INSPECTION & TEST PLAN

REF. No. :
PROJECT NAME
REV. No. : 0
DATE: :
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ACTIVITY: Excavation and Backfilling

AREA : As per drawings
LEVEL :
INSPECTION & ACCEPTANCE REMARKS/ REPORT
ITEM ACTIVITY DESCRIPTION SPECIFICATION / CRITERIA
ITPL CONT. consultant NO.

1 Shop Drawing Approval Clause of Specification R R

2 Material Approval for Backfill Clause of Specification H H

3 Existing utilities Clause of Specification H H

4 Setting out lines and levels Clause of Specification W S

5 Stability of excavation Clause of Specification S S

6 Excavation for structure Clause of Specification W S

7 Inspection of Excavation Clause of Specification W W

8 Backfilling Clause of Specification W W

9 Compaction Clause of Specification T W W

Legend: H – HOLD FOR INSPECTION W – WITNESS INSPECTION S – SURVEILLANCE INSPECTION R - REVIEW T - Test by Third Party Lab.
TR - Test Results.

MAIN CONTRACTOR MAIN CONTRACTOR APPROVAL consultant APPROVAL

NAME: NAME:

SIGNATURE: SIGNATURE:

DATE: DATE: