
Ws
Sub-cont. report
Ws
Lab.Test Report
C Testing / Monitoring
1) Compaction Test
2) Demolish of debris, etc

3) Soil Monitoring
Compaction result
Construction
Specification for
Site Preparation
Sand Cone test
and Earth Work
(6419P C26500102)
Clean
Monitoring
100%
Inclinometer
Monitoring
weekly
Settlement Marker
Monitoring
weekly
Piezometer
Monitoring
weekly
Good clean
ITB 8.19.11 & 8.19.12
Rev.No:
QI-G.01
Ws
Sub-cont. report
Ws
Sub-cont. report
Ws
Sub-cont. report
Ws
Date:
8
6-Aug-14
Pages.:

Project No.
Date
16-Oct-14

W:
H:
R:
S:

Date:
Date:
Date:
Remarks
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Activity
No.
III
Identification
Commodity
HC-T-&C/2010/0008
TEMPORARY FACILITIES (1/1)
Sub-Contractor
Contractor
OWNER
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document
Location,coordinate &
elevation
Dimensional
100%
Correct
location,coordinate &
elevation and within
tolerances
QI-S.0.01,QIS.0.02
Ws
Ws
Charateristic to be
6-Aug-14
Pages.:

Project No.
Verifing
Document
Date/Sign
Date/Sign
Date/Sign
Regulatory
Date/Sign
TEMPORARY FACILITIES
a)
Survey coordinate and elevation
b)
Check for building erection
Foundation, plumbness,
building completion
Visual
100%
As per Approved
Drawing &
requirements
QI-G.05
Ws
Ws
c)
Check for equipments and fittings
Installation and function
Visual
100%
Correct Install &

Function & within
tolerances
QI-G.05
Ws
Ws
d)
Check for sanitation
Visual
100%
Correct Install &

Function & within
tolerances
QI-G.05
Ws
Ws
e)
Check for plumbing
Visual
100%
Correct Install &

Function & within
tolerances
QI-G.05
Ws
Ws
f)
Check for lighting & telecommunication
Installation, illumination and

function
Visual
100%
QI-G.05
Ws
Ws
g)
Check for Ventilation & Air Conditioner
Visual
100%
QI-G.05
Ws
Ws
h)
Check for Furniture
Type and Number
Visual
100%
QI-G.05
Ws
Ws
i)
Check for Portable Fire Extinguisher
Type and Number
Visual
100%
QI-G.05
Ws
Ws
j)
Check for internal finished
Internal finished
Visual
100%
QI-G.05
Ws
Ws
k)
Check for external finished
External finished
Visual
100%
QI-G.05
Ws
Ws
l)
Check for Grounding
Visual
100%
QI-G.05
Ws
Ws
m) Check for Satelite TV
Visual
100%
QI-G.05
Ws
Ws
Remain of inspection
Visual
100%
QI-G.05
n)
o)
Final Inspection
Authority Inspection
Fitness
Visual
Correct Install &

Function & within
tolerances
Correct Install &
Function
Correct type and
Number as specified
on contract
Correct type and
Number as specified
on drawing
Complete as per Dwg.
Requirements
Requirements
Requirements
Requirements
Close punch list
as required
As per Dwg
Rev.No:
8
Date
Temporary CF
(Certificate of
Fitness)
Date:
16-Oct-14

Date:
Date:
Date:
Remarks
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Activity
No.
Identification
Commodity
HC-T-&C/2010/0008
TEMPORARY FACILITIES (1/1)

Charateristic to be
Methode of
Inspection
6-Aug-14
Pages.:

Project No.
Date
Sub-Contractor
Frequency
Acceptance
Criteria/Reference
Document
Verifing
Document
Date/Sign
Contractor
Date/Sign
OWNER
Date/Sign
Regulatory
Date/Sign
Remarks
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Activity
No.
IV
PILING WORK (Concrete Pile) Including Jetty

(1/1)
Sub-Contractor
Contractor
OWNER
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document
Verifing Document
Correct material and

Appearance
Visual
Each Receiving
Specification and
Code
QI - G.07a
Coordinate and level
Dimensional
100%
AFC Drawings
QI-S.0.01
Correct location and

plumbness
Visual
100%
AFC Drawings
QI-S.0.01
Correct blow
Visual & Dim.
as per
specification
QI-C.1.02
W,R
Complete welding/ WPS
Visual
100%
Construction
Specification
Construction
Specification
QI-C.1.03
Defect
Test
minimum10%
random
locations
QI-C.1.03/NDE Report
Complete Coating
Visual
100%
QI-C.1.03
Correct level
Dimensional
100%
Construction
Specification
AFC Drawings
QI-S.0.01
Correct coordinate
Dimensional
100%
AFC Drawings
QI-S.0.01
Correct poin
Visual
As per
approved
procedure
PTS 34.11.00.12
QI-C.1.04
W/R
Remaining item inspection
Review
100%
AFC Drawings
Inspection and test

reports
Charateristic to be
MATERIAL RECEIVING INSPECTION
Date/Sign
Date/Sign
Remarks
Date/Sign
PREPARATION
a) Coordinates of setting out of piles by survey
PILING WORK
a)
Location and inclination of pile and survey for

Piling points
b) Number of blow
c) Check of welding joint.
d) Dye Penetrant Test
e)
f)
Coating Check (Coal tar Epoxy coating or

similar)
Elevation of pile head cut off
g) Survey of pile off set after blowed
Construction
Specification
LOAD TEST
b) Identify point, Test Execution and Result
Identification
Commodity
HC-T-&C/2010/0008
6-Aug-14
Pages.:

Project No.
Date
FINAL INSPECTION
a) Final Inspection
A
p
p
r
o
vName : Amir GJ Tarigan / FQM
e
d
Rev.No:
Date:
Authorizat Authorization (FQM-MHI)
b
y
Date:
Date:
Date:
16-Oct-14

Project No.
HC-T-&C/2010/0008
Activity
No.
Identification
Commodity

(1/1)
Charateristic to be
Methode of
Inspection
Frequency
Sub-Contractor
Acceptance
Criteria/Reference
Document
Verifing Document
Date/Sign
Contractor
Date/Sign
OWNER
Date/Sign
Remarks
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
V
1
Identification
CIVIL WORKS (1/3)
Sub-Contractor
Contractor
OWNER
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document

Appearance
Visual
Each Receiving
Specification and
Code
QI - G.07a
Cyment type
Review, Visual,
Test
once in every
month
ASTM C 150
Certificate
R,I
Cyment type
Review, Visual,
Test
once in every
month
ASTM C 150
Certificate
R,I
b) Fine Aggregate
Visual
Sieve Analysis,
Elongation and
Flakiness Test
once/
3500T~5000T
ASTM C 33
Inspection Report
c) Coarse Aggregate
Visual
Sieve Analysis
once/
3500T~5000T
ASTM C33
Inspection Report
Visual , Test
Visual , Tensile
Test , Bend Test
each supplier
& heat.no
ASTM A615
Certificate & Test

Report
pH
Test
twice / year
January&June
BS 3148, BS 2690
Test Report
As spesified
Visual & Review
Each concrete
type
ASTM 494
Certificate
R,I
W/R
Activity
No.
Charateristic to be
6-Aug-14
Pages.:

Project No.
Date
Verifing Document
Date/Sign
Date/Sign
Remarks
Date/Sign
CIVIL WORK
Civil materials including :
a) (i) Portland Cement,
(ii) Blast Furnace Cement/Silika Fume
(if required)
d) Reinforcing Bars
e) Water
f)
2
Admixture
PREPARATION
a) Mix design and Trial mix of concrete
b) Survey Work
Concrete composition, slump

Visual & Review
& stregth requirements
Coordinate, elevation
Dimension
Each concrete
type
each survey
work
BS 1881, BS 5328
AFC Drawing
QI-S.0.02
CONCRETING (Foundation, Column, Slab,

Pavement, etc)
a) Excavation
Inspection of Re-bar , incl. Barbending

b)
Schedule
Location and Dimension

Diameter, Spacing, Number
and Cleanliness
Visual &
Dimensional
Visual &
Dimensional
100%
100%
AFC Drawings
AFC Drawings
Rev.No:
QI-C.0.01
QI-C.2.02 &
QI-C.2.03
Date:

Date:
Date:
8
Mix Design Report

QI-S.0.01 &
16-Oct-14
Date:
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
Activity
No.

c)
Identification
CIVIL WORKS (2/3)

Charateristic to be
Sub-Contractor
Methode of
Inspection
Contractor
OWNER
Frequency
Acceptance
Criteria/Reference
Document
Verifing Document
100%
AFC Drawings
QI-C.2.02
100%
AFC Drawings
QI-C.2.02
Date/Sign
Date/Sign
Inspection of Embedded Material for

EMC (Electro Magnetic Compatible)
Visual &
Dimensional
Visual &
Dimensional
Location and Tighteness
- Embedded Cable
Location and Tighteness
d) Inspection of Form Work
Inside dimensions, Rigidity

and Cleanliness
Visual &
Dimensional
100%
AFC Drawings
QI-C.2.02
Location and dimensions
Dimensional
100%
AFC Drawings
QI-S.0.01
Number of samples
Visual
12 Samples /
20m3
Construction
Specification for
Concrete Work
QI-C.2.05 &
QI-C.2.06
g) Measure Slump
Each Load
Test
Each load
Construction
Specification for
Concrete Work
QI-C.2.07b
h) Air Content Test
Measure
Test
twice / week
ASTM C 231
Test Report
Visual
Test
Random
ASTM C 136
Test Report
QI-C.2.08
e) Measure inserts / Anchor Bolt
i)
Take Concrete Test Samples
Aggregate Gradation Test
Each Load
Visual
Each curing
Construction
Specification for
Concrete Work
Measure Compressive Strength at 7

and 28 days
Compressive Strength
Test
8 Samples /
20m3
Construction
Specification for
Concrete Work
QI-C.2.05
Visually Inspection Surface Finish
Appearance
(honeycomb,crack, etc)
Visual
100%
PTS 34.19.20.31;
Construction
Specification for
Concrete Work
QI-C.2.08
Water absorbtion
Test
every casting
200m3, or per
month to critical
area
BS 1881
Test Report
Dimensions, Elevation and

Anchor bolts / boxs position
Visual &
Dimensional
100%
AFC Drawings
QI-C.2.08 & Survey

Report
j)
Method of Curing
k)
l)
m)
Remarks
Date/Sign
- Embedded Plate
f)
6-Aug-14
Pages.:

Project No.
Date
Water Absorption Test 2% of Concrete

as per BS
n) Final Check
OTHER TESTING - See PTS
34.19.20.31 Petronas Technical
o) Specification , Reinforced Concrete
Foundations and Structure, Appendix -3
(Attached)
Rev.No:
Date:
8

16-Oct-14
W:
H:
R:
S:

Date:
Date:
Date:
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
Activity
No.
4
Identification
CIVIL WORKS (3/3)
Sub-Contractor
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document
survey , excavation,
sloping,elevation, backfill.
Visual and
Dimension
100%
AFC Drawings
Survey, post, chain link,

tightenes chain link.
Visual and
Dimensional
Survey, pre-cast, joint filler,

joint sealant, filling material,
slope.
Visual &
dimensional
Survey, pre-cast, joint filler,

joint sealant, filling material,
slope.
Survey , gravel material,

celaning before spreading,
slope to drain.
Charateristic to be
6-Aug-14
Pages.:

Project No.
Date
Verifing Document
Contractor
Date/Sign
OWNER
Date/Sign
Remarks
Date/Sign
SEWER
QI-S.0.01 &
a) Installation check
100%
AFC Drawings
QI-S.0.09 & QI-C.5.11
100%
AFC Drawings
QI-S.0.012, QI-C.0.01
& QI-C.5.12
Visual &
dimensional
100%
AFC Drawings
QI-S.0.01 & QIS.0.02, QI-C.0.01 &

QI-C.5.14
Visual &
dimensional
100%
AFC Drawings
QI-S.0.01 & QIS.0.02, QI-C.5.09
CABLE TRENCH
DRAINAGE
FENCING
I
QI-S.0.02,QI.C.0.01,
C.0.06
GRAVEL
Rev.No:
Date:

Date:
Date:
8

16-Oct-14
Date:
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
6-Aug-14
Pages.:

Project No.
Date
Identification
BUILDING WORK (1/2)
Sub-Contractor
Contractor
OWNER
Remarks
Activity
No.
VI
CONCRETEING WORK (refer to section Civil Works)
WALL MASONRY WORK

a)
Specification and
Code
QI - G.07a
Ws
Ws
Brick, mortar , coloumn

practice, etc.
Visual
Random
AFC Drawings
QI-C.4.01
Installation check
Mixing of plastering, finishing Visual
Random
AFC Drawings
QI-C.4.02
Installation check
Tile material andn type,

pattern & lay-out, plumb and
level, joint.
Visual
Random
AFC Drawings
QI-C.4.03
Installation check
Tile material and type, pattern

Visual
& lay-out, cleaning.
Random
AFC Drawings
QI-C.4.04
Installation check
Material type,frame,
operation.
Visual
Random
AFC Drawings
QI-C.4.05
Material type,sealing,
cleaning
Visual
Random
AFC Drawings
QI-C.4.07
Material type,joint, lay-out &

pattern
Visual
Random
AFC Drawings
QI-C.4.08
GLASS AND GLAZING INSTALLATION

a)
Installation check

Appearance
DOOR AND WINDOW WORKS

a)
Each Receiving
Verifing Document
VINYL FLOOR TILE WORK

a)
Visual
Date/Sign
TILE WORK
a)
Frequency
Date/Sign
PLASTERING WORK
a)
Methode of
Inspection
Date/Sign
BUILDING WORK
Charateristic to be
Acceptance
Criteria/Reference
Document
Installation check
GYPSUM BOARD INSTALLATION

a)
Installation check
Rev.No:
Date:
8

16-Oct-14
W:
H:
R:
S:

Date:
Date:
Date:
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
6-Aug-14
Pages.:

Project No.
Date
Identification
BUILDING WORK (2/2)
Sub-Contractor
Contractor
OWNER
Remarks
Activity
No.
10
Installation check
Equipment type,
support/hanger, drain, union,
Visual
pressure test, inside cleaning,
painting.
Random
AFC Drawings
QI-C.6.03 & QI-C6.06
Installation check
Material type, layers,
Visual
Random
AFC Drawings
QI-C.4.10
Installation check
Equipment/material type,
position, alignment, level.
Visual
Random
AFC Drawings
QI-C.4.10
Equipment/material type,
position, alignment, level,
function test
Visual
Random
AFC Drawings
QI-C.7.01
equipment/material type,
position, alignment,
Visual
level.cleaning, test for proper
function.
Random
AFC Drawings
QI-C.4.06
16-Oct-14
W:
H:
R:
S:
AIR CONDITIONER (A.C)
a)
14
Verifing Document
Date/Sign
SANITARY EQUIPMENT INSTALLATION
a)
13
Frequency
Date/Sign
WATER PROOFING
a)
12
Methode of
Inspection
Date/Sign
FIRE PROTECTION EQUIPMENT INSTALLATION
a)
11
Charateristic to be
Acceptance
Criteria/Reference
Document
Installation check
FIXTURE AND HARDWARE
a)
Installation check
Rev.No:
Date:
8

Date:
Date:
Date:
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
6-Aug-14
Pages.:

Project No.
Date
Identification
ERECTION OF STEEL STRUCTURE (1/1)
Sub-Contractor
Contractor
OWNER
Remarks
Activity
No.
VII
INSTALLATION OF STEEL STRUCTURE

a)
Foundation Released and Embeded

items
b) Pad elevation
c)
Erection Inspection (incl.Grating,

starway, platform, handrail, etc.)
d) Bolting tightening
e) Grouting
Date/Sign
Acceptance
Criteria/Reference
Document
Verifing Document
Correct material and Appearance
Visual
Each Receiving
Specification and
Code
QI - G.07a
Hand Over Notice
Review
100%
AFC Drawings
QI-S.0.04
Level
Visual
100%
AFC Drawings
QI-C.3.02
Orientation, aligment, verticality,

heigth, no temporary support.
Required Torque Value
Visual
As specified
AFC Drawings
QI-C.3.02
Type of material & Appearance

(crack, thickness)
Visual
100%
AFC Drawings
QI-C.3.02
Completeness as per drawing

(Sealent,drain pipe, gutter,
ventilation, etc)
Visual
Random
AFC Drawings
QI-C.5.01
Visual
100%
AFC Drawings
QI-C.3.02
ROOFING AND SIDING

a)
Date/Sign
Frequency
ERECTION OF STEEL STRUCTURE
Date/Sign
Methode of
Inspection
Charateristic to be
Final Visual Inspection
PAINTING
Rev.No:
Date:
8

16-Oct-14
W:
H:
R:
S:

Date:
Date:
Date:
MHI-APEX-REKIND
QA/QC
Form. No
Rev.No.
QI - G-08
SAMUR PROJECT
Commodity
HC-T-&C/2010/0008
Activity
No.
VIII
1
2

Sub-Contractor
Methode of
Inspection
Frequency
Acceptance
Criteria/Reference
Document
Verifing Document

Appearance
Visual
Each Receiving
Specification and
Code
QI - G.07a
As specified on project specs
Test
As specified
Construction specs
Coordinate and alignment
Survey
As specified
AFC Drawings
As specified on project specs
Review
each Mix
Design
Level /Compaction (Sub-grade,

sub base, base)
Visual & Test
Filler , Sealent
Contractor
Date/Sign
OWNER
Date/Sign
Remarks
Date/Sign
ROAD WORK
Ws
Ws
PREPARATION
a)
Material Test for chemical organic
b)
Survey Work
c)
3
Identification
ROAD WORK (1/1)

Charateristic to be
6-Aug-14
Pages.:

Project No.
Date
Mix Design and trial mix of asphalt
Sub-cont. report
QI-S.0.01 &
AFC Drawings
S.0.02
Sub-cont. report
As specified
PTS 34.13.20.31
QI-C.0.03
Visual
100%
AFC Drawings
QI-C.5.10
QI-
INSTALLATION
a)
Compaction
b)
Sweeping / blowing debris
c)
Primer coat
Condition
Visual
Each spraid
AFC Drawings
QI-C.5.10
d)
Tack coat
Condition
Visual
Each spraid
AFC Drawings
QI-C.5.10
e)
Bituminous macadam layers
Thickness
Dimensional
Each layer
AFC Drawings
QI-C.5.10
f)
Construction joint
Filler , Sealent
Visual
100%
AFC Drawings
QI-C.5.10
QI-S.0.01 &
g)
Final Survey Work
Final Level
Survey
As specified
AFC Drawings
h)
Final Check of Road
Level / Slope
Visual
100%
AFC Drawings
Rev.No:
Date:
8
QIS.0.02
QI-C.5.10
16-Oct-14
W:
H:
R:
S:

Date:
Date:
Date:

Field ITP Civil Rev-8after Lump-Sump.

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Inspection and Test Plan For Civil, Structural & Architectural Work

Inspection/ Test Activity Item

SOIL INVESTIGATION and SURVEYING

Involvement & Signature

SOIL INVESTIGATION and SURVEYING (1/1)

Elevation and Coordinate

Correct dimension and depth

Survey of location protection of

Location of Soil Investigation

Standard Penetration Test (SPT)

Dutch Cone Sounding ( if required )

Laboratory Soil Test

Unconfined Compression Test

Chemical analysis of Soil

Method of Storing Samples

ITP Sheet No.6419R A437-00001

I: RFI, mandatory inspection and repprt

Name : Amir GJ Tarigan / FQM

Certified Complete (Contractor-PM/CM)

Drainage & Slit Trap

SITE PREPARATION (EARTH WORK)

SITE PREPARATION (EARTH WORK) (1/2)

Inspection/ Test Activity Item

Involvement & Signature

Line, Slope and Grades according to

3) Protection of Slope, Accepted

correct filling material

ITP Sheet No.6419R A437-00001

QI-C-0.06 & others

Name : Amir GJ Tarigan / FQM

RFI, mandatory inspection and repprt

Certified Complete (Contractor-PM/CM)

Authorization (FQM-REKIND/APEX) Authorization (FQM-MHI)

Inspection/ Test Activity Item

Involvement & Signature

SITE PREPARATION (EARTH WORK) (2/2)

correct as per specification

QI-C-0.06, QIS.0.01, QI-S.0.02

2) Demolish of debris, etc

ITB 8.19.11 & 8.19.12

ITP Sheet No.6419R A437-00001

Name : Amir GJ Tarigan / FQM

I: RFI, mandatory inspection and repprt

RFI, option inspection and as report

Certified Complete (Contractor-PM/CM)

Authorization (FQM-REKIND/APEX) Authorization (FQM-MHI)

Inspection/ Test Activity Item

Involvement & Signature

TEMPORARY FACILITIES (1/1)

ITP Sheet No.6419R A437-00001

Survey coordinate and elevation

Check for building erection

Check for equipments and fittings

Installation and function

Correct Install &

Check for sanitation

Installation and function

Correct Install &

Check for plumbing

Installation and function

Correct Install &

Check for lighting & telecommunication

Installation, illumination and