INSPECTION TEST PLAN AND LOG

CONTRACT NUMBER

PROJECT NAME

CONTRACTOR

EXAMPLE

EXAMPLE

EXAMPLE

TestBy
Item

Spec#

1.

033000

2.

033000

Specifications
Section
CastinPlace
Concrete

Subsection
2.12
3.12

CastinPlace
Concrete
3.

074113

4.

221100

5.

221100

6.

221100

7.

221100

8.

221120

9.

221200

10. 221200
11. 221200

1.4A
MetalRoofPanels
WaterDistribution
Systems
WaterDistribution
Systems
WaterDistribution
Systems
WaterDistribution
Systems

3.2N
3.5A
3.5B
3.6A
3.4A

WaterDistribution
Systems
WaterDistribution
Systems
WaterDistribution
Systems
WaterDistribution
Systems

3.12A
3.12B
3.12C

TestRequired

Frequency

(Alltestsverifiedby
Superintendent
and/orQCManager)

e
l
p

MixingandDelivery EachTruck

DateCompleted

ConcreteRedimix
Supplier

Concretethree
1compositeper
Thirdpartyinspector
cylinders,slump,air, truckloaddelivered
temperature
Installer
Priorto
Qualifications
commencementof
work
Superintendent

HDPEPipeBent
OnceDaily
Plumbing
StrapTest
subcontractor

HydrostaticTesting SeeSpec.
Plumbing
ofWaterSystem
subcontractor

PressureandLeakage SeeSpec.
Plumbing
TestWaterLine
subcontractor

Bacteriological
Afterdisinfection,
Plumbing
Examination
beforeuse
subcontractor

Mechanicaland
SeeSpec.
ElectricalTesting
Plumbing
(PumpSystem)
subcontractor

LeakTest
UntilPassing
Plumbing
subcontractor

AirTest
SeeSpec.
Plumbing
subcontractor

PressureTest
UntilPassing
Plumbing
subcontractor

m
a
x

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VersionJuly14,2010Copyright

DateForwarded
ToContr.Off.

Remarks

TestBy
Item

Spec#

Specifications
Section

Subsection

12. 221310

SewageHoldingTank 3.4A

13. 269999
14. 312000

OtherElectricalTests 3.1
AndCalibrations
Earthwork
3.13C

15. 312000

Earthwork

3.13C

16. 312000

Earthwork

3.13D

17. 312000

Earthwork

3.13D

18. 312000

Earthwork

3.13I

19. 312000

Earthwork

3.16A

20. 312225

Excavationand
Embankment
Excavationand
Embankment

3.12B

Excavationand
Embankment
HotMixAsphalt
Paving
HotMixAsphalt
Paving

3.12B

21. 312225

22. 312225
23. 321200
24. 321200

25. 321204

CrushedAggregate
BaseorSurface
Course

3.12B

3.10B
3.10C

3.4A

TestRequired

Frequency

(Alltestsverifiedby
Superintendent
and/orQCManager)

HoldingTankLeakage UntilPassing
Plumbing
Test

subcontractor
StorageTankWater SeeSpec.
Plumbing
LevelControls
subcontractor
CompactionTestat Oneper600Feetof Thirdpartyinspector
PipeZone
Trench

CompactionTestat Onetestateach
Thirdpartyinspector
PipeZone
roadcrossing

CompactionTest Oneper600Feetof Thirdpartyinspector

abovePipeZone
Trench

CompactionTest Onetesteveryother Thirdpartyinspector

abovePipeZone
liftateachroad

crossing
TracerWire
UntilPassing
Thirdpartyinspector
ConductivityTest

CompactionTest OneperTankor
Thirdpartyinspector
Backfill/Fills
UtilityBuilding

MoistureDensity
OneTestforEachSoil Thirdpartyinspector
Relationship
TypeEncountered
CompactionRoad Onetestevery300 Thirdpartyinspector
Embankment
sq.yd.of

(Method4)
embankmentperlift
Compaction
Onetestevery1000 Thirdpartyinspector
Subgrade
sq.yd.ofsubgrade
Gradationand
Oneper700tonsor Thirdpartyinspector
AsphaltContent
Min.of1perProject
FieldDensityTests Onetestforevery
Thirdpartyinspector
Asphalt
300sq.yd.of

pavement
CompactionTests Onetestforevery
Thirdpartyinspector
RoadBaseand
300sq.yd.of

SurfaceCourse
aggregate

DateCompleted

DateForwarded
ToContr.Off.

e
l
p

m
a
x

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CaldeiraQuality|FirstTimeQuality|4104518006
VersionJuly14,2010Copyright

Remarks

TestBy
Item

Spec#

26. 321204

Specifications
Section

Subsection

27. 321214

CrushedAggregate
BaseorSurface
Course
SlurrySeal

3.7A

28. 321214

SlurrySeal

3.7B

29. 332100

TentPads

3.5A

30. 332100

TentPads

3.5B

31. 332100

TentPads

3.5C

32. 332100

TentPads

3.7A

33. 332228

CulvertPipeandPipe 3.7C
Arches

3.4A

TestRequired

Frequency

(Alltestsverifiedby
Superintendent
and/orQCManager)

CompactionTests
AggregateBasefor
ConcreteSlabs
AsphaltMaterials
Testing
AggregateMaterials
Testing
Plumbnessand
AlignmentTest
Sampling

DateCompleted

Onetestforeach
Thirdpartyinspector
familyunitorgroup
area
SeeSpec.
Thirdpartyinspector

SeeSpec.
Thirdpartyinspector

SeeSpec.
Concretefinishing

subcontractor
SeeSpec.
Concretefinishing

subcontractor
PerformanceTests SeeSpec.
Concretefinishing

(Multiple)
subcontractor
WaterAnalysisTest SeeSpec.
Concretefinishing

subcontractor
CompactionTests Onetestforevery12 Operator/Technician
inchesofliftplaced

e
l
p

m
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x

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CaldeiraQuality|FirstTimeQuality|4104518006
VersionJuly14,2010Copyright

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ToContr.Off.

Remarks