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INSPECTION AND TEST PLAN (ITP)

Contract # 021-C19, Utilities for Buffer Zone Name of Contractor: China Geo Engineering Corporation

Royal Commission for Jubail & Yanbu ITP # CGC-ITP-MECH-002


Technical Affairs Directorate IRRIGATION SYSTEM Rev #0
Construction Department Page #

UNIT/ AREA / LOCATION DISCIPLINE WORK DESCRIPTION / TAG NUMBER


BUFFER ZONE / See Drawing 021-321-20VI-CE-300 Mechanical (Site Development) Trenching, Pipe Laying, Tie-in, and Back Filling (Site Developing)

Method of Verification Report /


Activity Activity Description Inspection / Test (see Legend below)
# Requirements Controlling Document(s) Verifying
Record
Test / Inspection Stage/Freque Code, Spec, Etc Acceptance Criteria
Contr. QC RC Others
Performed ncy

RC Spec 01650 Approved submittals per Spec 02085, Manufacturer`s


Material Receiving & Visual Inspection Every Batch & 01660 to 02081, 02510, & etc. I/R R/H Test Certificates,
1.0 Storage of Delivery & protect Certificate of
Before commodities compliance, ITP,
Installation from UV Field Material
exposure & dust Receiving
Checklist
Inspection Report
and Delivery note
1.All bedding material must be capable
of being compacted to the density
specified by use of hand or light duty
mechanical tempers.
2.The minimum relative compaction of
Laying of bedding material, Visual Inspection, RC Spec 02310, cohesive & cohesion less fill material is Third Party Field
2.0 prior to Installation of the Survey, & Before laying R H T
02315, & 02810 90% max. Dry density as per ASTM Density Report
RTR/GRP/uPVC pipes Compaction Test pipe
D1557.
(FDT)
3. Depth of bedding material below the
bottom of utility pipe shall not be less
than 1/4 the diameter of the pipe or
150mm maximum layers over the
properly bedded utility pipe.
5. Depth of bedding material below the
bottom of sleeves under crossing shall
not be less than 200mm or 1/10 the
overall diameter whichever is greater.
INSPECTION AND TEST PLAN (ITP)
Contract # 021-C19, Utilities for Buffer Zone Name of Contractor: China Geo Engineering Corporation

Royal Commission for Jubail & Yanbu ITP # CGC-ITP-MECH-002


Technical Affairs Directorate IRRIGATION SYSTEM Rev #0
Construction Department Page #

UNIT/ AREA / LOCATION DISCIPLINE WORK DESCRIPTION / TAG NUMBER


BUFFER ZONE / See Drawing 021-321-20VI-CE-300 Mechanical (Site Development) Trenching, Pipe Laying, Tie-in, and Back Filling (Site Developing)

Method of Verification Report /


Activity Activity Description Inspection / Test (see Legend below)
# Requirements Controlling Document(s) Verifying
Record
Test / Inspection Stage/Freque Code, Spec, Etc Acceptance Criteria
Contr. QC RC Others
Performed ncy

Trench Elevation, Orientation & Width


Verification of Trench Visual Inspection Section RC Spec 02810, I/R I Excavation
2.1 Excavation completed for 02085, 02081 & Survey Report
everyday Manufacturers
installation
Instructions
Meet Manufacturers installation
3.0 Installation of Pipes , Visual Inspection Section RC Spec 02810, requirements and contractors W/I I Inspection Report
RTR/GRP/ uPVC completed for 02085, 02081 & Installation Checklist
everyday Manufacturers
installation
Instructions
Meet Manufacturers installation
4.0 Installation of Gate valve/ Visual Inspection Section Per Spec 02810 requirements and contractors I I Inspection Report
Air Release Valve completed for & Installation Checklist
everyday Manufacturers
installation
Instructions

Bolt Torquing
After RC Spec 02510, Tighten the flange bolts uniformly and Table
Bolt Torquing Inspection Visual Completion of 02085, 02081 & tightly Bolt torque limitations shall be in
4.1 Inspection this portion of Manufacturers accordance with valve and pipe I W
work installation manufacturer's written instructions.
Instruction
INSPECTION AND TEST PLAN (ITP)
Contract # 021-C19, Utilities for Buffer Zone Name of Contractor: China Geo Engineering Corporation

Royal Commission for Jubail & Yanbu ITP # CGC-ITP-MECH-002


Technical Affairs Directorate IRRIGATION SYSTEM Rev #0
Construction Department Page #

UNIT/ AREA / LOCATION DISCIPLINE WORK DESCRIPTION / TAG NUMBER


BUFFER ZONE / See Drawing 021-321-20VI-CE-300 Mechanical (Site Development) Trenching, Pipe Laying, Tie-in, and Back Filling (Site Developing)

Method of Verification Report /


Activity Activity Description Inspection / Test (see Legend below)
# Requirements Controlling Document(s) Verifying
Record
Test / Inspection Stage/Freque Code, Spec, Etc Acceptance Criteria
Contr. QC RC Others
Performed ncy

Inspection
After RC Spec 02510, Provide Polyethylene sheet with Report
Installation of Wrapping Visual Completion of 02085, 02081 & covering flanges and stainless steel
4.2 tape Inspection this portion of Manufacturers nut bolts I I
work installation
Instruction

Inspection Report
Pressure Test Hydrostatic Test Before Back Per Spec 02810 1.Meet criteria set forth in Spec 02810 H H with Test Result,
Fill 2. Completed pipe shall be subjected Hold Point
5.0 to hydrostatic pressure test together Release Form
with valve for 4 hours to a hydrostatic
test of 10.3 Bar (150 psi).
3. All leaks shall be repaired and line
retested as approved by the Royal
Commission.

Shall Install at a minimum height of


6.0 Installation of Warning Tape Visual Inspection RC Spec RC Spec 02810 300 mm above the buried utility in the I I Inspection Report
02810 trench during the backfilling operation.
As Per Contract Drawing:
7.0 Install Marker Posts Visual Inspection Per Spec Per Spec 02315 021-360-20VI-CE-303 I I Inspection Report
02315
INSPECTION AND TEST PLAN (ITP)
Contract # 021-C19, Utilities for Buffer Zone Name of Contractor: China Geo Engineering Corporation

Royal Commission for Jubail & Yanbu ITP # CGC-ITP-MECH-002


Technical Affairs Directorate IRRIGATION SYSTEM Rev #0
Construction Department Page #

UNIT/ AREA / LOCATION DISCIPLINE WORK DESCRIPTION / TAG NUMBER


BUFFER ZONE / See Drawing 021-321-20VI-CE-300 Mechanical (Site Development) Trenching, Pipe Laying, Tie-in, and Back Filling (Site Developing)

Method of Verification Report /


Activity Activity Description Inspection / Test (see Legend below)
# Requirements Controlling Document(s) Verifying
Record
Test / Inspection Stage/Freque Code, Spec, Etc Acceptance Criteria
Contr. QC RC Others
Performed ncy

1. On completion of the system tests, Marked IFC


Flushing, Cleaning and RC Spec 02810 the system shall be thoroughly flushed I H Drawings etc.,
Functional Test Inspection Entire System 3.10, 3.11 until the pipeline is completely clean.
2. After the completion of the
hydrostatic test and installation of
irrigation component, the system shall
8.0 be tested to demonstrate functional
efficiency.
3. Any material determined to be faulty
as part of the installation shall be
replaced or corrected by the contractor
at his expense.
Inspection Report
9.0 Completion (Clean Site & Visual Inspection After Per Spec 02315 Requirements set forth in Contract R R & Relevant
Remove Surplus Soil) Completion of & 01330 Documents Certified Test
this portion of Report, Hold
work Point Release
Forms, Marked
IFC drawings, &
etc.
Contractor QC Date & Signature /Stamp No. RC Insp. (Date & Signature.) Others

Legend : I Inspection; R Document Review; T Test; W - Witness Point; H - Hold Point


ITP Form Completion Instructions Page 1 of 2

The following refers to numbers shown on the ITP Form


ITP ITP Block
Form # Title
1 Standard header for ITPs. Contractor Logo and Project Name to be included in block 1.
2 ITP Title, i.e. description of the main activity covered by the ITP. For example, Concrete Placement.
3 ITP #, Rev # Enter ITP, revision, and page numbers.
Page #
4 Unit / Area / Enter the unit, area or location the ITP covers.
Location
5 Discipline Indicate discipline i.e., Civil, Electrical, or Mechanical.
6 Equipment Enter equipment description, and tag numbers (if applicable), placement type, etc.
Description/
Tag #
7 Activity # The activity number shall be a sequential number starting with 1.0, or from the start of an activity to completion.
8 Activity Enter a brief description of each construction activity to be performed to complete the activity described in block 2. For example
Description Concrete pre-pour inspection activities.
9 Insp. & Test Identify the inspection & test activity to be performed based on activity identified in block 8. For example, Installation of forms,
Requirements Slump test, and indicate stage or frequency
10 Reference Reference the document that addresses each activity i. e., Code, Standard, Spec., Procedure, Drawing Number, etc., and
Documents identify the acceptance criteria. Ensure when listing Acceptance Criteria the actual units required are stated (example:
pressure (psi, Pa), length, depth or height (cm, m), density kg/m3 lb/ft3 etc).
11 Method of Contractors Quality Control, Bechtel and/or Other Project Stakeholders. Refer to Legend #14 below, and page 2 of the
Verification completion instructions for additional information.
12 Report Identify inspection/test form number, checklist, and hold point release belonging to each ITP Activity #. Reference the report
Reference # number to ensure traceability between the ITP and each inspection/test form, checklist, and the item being inspected or tested.
13 Signatures Signatures by responsible parties signifying that all inspection and tests associated with the ITP have been identified.
14 Legend Identifies hold & witness points and types of verifications to be performed.
ITP Form Completion Instructions Page 2 of 2
The Contractor has primary responsibility for performing verification activities for their scope of work.

Inspection and Test Plans are assigned Hold Points, Witness Points and the method of Verification by the Contractor, Royal
Commission/Bechtel, and Other Project Stakeholders. Hold and Witness points are normally assigned when:
a) Verification cannot be performed due to subsequent work processes.
b) The activity has to be verified immediately due to its complexity and importance.

When a Hold Point is identified on the Inspection and Test Plan, the Contractor cannot proceed with the relevant activity until the activity has
been observed. A minimum of 24-hour notification is required in advance of reaching the Hold Point.

When a Witness Point is identified, the Contactor may proceed with the relevant activity if the organization is not present at the appropriate time
and place based on previous notification provided by the Contractor. A minimum of 24-hour notification is required in advance of reaching the
Witness Point. Only if the organization responsible for the inspection fails to respond to the Witness point, or has previously waived the witness
point in writing, the Contractor may proceed.

HOLD POINT AND WITNESS POINT


Hold (H) Hold Points are designated as H plus the verification method.
Witness (W) Witness Points are designated as W plus the verification method.

VERIFICATION METHODS
Review (R) Review is designated as R. Review is the act of verifying that documentation is in compliance with project requirements.
Inspect is designated as I. Inspection is the act of verifying (such as, examining, measuring, observing, reviewing, recording,
Inspect (I)
etc.), that activities are in conformance with project requirements.
Test is designated as T. Testing is the act of verifying (such as, Compaction, NDE, Hydrostatic, Megger, etc.), to pre-defined
Test (T)
values that activities are in compliance with project requirements.
Note: Hold and Witness points are identified as HR, HI, HT, WR, WI, and WT on the Inspection and Test Plan. R, I, and T may be
indicated by their selves, as appropriate, on the ITP if no Hold or Witness Point is identified.

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