INSPECTION AND TEST PLAN                                                             Revision:    00
Date:       21.05.2019
                                                             Description: Installation of HDPE pipes for underground
ITP NO: ACO-9-3004-013-T7-4-B                                service
                                                                                                      Inspection Authority
                                         Acceptance                                                       and Codes                 Quality
Item     Activity Description                                 Frequency          Reference                                                          Remarks
                                           Criteria                                                                                 Record
 No.                                                                             Document               MC          Consultant
1.0    MS/Material Approvals
       MS for Installation of
                                         As per Project                       Project
1.1    HDPE pipes for                                               Once                                H/R              R        Approved MS
                                         Specification                        Specification
       underground service
                                                                              Project
                                                                 Each                                                             MAR
1.2    HDPE Pipes & Fittings              As per MAS                          Specification /           H/R              R
                                                                Delivery                                                          Approval/s
                                                                              Approved MS
                                         As per Project          Each         Project / Approved                                  MAR
1.3    Supports                                                                                         H/R              R
                                         Specification          Delivery      MS                                                  Approval/s
 2.0   Installation
                                                                              Project
                                       As per Approved
 2.1   HDPE Pipe Welding                                      Each Section    Specification /           W/R            W/R          Checklist
                                           Drawing
                                                                              Approved MS
                                                                              Project
                                       As per Approved
 2.2   HDPE Pipe Laying                                       Each Section    Specification /           W/R            W/R          Checklist
                                           Drawing
                                                                              Approved MS
                                                                                                                                                 Page 1 of 2
Legend: S – Surveillance Inspection   W- Witness Inspection Point     H- Mandatory Hold Point for Inspection   R- Record Review
                                             INSPECTION AND TEST PLAN                                                            Revision:    00
                                                                                                                                 Date:       21.05.2019
                                                             Description: Installation of HDPE pipes for underground
ITP NO: ACO-9-3004-013-T7-4-B                                service
                                                                                                       Inspection Authority
                                         Acceptance                                                        and Codes               Quality
Item     Activity Description                                 Frequency         Reference                                                          Remarks
                                           Criteria                                                                                Record
 No.                                                                            Document                MC         Consultant
                                                                             Project
 2.2    Supports                      As per specification    Each Section   Specification /            W/R           W/R          Checklist
                                                                             Approved MS
 3.0    Testing
                                                                             Project
                                       As per Approved
 3.1    Pressure Testing                                      Each Section   Specification /            W/R           W/R          Checklist
                                           Drawing
                                                                             Approved MS
                                                                 After
4.0     Quality Record                Complete Record          Complete                                  R              R         All Reports
                                                               Activities
                                                              Reviewed and Approved
        Prepared By:            Reviewed by:                                                   Reviewed and Accepted by Engineer’s Representative:
                                                              By:
Sign:                                                                                          Sign& Position:
Date:                                                                                          Date:
                                                                                                                                                Page 2 of 2
Legend: S – Surveillance Inspection   W- Witness Inspection Point    H- Mandatory Hold Point for Inspection   R- Record Review