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InspectionandTestPlanSample

Selectedpages(notthecompleteplan)

Contact:
EdCaldeira
FirstTimeQuality
4104518006

Pat

[Pickthedate]


AnInspectionandTestPlanismorethanjustaform
listinginspectionsandtests.
Itsaplanthatdetailshowyoumanageyourinspection
andtestprocesstoensureconstructionquality
including:

Howyouqualifyinspectors
Howfieldsuperintendentsinspectphasesofwork
Howyouhandlenonconformances
HowyouverifythatyourITPisbeingfollowed
Andmore...

PROJECTSPECIFIC
INSPECTIONANDTESTPLAN
SampleofSelectedPages

Inspection and Test Plan Template Sample


Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

PROJECTINSPECTIONANDTESTPLANPLAN
TABLEOFCONTENTS
BackgroundInformation........................................................................................................................4
Projectname..............................................................................................................................................4
ProjectNumber..........................................................................................................................................4
Projectlocation..........................................................................................................................................4
Projectdescription.....................................................................................................................................4
PlanScope..................................................................................................................................................4
PlanOverview.............................................................................................................................................4

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A.InspectorandQCPersonnelQualifications........................................................................................6

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PersonnelQualifications.............................................................................................................................6
B.TestingLaboratoryQualifications......................................................................................................9

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QualificationofTestingLaboratories.........................................................................................................9

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C.ListingofInspectedConstructionTasks............................................................................................12
D.RequiredInspectionsforEachConstructionTask.............................................................................14
PreparatorySiteInspection......................................................................................................................14
Materialqualityinspections.....................................................................................................................14
TaskreadyInspections.............................................................................................................................14
Workinprocessqualityinspections.........................................................................................................14
Taskcompletionqualityinspections........................................................................................................15
HoldPointsforIndependentInspections.................................................................................................15
InspectionStatusofConstructionTasks...................................................................................................15
E.RequiredTests.................................................................................................................................18
TestStatusControls..................................................................................................................................18
F.InspectionandTestRegister............................................................................................................21
G.ControlofNonconformances...........................................................................................................23
NonconformanceControls.......................................................................................................................23
NonconformanceCorrectiveActions.......................................................................................................24
H.ProjectCompletionInspections.......................................................................................................25
PunchOutQCInspection.........................................................................................................................25
PreFinalCustomerInspection.................................................................................................................25
FinalAcceptanceCustomerInspection....................................................................................................25
I.Inspection,Measuring,andTestEquipment......................................................................................29
J.InspectionandTestRecords.............................................................................................................31
K.InspectingandTestingComplianceAudits.......................................................................................33

Page3
[ProjectName][ProjectNumber]

Inspection and
Test Plan Template Sample
VersionAugust3,2011
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

B. TESTINGLABORATORYQUALIFICATIONS
TestinglaboratoriesarerequiredtoperformqualitytestsasidentifiedontheTestPlan.
Credentialsoflaboratoriesthatwillbeperformingtestsforthisprojectareincludedasanexhibitinthis
subsection.
RecordsofqualificationapprovalaremaintainedontheLaboratoryQualificationsformandincludedas
exhibitsinthissubsection.

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QUALIFICATIONOFTESTINGLABORATORIES

Independentlaboratoriesperformingtestsorqualityinspectionshaveadditionalrequirementsfor
purchaseorderspecificationsincludingcertificationbyanationallyrecognizedtestingaccreditation
organizationasappropriateforthescopeoftheinspectionortest:

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NRTL:Anationallyrecognizedtestinglaboratoryaccordingto29CFR1910.7.
NVLAP:AtestingagencyaccreditedaccordingtoNIST'sNationalVoluntaryLaboratory
AccreditationProgram.
TheAmericanAssociationofStateHighwayandTransportationOfficials(AASHTO)
InternationalAccreditationServices,Inc.(IAS)
AmericanAssociationforLaboratoryAccreditation(A2LA)program

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Page10
[ProjectName][ProjectNumber]

Inspection and
Test Plan Template Sample
VersionAugust4,2011
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

[CompanyName]
Laboratory Qualification Form
VersionAugust4,2011
CompanyName:

ScopeofWork(specificationsections):

ProjectID

ProjectName

Approval

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Yes
Conditional
[ProjectNumber]

ReviewTopics

No

[ProjectName]

ProjectRelatedJobCredentials
Licensesrequired:

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Certificationrequired:

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NRTL:Anationallyrecognizedtestinglaboratory
accordingto29CFR1910.7.

ApprovedBy

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Licenseandexpirationdates:
Certificationsandexpirationdates:

NVLAP:Atestingagencyaccreditedaccordingto
NIST'sNationalVoluntaryLaboratoryAccreditation
Program.

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TheAmericanAssociationofStateHighwayand
TransportationOfficials(AASHTO)
InternationalAccreditationServices,Inc.(IAS)
AmericanAssociationforLaboratoryAccreditation
(A2LA)program

Trainingrequired:

Trainingcompletedandexpirationdate:

Typeandlengthofexperiencerequired:

Certificationsandexpirationdates:

Personnellicense,certification,andtrainingrequired:

ListeachpersonscredentialsontheSubcontractorand
SupplierCertificationsandLicensesform.

Qualifications
SeniorpersondesignatedasQualityManager

Productioncapacity

Demonstratedskillsandknowledge

Staffingavailability

Demonstratedexperience
QUALIFICATIONNOTES:

ProvisionalApproval:Actionplanforimprovement

Followupresultsanddate

Page11
[ProjectName][ProjectNumber]

Inspection and
Test Plan Template Sample
VersionAugust4,2011
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

D. REQUIREDINSPECTIONSFOREACH
CONSTRUCTIONTASK
TheQualityManageridentifieseachPhaseofConstructionTastthatrequiresseparateInspectionssto
assureandcontrolqualityresults.EachTasktriggersassetofrequirementsforqualitycontrolinspections
before,duringandafterworktasks.

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AseriesofinspectionswillbeperformedoneachTaskincluding

Materialinspections
TaskJobreadyinspections
Dailyworkinprocessinspections
TaskCompletioninspections

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Resultsofinspectionsandtestswillberecordedasfollows:

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TaskinspectionresultswillberecordedontheTaskInspectionForm
DailyinspectionsofworkinprocesswillberecordedontheDailyInspectionReport

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Formexhibitsareincludedasanexhibitinthissection.

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PREPARATORYSITEINSPECTION
TheSuperintendentperformsaqualityinspectionpriortostartingworkand:

Assessescompletionofrequiredpriorwork
Verifiesfieldmeasurements
Assuresavailabilityandreceivingqualityinspectionstatusofrequiredmaterials
Identifiesanynonconformancestotherequirementsforthetasktobegin
Identifiespotentialproblems

MATERIALQUALITYINSPECTIONS
Materialqualityinspectionsandtestsensurethatpurchasedmaterialsmeetpurchasecontractquantity
andqualityrequirements.TheSuperintendentinspectsorensuresthataqualifiedinspectorinspects
materialspriortouseforconformancetoprojectqualityrequirements.
TheSuperintendentensuresthateachTaskthatusesthesourceinspectedmaterialsproceedsonlyafter
thematerialhasbeenacceptedbythematerialqualityinspectionortest.

TASKREADYINSPECTIONS
ForeachTask,theSuperintendentoraqualifiedinspectorperformsjobreadyqualityinspectionsto
ensurethatworkactivitiesbeginonlywhentheyshouldbegin.Jobreadyqualityinspectionsverifythat
conditionsconformtotheprojectqualityrequirements.

WORKINPROCESSQUALITYINSPECTIONS

Page14
Inspection
and
Test
Plan Template Sample
[ProjectName][ProjectNumber]

Copyright Caldeira Quality, VersionMay15,2011Copyright


LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

[CompanyName]
Inspection and Test Plan Audit Form

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VersionAugust4,2011
ProjectID

ProjectName

Preparer

[ProjectNumber]

[ProjectName]

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ct

ReviewTopics:

(Placecheckmarknexttoeachitemaudited)

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Date

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ProjectInspectionandTestPlanSubmittal

InspectionsandTests

NonconformancesandCorrectiveActions
InspectionandTestPlanAudits

InspectionRecordandDocumentControls

NonconformanceNotesandobservations

Actionplanforimprovement

Followupresultsanddate

Page36
[ProjectName][ProjectNumber]
Inspection
and Test Plan Template Sample

VersionDate:August3,2011Copyright
Copyright Caldeira Quality,
LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

Choose from a library of Pre-Filled Inspection


and Test Plan Forms to use as a template

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EXAMPLE INSPECTION TEST PLAN AND LOG


CONTRACT NUMBER

PROJECT NAME

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EXAMPLE

EXAMPLE

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Item
1.
2.

Spec#
033000

Specifications
Section
CastinPlace
Concrete

033000

Subsection
2.12
3.12

CastinPlace
Concrete
3.

074113

1.4A
MetalRoofPanels

TestRequired

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Frequency

MixingandDelivery EachTruck

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CONTRACTOR

EXAMPLE

TestBy
(Alltestsverifiedby
Superintendent
and/orQCManager)

ConcreteRedimix
Supplier

DateForwarded
DateCompleted ToContr.Off.

Remarks

Concretethree
1compositeper
Thirdpartyinspector
cylinders,slump,air, truckloaddelivered
temperature

Installer
Qualifications

Priorto
commencementof
work

Superintendent

4.

221100

WaterDistribution
Systems

3.2N

HDPEPipeBent
StrapTest

OnceDaily

Plumbing
subcontractor

5.

221100

WaterDistribution
Systems

3.5A

HydrostaticTesting
ofWaterSystem

SeeSpec.

Plumbing
subcontractor

6.

221100

WaterDistribution
Systems

3.5B

PressureandLeakage SeeSpec.
TestWaterLine

Plumbing
subcontractor

WaterDistribution
Systems

3.6A

Bacteriological
Examination

Afterdisinfection,
beforeuse

Plumbing
subcontractor

3.4A

Mechanicaland
ElectricalTesting
(PumpSystem)

SeeSpec.
Plumbing
subcontractor

LeakTest

UntilPassing

Plumbing
subcontractor

7.

221100

8.

221120
WaterDistribution
Systems

9.

221200

WaterDistribution
Systems

3.12A

Page1
CaldeiraQuality|FirstTimeQuality|4104518006

Inspection
and Test Plan Template Sample
VersionJuly14,2010Copyright
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

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TestBy

Item

Spec#

10. 221200

Specifications
Section

Subsection

TestRequired
AirTest

Frequency

WaterDistribution
Systems

3.12B

11. 221200

WaterDistribution
Systems

3.12C

12. 221310

SewageHoldingTank 3.4A

HoldingTank
LeakageTest

13. 269999

OtherElectricalTests 3.1
AndCalibrations

StorageTankWater SeeSpec.
LevelControls

14. 312000

Earthwork

3.13C

15. 312000

Earthwork

3.13C

16. 312000

Earthwork

3.13D

17. 312000

Earthwork

3.13D

18. 312000

Earthwork

19. 312000

PressureTest

SeeSpec.

d
te

UntilPassing

(Alltestsverifiedby
Superintendent
and/orQCManager)

Plumbing
subcontractor

Plumbing
subcontractor

DateCompleted

DateForwarded
ToContr.Off.

Remarks

Plumbing
subcontractor

Plumbing
subcontractor

CompactionTestat Oneper600Feetof Thirdpartyinspector


PipeZone
Trench

CompactionTestat Onetestateach
PipeZone
roadcrossing

Thirdpartyinspector

CompactionTest
abovePipeZone

Oneper600Feetof Thirdpartyinspector
Trench

CompactionTest
abovePipeZone

Onetesteveryother Thirdpartyinspector
liftateachroad

crossing

3.13I

TracerWire
ConductivityTest

UntilPassing

Thirdpartyinspector

Earthwork

3.16A

CompactionTest
Backfill/Fills

OneperTankor
UtilityBuilding

Thirdpartyinspector

20. 312225

Excavationand
Embankment

3.12B

MoistureDensity
Relationship

OneTestforEachSoil Thirdpartyinspector
TypeEncountered

21. 312225

Excavationand
Embankment

3.12B

CompactionRoad Onetestevery300 Thirdpartyinspector


Embankment
sq.yd.of

(Method4)
embankmentperlift

22. 312225

Excavationand
Embankment

3.12B

Compaction
Subgrade

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UntilPassing

Onetestevery1000 Thirdpartyinspector
sq.yd.ofsubgrade

Page2
CaldeiraQuality|FirstTimeQuality|4104518006

Inspection
and Test Plan Template Sample
VersionJuly14,2010Copyright
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

Aug2011

Heating// Ventilating// and Air Conditioning (HVAC)-HVAC Water


Treatment 23.25.00
Project:

Phase:

Contract#:

Organization:

Crew:

0001
Field Operations
FTQ 2TQ Heightened Awareness Checkpoints
Compliance Verification
o Compliance with initial job-ready
o o System flushed of all debris and foreign matter 1502
requirements
o Compliance with material inspection and tests
o o Treatment chemicals compatible with piping// gaskets// pump
linings/seals// and appurtenances 1503
o Compliance with work in process first article
inspection requirements
Inspection Forms with
are available
for to provide
equipment calibrated
o checkpoints
o Chemical feed/injection
o Compliance with work in process inspection
proper application dosages 1504
most widely used MasterSpec specification
requirements
osections.
o Adequate levels of treatment chemical residual is maintained
o Compliance with Task completion inspection
between/after dosages 1505
requirements
o Compliance with inspection and test plan
o o Location of system sensors clearly indicated and accessible
1506
o Compliance with safety policies and procedures
o o Readouts and indicators clearly visible 1507
Reported Nonconformances and incomplete items:
o o Relief valves discharge to approved areas 1508

o Vents and drains discharge to approved areas 1509

o MSDS available for all Treatment Chemicals 1510

o Treatment Chemicals stored in accordance with


manufacturers' recommendations 1511

FTQ Scores and Completion Sign-off


Field Mgmt.-Superintendent Inspection 50.45.01
Quality

5 4 3 2 1

Notes:

On-Time

5 4 3 2 1

Notes:

Safety

5 4 3 2 1

Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Field Mgmt.-QA Inspection 50.45.02


Quality

5 4 3 2 1

Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Quality Score
On-Time Score
Safety Score

5 = 100% NO problems
5 = On Time
5 = 100% NO problems

4 = 1 minor problems
4 = Late
4 = 1 minor problem

3 = Hotspot or 2-3 minor


3 = Late by 1 day
3 = Hotspot or 2-3 minor

2 = 6+ or major problems
2 = Late by 2 days
2= 4+ or major problem

1 = Excessive problems
1 = Late more than 2 days
1= Injury

Inspection and Test Plan Template Sample


Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

Copyright 2011 First Time Quality

Aug2011

Electrical-Conduit for Electrical Systems 26.05.33.13


Project:

Phase:

Contract#:

Organization:

Crew:

0001
Field Operations
Compliance Verification
o Compliance with initial job-ready
requirements
o Compliance with material inspection and tests
o Compliance with work in process first article
inspection requirements
o Compliance with work in process inspection
requirements
o Compliance with Task completion inspection
requirements
o Compliance with inspection and test plan
o Compliance with safety policies and procedures
Reported Nonconformances and incomplete items:

FTQ 2TQ

Heightened Awareness Checkpoints

o Cuts for Conduits in structural members approved by

o Firestops installed at penetrations through fire partitions// fire

o Penetrations through floor// exterior wall and roof sealed and

o Excess wiring// insulation// ties// etc. removed from Conduits

o Conduits secured to prevent movement and chafe 1656

o Remaining snake lines labeled at both ends 1657

o Conduit bends do not exceed minimum for size of Conduit

o Metal Conduits bonded and grounded 1659

o Conduits are mechanically continuous 1660

o Flexible connections to equipment subject to vibrations 1661

ENGINEER 1652

walls// smoke partitions// or floors 1653


made watertight 1654
1655

used and are even 1658

FTQ Scores and Completion Sign-off


Field Mgmt.-Superintendent Inspection 50.45.01
Quality

5 4 3 2 1

Notes:

On-Time

5 4 3 2 1

Notes:

Safety

5 4 3 2 1

Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Field Mgmt.-QA Inspection 50.45.02


Quality

5 4 3 2 1

Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Quality Score
On-Time Score
Safety Score

5 = 100% NO problems
5 = On Time
5 = 100% NO problems

4 = 1 minor problems
4 = Late
4 = 1 minor problem

3 = Hotspot or 2-3 minor


3 = Late by 1 day
3 = Hotspot or 2-3 minor

2 = 6+ or major problems
2 = Late by 2 days
2= 4+ or major problem

1 = Excessive problems
1 = Late more than 2 days
1= Injury

Inspection and Test Plan Template Sample


Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

Copyright 2011 First Time Quality

For More Information:


Contact:EdCaldeira
4104518006
www.firsttimequality.com
EdC@FirstTimeQuality.com

ForMoreInformation,contact:EdCaldeiraCaldeiraQuality,LLCFirstTimeQuality
4104518006www.firsttimequality.comEdC@FirstTimeQuality.com
Inspection and Test Plan Template Sample
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

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