Minnesota DOT Construction Quality Plan Template

MINNESOTA DEPARTMENT OF TRANSPORTATION
Construction Quality
Plan Template
Design-Build Program
The contents of this ocument pro!ie the minimum le!el of "uality e#pecte from
the esi$n%&uil contractor' Each contractor shall upate an moify this manual
for each pro(ect' The contractor shall upate any stanars) proceures) an
processes *ithin this template to re+ect the most recent stanars an pro!isions
outline in ,oo- .) ,oo- /) an ,oo- 0 of the RFP'
{CONTRACTOR}
XXXX Design-Build Project
S.P. XXXX
CONSTRUCTION UA!IT" P!AN
District X Re# {d$te} % o& ''
(nDOT Design-Build u$lit) Te*+l$te ,-une. %/001
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 2 o& ''
Table of Contents
CP 0//3 Construction u$lit) Pl$n O#er#ie4................................................................5
CP %//3 Pre-Acti#it) (eetings.....................................................................................0/
CP %/03 6ield Design C7$nge......................................................................................00
CP %/%3 Critic$l Acti#it) Points.....................................................................................08
CP %/83 Testing Procedures 9 6or*s.........................................................................%/
CP 2/03 Cle$ring $nd :ru;;ing...................................................................................%%
CP 2/%3 :r$ding $nd B$se..........................................................................................%2
CP 2/23 Test Rolling....................................................................................................%<
CP 2/83 :r$de Control.................................................................................................%=
CP 2/<3 >*;$n?*ent..................................................................................................2/
CP 2/53 >@c$#$tion......................................................................................................20
CP 2/=3 Te*+or$r) >rosion $nd Sedi*ent Control.....................................................22
CP 2/'3 !$ndsc$+ing...................................................................................................2<
CP 2/A3 Pile Dri#ing......................................................................................................2=
CP 20/3 Portl$nd Ce*ent Concrete B$tc7 Pl$nt.........................................................2A
CP 2003 Re$d) (i@ Concrete (i@ Design.....................................................................82
CP 20%3 P$#ing Concrete (i@ Design..........................................................................8<
CP 2023 Structur$l Concrete Pre-Pl$ce*ent................................................................8'
CP 2083 Structur$l Concrete Pl$ce*ent.......................................................................</
CP 20<3 Side4$l? $nd Cur; P$#ing.............................................................................<%
CP 2053 Concrete P$#ing............................................................................................<8
CP 20=3 Concrete Curing.............................................................................................<5
CP 20'3 Bitu*inous Pl$nt............................................................................................<'
CP 20A3 Bitu*inous -o; (i@ Design...........................................................................5/
CP 2%/3 Bitu*inous P$#ing.........................................................................................5%
CP 2%03 T7ird P$rt) Utilit) Inst$ll$tion.........................................................................5<
CP 2%%3 Bridge Re*o#$l.............................................................................................5=
CP 2%23 Pre- $nd Post-Bi;r$tion Building.....................................................................5'
{CONTRACTOR}
S.P. XXXX
CP 2%83 Bi;r$tion (onitoring........................................................................................=/
CP 2%<3 >lectric$l........................................................................................................=%
CP 2%'3 Ins+ection o& Deli#ered Project ($teri$l.........................................................=8
CP 2%A3 Stor* Se4er $nd Cul#ert Inst$ll$tion.............................................................=5
CP 22/3 Building De*olition.........................................................................................='
CP 22%3 >dge Dr$in Ins+ection....................................................................................=A
CP 2283 6ence Inst$ll$tion...........................................................................................'0
CP 22<3 Steel 6$;ric$tion Non-Con&or*$nces...........................................................'2
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} < o& ''
LIST OF FORMS
Number Title
Date
CP%//6A Pre-Acti#it) (eeting ,>@$*+le1
CP%//6B Pre-Acti#it) (eeting (inutes ,>@$*+le1
CP%/06A 6ield Design C7$nge
CP%/06B 6ield Design C7$nge !og
CP%/%6 Critic$l Acti#it) Point Rele$se 6or*
CP%/86A (nDOT Certi&ic$tion !og
CP%/86B >Cui+*ent !ist
CP8/26 Dee?l) :r$dingEB$seEP$#ing Re+ort
CP8/56 (ont7l) :r$ding $nd B$se Re+ort
CP8/=6 Test Roll Re+ort
CP8/'6
>@c$#$tion $nd >*;$n?*ent
O;ser#$tions
CP8/A6 Pile Su**$r) Re+ort
CP80/6 Test Pile Re+ort
CP8006 S+re$d 6ooting Re+ort
CP80%6 Concrete (i@ Design !og
CP8026 ReCuest &or Concrete (i@ Design A++ro#$l
CP8056 :r$ding Control Toler$nce Re+ort
CP80=6 Concrete Pl$ce*ent Ins+ection
{CONTRACTOR}
S.P. XXXX
CP80'6 Side4$l? $nd Cur; P$#ing
CP8%%6 Bitu*inous P$#ing O;ser#$tion
CP8%86 Concrete P$#ing
CP8%<6
Dee?l) Stor* Se4er $nd Cul#ert
u$ntities
CP8%'6 ($teri$ls Certi&ic$tion Re+ort
CP8%'6 0
st
Ti*e Ins+ection Re+ort
CP8%A6 D$il) 6ield Re+ort
CP8226 B$tc7 Pl$nt O;ser#$tions
CP82=6 !o4 Slu*+ Concrete
CP82'6 Pre-P$#ing C7ec?list
CP88/6 6encing O;ser#$tion
CP8826 Bitu*inous Control Stri+
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} = o& ''
CQP 100: Construction Quality Plan Oerie!
Re# . D$te
P"RPOS#
To +ro#ide $ +l$n t7$t outlines t7e construction Cu$lit) c7ec?s to ;e +er&or*ed during
t7e Project. T7is +l$n de&ines t7e roles $nd res+onsi;ilities o& (nDOT $nd t7e
Contr$ctor 4it7 res+ect to construction Cu$lit).
All construction $cti#ities $ssoci$ted 4it7 t7is Project 4ill ;e co*+leted under t7is
Cu$lit) +rogr$*. Onl) controlled +roducts 4ill ;e deli#ered to (nDOT. >le*ents 4ill ;e
;uilt 4it7 s?illed cr$&ts*en &ollo4ing $++ro#ed dr$4ings using +ro+er *$teri$ls $nd
eCui+*ent. Ins+ections $nd tests 4ill ;e +er&or*ed $s outlined in t7is Pl$n to docu*ent
t7e construction is +ro+er $nd *eets Project reCuire*ents. Periodic$ll). t7e +rocess 4ill
;e re&ined ;$sed on 4or?er-identi&ied Cu$lit) +ro;le*s. test d$t$. ins+ection results.
$udits. $nd (nDOTFs s$tis&$ction 4it7 t7e Project.
SCOP#
T7is +l$n $++lies to $ll Dor? +er&or*ed on t7e Project.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions
($teri$ls Control Sc7edule
R#SPONSI%ILITI#S
T7e Contr$ctor is res+onsi;le &or +er&or*ing t7e 4or? in $ccord$nce 4it7 $ll $s+ects o&
t7e Contr$ct. At $ *ini*u*. t7e Contr$ctor s7$ll +er&or* testing $nd ins+ection in
$ccord$nce 4it7 t7is Construction u$lit) Pl$n.
None o& t7e Contr$ctorGs Cu$lit) st$&& 7$#e t7e $;ilit) to de#i$te &ro* Project
reCuire*ents or to inter+ret Project s+eci&ic$tions. T7eir role is solel) to ensure t7e
&inis7ed Dor? *eets t7e reCuire*ents o& t7e Contr$ct. u$lit) st$&& 7$s t7e $ut7orit) to
sto+ $n) $nd $ll Dor? t7$t does not *eet t7e Contr$ct reCuire*ents.
FI#LD PL$N S&##TS
T7e CQM is res+onsi;le &or ensuring t7e contr$ctors Cu$lit) st$&& +er&or*ing reCuired
o;ser#$tions. c7ec?s $nd docu*ent$tion o& +l$n s7eets t7$t $re ;eing used in t7e &ield
&or construction. D7en ne4 R6C +l$ns $re rele$sed. t7e Contr$ctorGs Cu$lit) st$&& 4ill
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} ' o& ''
re#ie4 t7e +l$n sets 4it7 t7e &ore*$n to *$?e sure t7$t t7e *ost u+-to-d$te +l$n sets
$re ;eing used.
S"%CONTR$CTORS $ND S"PPLI#RS
Contr$ctor u$lit) ($n$ge*ent Pl$ns &or e$c7 *$jor su;contr$ctor $nd su++lier 4ill ;e
included in t7e Project &iles $s $n e@tension o& t7is C(P. T7e DA( or C( 4ill
re#ie4 t7e (Ps &or i*+le*ent$tion on t7e +roject 4or?.
Contr$ctor ($n$ge*ent. su;contr$ctors $nd su++lier contr$cts 4ill descri;e 4or? or
+roducts needed $nd t7e sc7edule reCuired. T7e docu*ents 4ill cont$in t7e Cu$lit)
reCuire*ents needed ;) t7e 4or? or +roducts.
T7e res+onsi;ilit) &or ins+ection $nd testing o& o&&-site *$teri$ls s7$ll &ollo4 $ll
$++lic$;le (nEDOT s+eci&ic$tions $ssoci$ted 4it7 t7$t ite*. Su;contr$ctors $nd
su++liers 4ill design$te re+resent$ti#es to inter&$ce 4it7 t7e ( $nd (nEDOT. u$lit)
records 4ill ;e +ro#ided to t7e ( &or $ll 4or? $nd +roducts to de*onstr$te
con&or*$nce to Project reCuire*ents.
T7e su;contr$ctors $nd su++liers 4ill *$?e +ro#ision &or t7e ( $ndEor CAP( $nd
(nEDOT +ersonnel to o;ser#e. s$*+le. ins+ect. or test 4or? $nd +roduct $t $n) +oint in
t7eir +rocesses. T7e DA( or C( 4ill conduct +eriodic $udits o& selected su++liers
to #eri&) initi$l $nd continued i*+le*ent$tion o& t7e (P.
PROD"CTS $ND M$T#RI$LS
u$lit) tests $nd ins+ections 4ill ;e +er&or*ed during t7e +roduction o& t7e *$teri$ls.
$s *$teri$ls $rri#e on t7e Project Site. $nd $s t7e) $re incor+or$ted into t7e
construction. Tests $nd ins+ections 4ill ;e +er&or*ed ;) $ co*;in$tion o& contr$ctor
st$&&. testers $nd ins+ectors. $nd su;contr$ctor $nd su++lier Cu$lit) +ersonnel.
Su++liers 4ill +er&or* tests on *$teri$ls $s t7e) $re +roduced. Prior to t7e *$teri$l
$rri#ing on t7e Project Site. testing in&or*$tion 4ill ;e &or4$rded to t7e C(
de*onstr$ting t7e *$teri$l *eets reCuire*ents. T7e C( 4ill $lso $udit selected
su++liers to $ssure t7e) $re &ollo4ing $ Cu$lit) *$n$ge*ent s)ste* $nd to re#ie4 t7e
Project reCuire*ents 4it7 t7e su++lier. T7e su++lierGs Cu$lit) *$n$ge*ent s)ste* 4ill
;e re#ie4ed. $long 4it7 test records &ro* +re#ious +roduction $nd re+orting o& Cu$lit)
d$t$ during +roduction 4ill ;e est$;lis7ed.
Products $nd *$teri$ls $re identi&ied &ro* recei+t $nd stor$ge t7roug7 inst$ll$tion.
D7ere $++ro+ri$te. $ uniCue nu*;er 4ill ;e $ssigned $nd $ t$g $tt$c7ed. D7ere
tr$ce$;ilit) is reCuired. t7e loc$tion o& t7e +roduct or *$teri$l 4ill ;e recorded.
Handling
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} A o& ''
Products $nd *$teri$ls $re 7$ndled on site in $ccord$nce 4it7 su++lierFs
reco**end$tions. (nDOTFs s+eci&ic reCuire*ents. $nd good construction +r$ctice.
D7en *$teri$ls $rri#e $t t7e Project Site. recei#ing +ersonnel 4ill docu*ent recei+t o&
t7e *$teri$l in $ccord$nce 4it7 t7e $++ro+ri$te +rocedure. u$lit) Control 4ill c7ec?
*$teri$l &or con&or*$nce to Project reCuire*ents. An) d$*$ge or de&icienc) 4ill ;e
noted. T7e *$teri$ls 4ill ;e used or stored $s $++ro+ri$te &or t7e *$teri$l.
So*e *$teri$ls. suc7 $s concrete. 4ill reCuire +7)sic$l tests $s recei#ed $nd 4ill ;e
s$*+led to deter*ine t7eir con&or*$nce. T7e Dor? 4ill ;e conducted &ollo4ing t7e
+ro+er test +rocedure $nd docu*ented on t7e +ro+er &or* $ccording to t7is
Construction u$lit) Pl$n.
P$c?ing sli+s. *ill certi&ic$tes. or ot7er docu*ents &ro* t7e su++lier s7o4ing
con&or*$nce to reCuire*ents 4ill ;e re#ie4ed ;) C $nd A +ersonnel $nd ret$ined ;)
A. T7ree-ring ;inders 4ill ;e used to co*+ile certi&ic$tes $nd 4ill include $n u+d$ted
log o& $cce+ted s7i+*ents.
Storage
Products or *$teri$ls not i**edi$tel) used 4ill ;e stored. ($teri$l &or indoor stor$ge is
+l$ced in ;ins. s7el#ing. r$c?s. or +$llets $nd +ositioned in ne$t $nd orderl) condition &or
e$se o& retrie#$l. ($teri$l stored outdoors is +l$ced on $deCu$te dunn$ge $nd
+rotected $s reCuired ;) t7e su++lier.
Protection
So*e +roducts $nd *$teri$ls 4ill reCuire s+eci$l *e$sures to +rotect t7e* &ro*
degr$d$tion. T7e su++lierFs reCuire*ents 4ill ;e &ollo4ed in +ro#iding t7e +ro+er
en#iron*ent &or t7e +roducts $nd *$teri$ls. T7e Project ($n$ger 4ill ;e res+onsi;le
&or +ro#iding +ro+er conditions.
Q"$LIT' T#STIN( $ND INSP#CTION
During construction. #$rious ele*ents 4ill ;e c7ec?ed $nd co*+$red to t7e
reCuire*ents set &ort7 in t7e R6P. (nDOT St$nd$rd S+eci&ic$tions &or Construction
,See Boo? 21. S+eci$l Pro#isions. $nd (nDOT ($teri$ls Control Sc7edule ,Bolu*e III1.
T7ese c7ec?s 4ill ;e +er&or*ed &ollo4ing t7e $++ro+ri$te +rocedure $nd docu*ented
on t7e +ro+er &or*. Testing 4ill ;e +re&or*ed to t7e Project *ini*u*s st$ted in t7e
($teri$ls Control Sc7edule. Addition$l tests 4ill ;e +er&or*ed $s needed. >sti*$ted
$nnu$l Cu$ntities o& *$teri$ls 4ill ;e used to deter*ine t7e $++ro@i*$te nu*;er o& tests
$nd ins+ections needed $nnu$ll).
All docu*ent$tion s7$ll re&erence $n Acti#it) ID in t7e Contr$ctors Sc7edule.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 0/ o& ''
An) ins+ection +er&or*ed ;) (nDOT does not relie#e t7e Contr$ctor o& its Cu$lit)
*$n$ge*ent res+onsi;ilities.
CONTROL OF MONITORIN( $ND M#$S"RIN( D#)IC#S
(onitoring $nd *e$suring eCui+*ent used on t7e Project 4ill ;e $++ro+ri$te &or t7e
4or? ;eing +er&or*ed. in 4or?ing order. $nd c$li;r$ted +eriodic$ll). D7en not in use.
t7e de#ices 4ill ;e +rotected &ro* d$*$ge $nd stored in $ccord$nce 4it7
*$nu&$cturerGs $s 4ell $s O4nerGs reCuire*ents. Records o& t7e c$li;r$tion 4ill ;e
*$int$ined.
Laboratories
An) t)+e o& test t7$t reCuires $ddition$l testing to $ssure t7$t *$teri$ls $re *eeting t7e
Contr$ct reCuire*ents 4ill ;e tested on di&&erent eCui+*ent ;) di&&erent +ersonnel.
Independent Assurance Sampling and Testing (IAST)
T7e Cu$lit) te$*s 4ill 7$#e $ll testers +er&or* t7e reCuired IAST tests. T7ese tests 4ill
;e done on $n $nnu$l ;$sis &or $n) Cu$lit) +ersonnel t7$t 7$#e +er&or*ed $ *$teri$l
test &or t7e Project in t7$t )e$r. T7e C( 4ill ?ee+ records #eri&)ing co*+letion o& t7e
reCuired IAST tests.
Q"$LIT' R#CORDS
Test &or*s. ins+ection &or*s. $nd *$teri$l recei+t &or*s 4ill ;e +ro#ided to (nDOT
t7roug7 docu*ent control. D$t$ &ro* t7ese tests 4ill ;e *$nu$ll) entered into t7e
ProjectFs electronic docu*ent *$n$ge*ent s)ste*. (nDOTGs TRACS 4ill ;e used &or
t7e *$teri$l testing d$t$;$se $nd D$il) 6ield Re+orts. Re+orts &ro* TRACS 4ill ;e
used to $ssure t7$t testing r$tes &or t7e *$teri$ls inst$lled $re su&&icient.
Re+orts &or t7e *$teri$l certi&ic$tion o& t7e Project 4ill ;e +roduced &ro* TRACS 47en
+ossi;le $nd 4ill ;e su++le*ented 4it7 t7e Dord $nd >@cel certi&ic$tion &or*s 47en
needed.
Q"$LIT' $"DITS
u$lit) $udits 4ill ;e conducted in $ccord$nce 4it7 t7e u$lit) ($n$ge*ent Pl$n. T7e
C( is res+onsi;le &or $n) cl$ri&ic$tions or correcti#e $ctions t7$t *$) ;e needed $s
reCuired ;) t7e $udit &indings.
NON*CONFORMIN( +OR, - STOP +OR,
Non-con&or*ing 4or? $nd sto+ 4or? orders 4ill ;e +er&or*ed in $ccord$nce 4it7 t7e
u$lit) ($n$ge*ent Pl$n.
{CONTRACTOR}
S.P. XXXX
CQP .00: Pre*$ctiity Meetin/s
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures $nd re+orting reCuire*ents &or
+re-$cti#it) *eetings &or e$c7 $cti#it) +re&or*ed on t7e +roject.
SCOP#
Pre-$cti#it) *eetings $re 7eld +rior to ;eginning construction 4or? on ne4 t)+es o& or
l$rge seg*ents o& 4or? to ;e +re&or*ed on t7e +roject. 6or e@$*+le. +re-$cti#it)
*eetings *$) ;e 7eld +rior to de*olition $cti#ities or +rior to inst$ll$tion o& $ co*+le@
ite* or co*+onent suc7 $s $ ;ridge.
T7e Design-Builder is $lso strongl) encour$ged to conduct $ +re-$cti#it) *eeting +rior
to co**encing Design $cti#ities on t7e +roject to ensure $ll +$rties 7$#e $ cle$r
underst$nding o& t7e go$ls. o;jecti#es. Cu$lit) +rocedures $nd intended outco*es o&
t7eir +ortion o& t7e +roject.
R#SPONSI%ILITI#S
T7e Pro0ect Mana/er is res+onsi;le &or ensuring t7$t $ +re-$cti#it) *eeting is 7eld +rior
to st$rting construction on $n) *$jor construction co*+onent or ne4 $cti#it). He is $lso
res+onsi;le &or co*+lete i*+le*ent$tion o& t7is +rocedure.
PROC#D"R#
0. Prior to 4or?. t7e Project ($n$ger. or $ Su+erintendent t7$t t7e P( design$tes.
$nd 4ill see? &eed;$c? &ro* t7eir st$&& $nd t7e De+$rt*ent $nd 4ill dr$&t $n
$gend$ $nd 4ill in#ite A st$&&. construction st$&& $nd t7e De+$rt*ent to $ +re-
$cti#it) *eeting +rior to construction. T7is +erson 4ill c7$ir t7e *eeting.
C7$ir*$n 4ill send $round sign-in s7eet.
%. A&ter t7e *eeting. t7e c7$ir*$n o& t7e *eeting 4ill dr$&t +re-$cti#it) *eeting
*inutes. T7e *eeting c7$ir*$n 4ill deli#er t7e *inutes to Docu*ent Control
$nd +ro#ide $ distri;ution list &or t7e *inutes to Docu*ent Control.
2. Docu*ent Control 4ill distri;ute t7e *inutes $nd &ile t7e* in t7e DCS. DCS 4ill
+roduce $ log o& $ll Pre-$cti#it) *eetings 7eld on t7e +roject.
FI("R#S $ND FORMS
CP%//6A3 Pre-Acti#it) (eeting ,>@$*+le1
CP%//6B3 Pre-Acti#it) (eeting (inutes ,>@$*+le1
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 0% o& ''
CQP .01: Fiel1 Desi/n C2an/e
Re# . D$te
P"RPOS#
To est$;lis7 t7e sco+e. res+onsi;ilities. +rocedures. $nd &or*s $&&ecting $nd
docu*enting c7$nges +ro+osed ;) t7e Contr$ctor to $ddress situ$tions disco#ered
$&ter t7e design +$c?$ge 7$s ;een Rele$sed &or Construction.
SCOP#
Design c7$nges initi$ted ;) t7e Contr$ctor to docu*ents Rele$sed &or Construction $re
co*+leted under $ 6ield Design C7$nge ,6DC1. >@$*+les o& Contr$ctor-initi$ted
situ$tions t7$t reCuire *odi&ic$tions to t7e origin$l R6C docu*ents include3
un$ntici+$ted site conditions. $ltern$ti#e construction *et7odE*$teri$l +ro+os$ls &ro*
t7e Contr$ctor. $*ong *$n) ot7ers.
R#SPONSI%ILITI#S
T7e Contr$ctor gener$tes 6ield Design C7$nge reCuests. 6DCs s7ould ;e &iltered
t7roug7 t7e Construction Mana/er ,or 7is designee1. $nd &or4$rded to Document
Control &or distri;ution to t7e Desi/ner.
T7e Post*Desi/n Mana/er is res+onsi;le &or res+onding to $ll 6DC reCuests. T7e
Post*Desi/n Mana/er 4ill &$cilit$te t7e re#ie4 o& $ll 6DCs $ccording to t7e
reCuire*ents o& t7e (P.
T7e Construction Mana/er is res+onsi;le &or controlling t7e construction $cti#ities
once t7e 6DC 7$s ;een docu*ented to $#oid &urt7er 4or? $cti#ities t7$t *$) reCuire
re*o#$l or re4or? $s $ result o& t7e 6DC dis+osition. T7e Construction ($n$ger 4ill
?ee+ t7e Pro0ect Mana/er. t7e Post*Desi/n Mana/er. $nd t7e De3artment $++rised
o& t7e i*+$cts to ongoing construction o+er$tions $s $ result o& t7e $ntici+$ted design
c7$nge.
T7e Construction Quality Mana/er 4ill ;e res+onsi;le &or noti&)ing &ield Cu$lit)
+ersonnel in c7$rge o& $ssessing t7e 4or? &or con&or*$nce 4it7 t7e u$lit) Pl$n o& t7e
u+co*ing c7$nges to t7e R6C docu*ents. 6ield Cu$lit) +ersonnel 4ill *onitor t7e 4or?
ele*ents i*+$cted ;) t7e 6DC. $nd re+ort on o;ser#ed $cti#ities. 47ic7 *$) ;e
contr$r) to t7e intended *odi&ic$tions.
MnDOT4s Pro0ect Mana/er or Construction Mana/er 4ill sign e$c7 6DC +rior to
Rele$se &or Construction. (nDOT reser#es t7e rig7t to t$?e ten ,0/1 d$)s o& re#ie4
ti*e &or e$c7 6DC.
{CONTRACTOR}
S.P. XXXX
PROC#D"R#
T7e +rocedures outlined ;elo4 $re to ;e used to +rocess $ll 6ield Design C7$nges.
Re#isions *$) reCuire *odi&ic$tions to t7e R6C +l$ns $ndEor s+eci&ic$tions. $nd c$n ;e
cl$ssi&ied $ccording to t7e &ollo4ing3
Leel 1 5 Re6uest 7or #8istin/ Con1itions $10ustments 9Consi1ere1 Minor in
sco3e:; T7ese re#isions $re $djust*ents to *$tc7 +roject ele*ents 4it7 conditions
encountered in t7e &ield. T7e) $re li*ited to *inor di*ension$l $nd l$)out $djust*ents
to rele$sed design docu*ents. $nd do not i*+$ct &uture construction $nd inst$ll$tion.
Leel . 5 Re6uest 7or $10ustments to Matc2 $s*Constructe1 Details 9Consi1ere1
Minor in sco3e< but re6uire reie! 7or ma0or im3lications:; T7ese $cco**od$te
s+eci&ic det$ils o& 4or? ele*ents $lre$d) constructed ;) t7e Contr$ctor. T7e) $re
li*ited to di*ension$l $nd l$)out $djust*ents to design docu*ents rele$sed &or
construction. $nd do not i*+$ct &uture construction $nd inst$ll$tion.
Leel = 5 Re6uest 7or Reision to Desi/n Documents Release1 7or Construction
9Consi1ere1 Ma0or in sco3e:; T7ese $re re#isions to R6C docu*ents t7$t in#ol#e
design c7$nges t7$t do not de#i$te &ro* +roject reCuire*ents. ;ut $re considered to ;e
*$jor in sco+e. >@$*+les include re#isions to *$jor di*ensions $nd l$)out. *$teri$ls
c7$nges. or design re#isions to $cco**od$te $djust*ents to t7e 4or?. Re#isions o&
t7is n$ture *$) i*+$ct se#er$l disci+lines. $nd 4ill undergo $ re#ie4 +rocess +rior to re-
rele$se.
Leel > 5 Re6uest 7or Deiation 7rom Pro0ect Re6uirements 9Consi1ere1 ma0or in
sco3e:; T7ese $re re#isions to R6C docu*ents t7$t in#ol#e c7$nges t7$t de#i$te &ro*
Contr$ct reCuire*ents. T7e +ro+osed re#isions s7ould in#ol#e $n isol$ted +$rt o& t7e
+roject. $nd s7ould ;e &ull) justi&ied ;) t7e Contr$ctor +rior to (nDOT consider$tion.
Re#isions o& t7is n$ture *$) i*+$ct se#er$l disci+lines. $nd 4ill undergo $ re#ie4
+rocess +rior to re-rele$se.
S+eci&ic +rocedures &ollo43
0. 6DCs $re initi$ted ;) t7e Construction ($n$ger ,or 7is designee1. T7e &irst +oint o&
cont$ct &or t7e initi$tor is Docu*ent Control. 47o 4ill identi&) $nd reser#e t7e ne@t
nu*;er in t7e 6DC log.
%. Docu*ent Control 4ill issue $n 6DC Notice +ro#iding t7e ;$se in&or*$tion o& t7e
re#isions reCuested. T7e 6DC 4ill ;e tr$ns*itted to t7e Design ($n$ger or t7e
Post-Design ($n$ger ,or 7is designee1 &or $ction.
2. T7e sco+e o& t7e 6DC 4ill ;e t7oroug7l) $n$l)Ied ;) t7e Design ($n$ger or t7e
Post-Design ($n$ger to con&ir* t7e circu*st$nces descri;ed in t7e 6DC Notice.
T7e Design ($n$ger or t7e Post-Design ($n$ger 4ill enlist $ddition$l in&or*$tion
{CONTRACTOR}
S.P. XXXX
&ro* &ield +ersonnel $s necess$r) to cle$rl) de&ine t7e sco+e $nd det$il o& t7e
re#isions reCuired. $s 4ell $s to identi&) t7e sc7edule &or 6DC resolution.
8. I& +l$n re#isions $re necess$r). $ll design c7$nges to +l$ns. s+eci&ic$tions.
c$lcul$tions. $nd re+orts 4ill ;e se$led ;) $ (innesot$ licensed >ngineer. All design
4or? 4ill con&or* to t7e C c7ec?ing +rocedures go#erning design $s identi&ied in
ot7er sections o& t7e (P.
<. Pl$n $nd s+eci&ic$tion re#isions cl$ssi&ied $s ($jor ,includes !e#el 2 $nd 8 re#isions
$nd occ$sion$ll) !e#el % re#isions1 4ill ;e su;ject to $ design re#ie4 $nd $++ro#$l
+rocess si*il$r to t7$t &or t7e origin$l design. T7e Design ($n$ger or t7e
Post-Design ($n$ger 4ill cl$ssi&) 6DC reCuests $s *inor or *$jor. $nd 4ill
deter*ine t7e sco+e o& +l$n re#ie4 necess$r).
5. T7e 6DC &or* 4ill ;e co*+leted ;) t7e Design ($n$ger or t7e Post-Design
($n$ger or 7is designee. T7is su**$r) &or* 4ill identi&) t7e re$son &or t7e c7$nge.
t7e re#isions *$de. t7e s+eci&ic$tions $nd +l$n s7eets *odi&ied.
=. T7e co*+leted 6DC &or* $nd $n) +l$n re#isions 4ill ;e returned to Docu*ent
Control &or du+lic$tion $nd docu*ent$tion. $nd 4ill ;e &or4$rded to t7e Construction
($n$ger $cco*+$nied ;) $ Re-Rele$se o& Dr$4ing tr$ns*itt$l.
DISPOSITION
0. All c7ec? +rints $nd design c$lcul$tions $re stored in Docu*ent Control $&ter t7e
+l$ns 7$#e ;een $++ro#ed ;) t7e Design ($n$ger or t7e Post-Design ($n$ger.
FI("R#S $ND FORMS
CP%/06A J 6ield Design C7$nge
CP%/06B J 6ield Design C7$nge !og
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 0< o& ''
CQP .0.: Critical $ctiity Points
Re# . D$te
Critic$l Acti#it) Points 4ill ;e est$;lis7ed in order to ensure t7$t t7e +ro+er ins+ection
$nd testing 7$s ;een +er&or*ed +rior to st$rting. or ;e&ore +roceeding to t7e ne@t
$cti#it) or ne@t st$ge o& t7$t +$rticul$r construction $cti#it). Critic$l Acti#it) Points 4ill ;e
signed o&& ;) t7e &ore*$n in c7$rge o& t7e o+er$tion ,or 7is su+erior1. t7e Critic$l Acti#it)
Point ($n$ger. $nd (nDOT. I& (nDOT &eels t7$t t7ere is $n issue t7$t needs to ;e
resol#ed. t7e C( *$) ;e c$lled i& needed.
Critic$l Acti#it) Points 4ill $lso occur 47en $n) *$teri$l is used &or t7e &irst ti*e on t7e
Project. T7e C( or CAP( 4ill collect *$teri$l certi&ic$tions $nd $n) ot7er
docu*ent$tion &or t7e *$teri$l. $nd C st$&& 4ill +er&or* t7e reCuired tests +er t7e
($teri$ls Control Sc7edule. All docu*ent$tion. including certi&ic$tions o& t7e *$teri$l
4ill ;e &or4$rded to t7e Critic$l Acti#it) Point ($n$ger &or sign-o&&. +rior to t7e *$teri$l
;eing incor+or$ted into t7e Project.
T7e (. CAP( $nd C( s7$ll sto+ 4or? i& t7e Contr$ctor does not $d7ere to $ Critic$l
Acti#it) Point.
R#L$T#D DOC"M#NTS
T7e &ollo4ing docu*ents $re re&erenced in t7is u$lit) Procedure3
(nDOT St$nd$rd S+eci&ic$tions &or Construction
Contr$ct Docu*ents
Sc7edule o& ($teri$ls Control
Construction u$lit) Ins+ection $nd Testing Pl$n ,Bol. II1
R#SPONSI%ILITI#S
T7e Critical $ctiity Point Mana/er 9C$PM: is res+onsi;le &or ensuring t7$t t7e
+ro+er ins+ection $nd testing 7$s ;een +er&or*ed $t $ de&ined Critic$l Acti#it) Point.
collecting ins+ection $nd testing &or*s. $nd #eri&)ing t7$t t7e ins+ection $nd test d$t$
*eets Contr$ct reCuire*ents. T7e CAP( 4ill sign o&& on t7e Critic$l Acti#it) Point once
t7is in&or*$tion is in +l$ce. T7e CAP( s7$ll 7$#e t7e &ollo4ing (nDOT Tec7nic$l
Certi&ic$tions 47en re#ie4ing CAPs in t7e &ollo4ing o+er$tions3
Structur$l Concrete. Bridges $nd D$lls J Bridge Construction
Bitu*inous Control Stri+ J Bitu*inous Street
All ot7er o+er$tions 4it7 CAPs J :r$ding $nd B$se. !e#el %
{CONTRACTOR}
S.P. XXXX
T7e &ore*$n or su+erintendent in c7$rge o& t7e construction $cti#it) 4ill ensure t7$t t7e
4or? is ;eing ;uilt to t7e Contr$ct reCuire*ents $nd 4ill sign t7e +ro+er testing or
ins+ection &or*s 47en t7e testsEins+ections $re co*+leted $nd +ro#ide +$ssing d$t$.
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied ins+ectorsEtec7nici$ns +er&or*
reCuired o;ser#$tions. c7ec?s. $nd docu*ent$tion o& t7e 4or? $s reCuired.

T7e Critic$l Acti#it) Points 4ill ;e 7eld $t t7e &ollo4ing o+er$tions3
#8caation an1 #mban?ment
Test Rolling3 T7e &ore*$n. CAP( $nd (nDOT 4ill o#ersee test rolling
+er&or*ed. T7e Contr$ctor s7$ll not +roceed 4it7 +l$ce*ent o& Select :r$nul$r
Borro4. $ggreg$te ;$se. or $n) ot7er *$teri$l on to+ o& t7e su;gr$de or gr$ding
le#el t7$t reCuires test rolling until &or* CP-8/=6. KTest Roll Re+ortL 7$s ;een
co*+leted ;) t7e CAP( $nd signed-o&& ;) (nDOT $nd t7e C Ins+ector.
Su;gr$de >@c$#$tion3 Prior to ;$c?&illing $n) su;gr$de e@c$#$tion. t7e
contr$ctor s7$ll co*+lete 6or* CP8/'6 K>@c$#$tion $nd >*;$n?*ent Re+ortL
&or sign-o&& ;) t7e C Ins+ector.
:r$ding Construction3 Prior to +l$cing $n) $ggreg$te ;$se in $n) gi#en $re$. t7e
CAP( s7$ll certi&) t7$t t7e Contr$ctor 7$s +er&or*ed $ll testing $nd *$teri$ls
certi&ic$tion on $ll underl)ing *$teri$ls. T7e CAP( s7$ll +ro#ide co*+lete
testing records. *$teri$l certi&ic$tion re+orts. $nd co*+lete 6or* CP8886 &or
sign-o&&.
Aggreg$te B$se3 A&ter t7e +l$ce*ent o& $ggreg$te ;$se. +rior to +$#ing. t7e tests
on t7e $ggreg$te ;$se. T7e CAP( s7$ll certi&) t7$t t7e Contr$ctor 7$s
+er&or*ed $ll testing $nd *$teri$ls certi&ic$tion on t7e $ggreg$te ;$se *$teri$ls.
T7e C Ins+ector s7$ll co*+lete 6or* CP82'6. KPre-P$#ing C7ec?listL.
Draina/e an1 "tilities
Deli#er) o& Pi+e $nd Dr$in$ge Structures3 A&ter deli#er) o& $ lo$d o& +i+e $nd
+rior to t7e inst$ll$tion o& t7e +i+e $nd dr$in$ge structures. t7e CAP( s7$ll
+ro#ide certi&ic$tion records &ro* t7e +roducer. No *$teri$ls 4ill ;e inst$lled until
certi&ic$tion records 7$#e ;een +ro#ided. T7e CAP( s7$ll ret$in $ co+) o& t7e
certi&ic$tions. T7e CAP( 4ill &ill out t7e $++lic$;le sections o& &or* CP8%'6
K($teri$ls Certi&ic$tion Re+ort.L.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 0= o& ''
Structural Concrete< %ri1/es an1 +alls
6ound$tion $nd 6ooting >@c$#$tion3 Prior to ;$c?&illing $n) +i+e. dr$in$ge or
utilit) e@c$#$tion. t7e C Ins+ector s7$ll co*+lete 6or* CP8/'6 K>@c$#$tion
$nd >*;$n?*ent Re+ortL.
6ollo4ing t7e Setting o& Structur$l Concrete 6or*s Prior to C$sting Concrete3
6or* CP80=. KConcrete Pl$ce*ent Ins+ectionL 4ill ;e co*+leted +rior to t7e
+l$ce*ent o& concrete. I& t7e structur$l concrete is &or $ s+re$d &ooting. 6or*
CP8006 K6ound$tions - S+re$d 6ooting Re+ortL 4ill ;e co*+leted +rior to $n)
+l$ce*ent o& concrete.
Ret$ining D$ll Rein&orce*ent3 Prior to +l$cing structur$l concrete. t7e CAP(

s7$ll +ro#ide certi&ic$tion records &ro* t7e +roducer. No structur$l concrete s7$ll
;e +l$ced until certi&ic$tion records 7$#e ;een +ro#ided. T7e CAP( s7$ll ret$in
$ co+) o& t7e certi&ic$tions. T7e CAP( 4ill &ill out t7e $++lic$;le sections o& &or*
CP8%'6 K($teri$ls Certi&ic$tion Re+ort.L
Pile Dri#ing3 6or*s CP8/A6 $nd CP80/6. KPile Su**$r) Re+ortL $nd KTest
Pile Re+ortL 4ill ;e co*+leted $nd re#ie4ed +rior to t7e +l$ce*ent o& concrete
&or t7e &ooting.

Su+erstructure Rein&orce*ent Pl$ce*ent3 A&ter +l$ce*ent o& t7e su+erstructure

rein&orce*ent $nd +rior to t7e +l$ce*ent o& structur$l dec? concrete. t7e
&ollo4ing t4o critic$l $cti#it) +oints 4ill occur3
o $ Kdr) runL 4it7 t7e screeds 4ill ;e done $nd 6or* CP80=6. KConcrete
Pl$ce*ent Ins+ectionL 4ill ;e co*+leted +rior to t7e +l$ce*ent o&
concrete.
o T7e CAP( s7$ll +ro#ide docu*ent$tion t7$t &or* ele#$tions $nd re;$r
co#er de+t7s 7$#e ;een c7ec?ed ;) t7e C Ins+ector.
o Prior to +l$cing structur$l concrete. t7e CAP( s7$ll +ro#ide certi&ic$tion
records &ro* t7e +roducer. No structur$l concrete s7$ll ;e +l$ced until
certi&ic$tion records 7$#e ;een +ro#ided. T7e CAP( s7$ll ret$in $ co+)
o& t7e certi&ic$tions. T7e CAP( 4ill &ill out t7e $++lic$;le sections o& &or*
CP8%'6 K($teri$ls Certi&ic$tion Re+ort.L
!o4 Slu*+ O#erl$)3 A&ter t7e structur$l dec? sur&$ce +re+$r$tion $nd +rior to lo4
slu*+ dec? +l$ce*ent. $ Kdr) runL 4it7 t7e screeds 4ill ;e done $nd 6or*
CP82=. K!o4 Slu*+ ConcreteL 4ill ;e co*+leted +rior to t7e +l$ce*ent o&
concrete.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 0' o& ''
Paements
Concrete P$#e*ent3 Prior to concrete +$#ing. t7e CAP( s7$ll +ro#ide *$teri$l
certi&ic$tion &or rein&orce*ent $nd do4el ;$rs. T7e C Ins+ector s7$ll con&ir*
t7$t t7e rein&orce*ent reCuired o#er cul#erts is re$d) &or concrete +l$ce*ent $nd
joint l$)outs $re correct. Prior to +l$ce*ent o& concrete +$#ing. Section I o& 6or*
CP8%86. KConcrete P$#ingL 4ill ;e &illed co*+leted ;) t7e C Ins+ector.
Sections II. III. IB $nd B 4ill ;e &illed out during $nd $&ter t7e +$#ing o+er$tions
$re done.

Bitu*inous Control Stri+3 A&ter conducting $ ;itu*inous test stri+ &or ordin$r)
co*+$ction $nd +rior to using t7e est$;lis7ed rolling +$ttern &or ordin$r)
co*+$ction. 6or* CP8826. KBitu*inous Control Stri+ Hold Point 6or Ordin$r)
Co*+$ctionL 4ill ;e co*+leted +rior to continu$tion o& t7e est$;lis7ed rolling
+$ttern.
Remoals
Buildings $nd Bridges3 Prior to de*olition o& $n) ;uilding or ;ridge. t7e Design-
BuilderGs >n#iron*ent$l Co*+li$nce ($n$ger $nd (nDOTGs >n#iron*ent$l
Co*+li$nce ($n$ger s7$ll +ro#ide 4ritten $ut7oriI$tion to +roceed 4it7
de*olition. T7is re#ie4 s7ould include $ re#ie4 o& t7e R6C +l$ns &or t7e re*o#$l
Dor? $long 4it7 $n) re+orts. &ield testing $ndEor su++le*ent$l d$t$ to ensure $ll
en#iron*ent$l +er*its $nd regul$tions $re ;eing +ro+erl) &ollo4ed $nd
$ddressed.
#nironmental
Pre-Construction >n#iron*ent$l Re#ie4s3 Be&ore $n) construction occurs ot7er
t7$n to inst$ll B(PGs $nd en#iron*ent$l controls. t7e Design-BuilderGs
>n#iron*ent$l Co*+li$nce ($n$ger s7$ll #eri&) $nd +ro#ide $ 4ritten
certi&ic$tion t7$t $ll B(PGs $nd en#iron*ent$l controls $re inst$lled $ccording to
t7e R6C Design $nd R6P reCuire*ents. T7is is es+eci$ll) i*+ort$nt ;e&ore $n)
cle$ring $nd gru;;ing or tree re*o#$l o+er$tions co**ence.
Tra77ic
Tr$&&ic S4itc7es3 Be&ore $n) tr$&&ic s4itc7es occur. including ;ot7 te*+or$r) $nd
+er*$nent s4itc7es. t7e Design-BuilderGs Tr$&&ic >ngineer s7$ll +ro#ide 4ritten
certi&ic$tion t7$t $ll tr$&&ic control de#ices $nd controls $s noted in t7e Rele$sed
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} 0A o& ''
&or Construction designs $re +ro+erl) inst$lled $nd t7$t no &urt7er de#ices or
controls $re necess$r).
Stri+ing !$)out3 Be&ore $n) te*+or$r) or +er*$nent stri+ing $cti#ities $re
conducted. t7e Design-BuilderGs Tr$&&ic >ngineer s7$ll +ro#ide 4ritten certi&ic$tion
t7$t t7e stri+ing is +ro+erl) de+icted in t7e &ield l$)out $nd conditions $re
$cce+t$;le to continue.
Sign$l S)ste* Acti#$tion3 Be&ore $n) ne4l) inst$lled te*+or$r) or +er*$nent
sign$l s)ste* is $cti#$ted. t7e Design-BuilderGs Tr$&&ic >ngineer s7$ll +ro#ide $
4ritten certi&ic$tion t7$t t7e sign$l s)ste*s $re +ro+erl) inst$lled $s de+icted in
t7e Rele$sed &or Construction design +l$ns. T7is $cti#it) *$) ;e re+l$ced ;) $
Sign$l S)ste* Acti#$tion +l$n t7$t is re#ie4ed $nd $cce+ted ;) t7e De+$rt*ent
+rior to $cti#$tion.
Miscellaneous
(iscell$neous Products3 >$c7 ti*e $ *$teri$l listed in Section I t7roug7 XI in t7e
($teri$l Control Sc7edule is used &or t7e &irst ti*e on t7e +roject. t7e C( s7$ll
ensure t7$t t7e *$teri$l *eets t7e reCuire*ents o& t7e ($teri$ls Control
Sc7edule. S+eci$l Pro#isions $nd St$nd$rd S+eci&ic$tions. T7e Contr$ctor s7$ll
not inst$ll t7ese ite*s until C( ensures t7$t t7e +roduct *eets t7e $;o#e listed
reCuire*ents. A&ter t7e +roduct is $cce+ted &or inst$ll$tion. t7e Contr$ctor *$)
inst$ll t7e +roduct $nd su;seCuent testing $nd s$*+ling 4ill occur in $ccord$nce
4it7 t7e ($teri$ls Control Sc7edule.
PROC#D"R#
0. At $ de&ined Critic$l Acti#it) Point. t7e CAP( 4ill re#ie4 t7e Construction u$lit)
Ins+ection $nd Testing Pl$n to t7e testing $ndEor ins+ection +rocedures $nd
docu*ent$tion t7$t is reCuired &or t7$t Critic$l Acti#it) Point.
%. T7e CAP( 4ill ensure t7$t t7e reCuired tests $ndEor ins+ections 7$#e ;een
+er&or*ed $nd +ro#ide +$ssing d$t$. $ccording to t7e Project reCuire*ents.
2. T7e CAP( 4ill collect t7e reCuired docu*ent$tion ,ins+ection $ndEor testing
&or*s1 $nd ensure t7$t t7e reCuired sign$tures 7$#e ;een *$de on t7e &or*s.
8. Once it 7$s ;een deter*ined t7$t t7e 4or? *eets t7e Project reCuire*ents. t7e
+ro+er ins+ection $nd testing 7$s ;een +er&or*ed. t7e reCuired docu*ent$tion
7$s ;een co*+leted $nd signed ;) t7e C Ins+ector in c7$rge o& t7e $cti#it). t7e
CAP( 4ill co*+lete &or* CP-888 &or sign-o&& ;) (nDOT.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %/ o& ''
<. Once t7e CAP( $nd (nDOT $nd 7$s signed o&& $t t7e Critic$l Acti#it) Point.
4or? *$) +roceed to t7e ne@t $cti#it).
5. T7e CAP( 4ill +ro#ide $ co+) o& e$c7 Critic$l Acti#it) Point sign-o&& to (nDOTGs
docu*ent control $nd enter t7e in&or*$tion into (nDOTGs TRACS s)ste*.
=. T7e CAP( s7$ll docu*ent e$c7 Critic$l Acti#it) Point $cce+t$nce on &or* CP-
8%A6 KD$il) 6ield Re+ortL.
FI("R#S $ND FORMS
CP88863 Critic$l Acti#it) Point Rele$se 6or*
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %0 o& ''
CQP .0>: Testin/ Proce1ures @ Forms
Re# . D$te
P"RPOS#
To docu*ent t7e contr$ctor test +rocedures $ccording to t7e ($teri$ls Control
Sc7edule.
R#L$T#D DOC"M#NTS
(nEDOT St$nd$rd S+eci&ic$tions &or Construction ,%//<1
($teri$ls Control Sc7edule ,(CS1
(nDOT !$;or$tor) ($nu$l
(nDOT :r$ding $nd B$se ($nu$l
(nDOT Bitu*inous ($nu$l
(nDOT Concrete ($nu$l
R#SPONSI%ILITI#S
T7e Construction Quality Mana/er 9CQM: is res+onsi;le ensuring +ro+erl) tr$ined
$nd certi&ied tec7nici$ns +er&or* Cu$lit) control testing in $ccord$nce 4it7 t7e (CS.
test results $re docu*ented on t7e $++ro+ri$te &or* in $ccord$nce 4it7 t7e (CS. $nd
test results $re +ro+erl) stored in Docu*ent Control $nd u+lo$ded into t7e TRACS
s)ste*.
PROC#D"R#
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t t7e contr$ctor
st$&& 7$s t7e $++ro+ri$te testing &or*s $nd certi&ic$tions to +er&or* t7e testing.
T7e C( s7$ll de#elo+ $nd *$int$in &or* CP-%/86 ,(nDOT Certi&ic$tion !og1
&or $ll Cu$lit) e*+lo)ees +er&or*ing testing on t7e +roject. T7e +re-$cti#it)
*eeting 4ill $lso discuss t7e +rocesses $nd +rocedures &or storing t7e
in&or*$tion in docu*ent control $nd +ro#iding t7e in&or*$tion to (nEDOT in
TRACS.
%. Prior to testing *$teri$ls &or t7e &irst ti*e. t7e ( or C( s7$ll #eri&) t7$t $ll
contr$ctor test eCui+*ent is +ro+erl) c$li;r$ted. T7e C( s7$ll collect $nd
ret$in c$li;r$tion records on 6or* CP %/86B $nd +l$ce in docu*ent control.
2. T7e C( s7$ll issue $ Sto+ Dor? order i& testing is ;eing +er&or*ed 4it7out
+ro+er certi&ic$tion.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %% o& ''
FI("R#S $ND FORMS
CP%/86A3 (nDOT Certi&ic$tion !og
C%/86B3 >Cui+*ent !ist
{Contr$ctor to +ro#ide $ list o& &or*s to ;e used ,$s reCuired ;) t7e (CS +lus $ddition$l
Cu$lit) control E Cu$lit) $ssur$nce &or*s desired ;) t7e contr$ctor1 $nd include $ co+) o&
e$c7 &or* in t7e Construction u$lit) Pl$n}
{CONTRACTOR}
S.P. XXXX
1;1;1;1;1;1;1;1;1
CQP =01: Clearin/ an1 (rubbin/
Re# . D$te
P"RPOS#:
To est$;lis7 reCuired Construction u$lit) +rocedures &or ins+ection $nd re+orting
reCuire*ents &or cle$ring $nd gru;;ing o+er$tions +er&or*ed on t7e +roject.
SCOP#
Cle$ring $nd gru;;ing $++lies to t7e re*o#$l $nd dis+os$l o& #eget$tion t7$t is not
design$ted &or +reser#$tion.
R#L$T#D DOC"M#NTS:
T7e &ollo4ing docu*ents $re re&erenced in t7is Cu$lit) +rocedure3
Contr$ct Docu*ents
Rele$sed &or Construction Pl$ns
R#SPONSI%ILITI#S:
T7e CQM is res+onsi;le &or #eri&)ing t7$t t7e erosion control de#ices $re in +l$ce $s +er
t7e contr$ct docu*ents $nd en#iron*ent$l +er*its.
(nDOT 4ill +ro#ide construction testing $nd ins+ection.
PROC#D"R#:
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t cle$ring $nd
gru;;ing 4ill ;e +er&or*ed in $ccord$nce 4it7 (nDOT S+eci&ic$tion %0/0. Boo?
% Section 0/. $nd t7e Rele$sed &or Construction docu*ents.
%. Prior to 4or?. t7e C( 4ill #eri&) $ll erosion control de#ices $re in +l$ce +er
NPD>S. SDPPP. $nd t7e $++ro#ed erosion control +l$ns $nd s+eci&ic$tions.
2. T7e Contr$ctor 4ill $d7ere to t7e Tree Preser#$tion Pl$n.
DR$+IN(< FI("R#S $ND FORMS:
CP-8%A63 D$il) 6ield Re+ort
{CONTRACTOR}
S.P. XXXX
CQP =0.: (ra1in/ an1 %ase
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures $nd re+orting reCuire*ents. $nd
+ro#ide $ *et7odolog) &or ins+ection o& $deCu$te gr$ding $nd ;$se o+er$tions
+er&or*ed on t7e +roject.
SCOP#
T7is 4or? s7$ll include3 select gr$nul$r $nd *odi&ied select gr$nul$r. $ggreg$te ;$se
$nd s7ouldering. su;sur&$ce dr$in tile.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor to insert s+eci$l +ro#isions t7$t $++l)}
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied testers +er&or* reCuired testing
$nd docu*ent$tion o& gr$ding $nd ;$se o+er$tions to include $ggreg$te ;$se.
$ggreg$te s7ouldering. ;edding &or s$nit$r) $nd stor* se4ers. *$n7oles. c$tc7 ;$sins.
cul#erts. su;sur&$ce dr$ins. $nd ri+ r$+.
T7e CQM is res+onsi;le &or ensuring t7$t t7e Contr$ctor $d7erers to $ll Critic$l Acti#it)
Points rel$ted to >@c$#$tion $nd >*;$n?*ent ite*s.
(nDOT 4ill +ro#ide ins+ection. $cce+t$nce testing o& t7e *$teri$ls inst$lled. $nd sign-
o&& on Critic$l Acti#it) Points.
PROC#D"R#
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t gr$ding $nd
;$se construction 4ill ;e +er&or*ed in $ccord$nce 4it7 (nDOT S+eci&ic$tions.
t7e ($teri$ls Control Sc7edule. t7e R6C docu*ents. $nd contr$ct +ro#isions.
%. Prior to ;ringing gr$ding $nd ;$se *$teri$ls onto t7e Project. t7e C( s7$ll
+ro#ide test results $nd certi&ic$tions t7$t $ll *$teri$ls to ;e inst$lled *eet t7e
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %< o& ''
+roduction testing reCuire*ents o& t7e ($teri$ls Control Sc7edule. T7e C(
s7$ll enter t7is in&or*$tion into TRACS $nd +ro#ide $ 7$rd co+) to (nDOT.
2. T7e C( s7$ll +ro#ide contr$ctor test results $nd certi&ic$tion t7$t $ll *$teri$ls
inst$lled *eet t7e +l$ce*ent reCuire*ents o& t7e Sc7edule o& ($teri$ls Control.
T7e C( s7$ll enter t7is in&or*$tion into TRACS $nd +ro#ide $ 7$rd co+) to
(nDOT. (nDOT *$) elect not to +er&or* $n) $genc) $cce+t$nce testing +rior
to recei#ing t7is in&or*$tion.
8. T7e C( s7$ll coordin$te Critic$l Acti#it) Point sign-o&&s.
<. T7e C( s7$ll #eri&) t7$t t7e *$teri$ls $re inst$lled $t t7e +ro+er gr$des
,toler$nce1. See CP 2/8 K:r$de ControlL.
5. T7e C( s7$ll co*+lete t7e D$il) 6ield Re+ort ,CP-8%A61 $nd enter t7is
in&or*$tion into (nDOT TRACS s)ste*. T7e d$il) re+ort s7$ll include Cu$ntities
+l$ced 4it7 su++orting docu*ent$tionEc$lcul$tions.
=. T7e C( s7$ll co*+lete t7e Dee?l) :r$dingEB$seEP$#ing Re+ort ,6or* CP-
8/261 $nd +ro#ide t7is in&or*$tion to (nDOT #i$ docu*ent control $nd enter t7is
into TRACS.
'. T7e C( s7$ll co*+lete $nd su;*it t7e (ont7l) :r$ding $nd B$se Re+ort
,6or* CP-8/561 to (nDOT.
FI("R#S $ND FORMS
CP-8/263 Dee?l) :r$dingEB$seEP$#ing Re+ort
CP-8/563 (ont7l) :r$ding $nd B$se Re+ort
{CONTRACTOR}
S.P. XXXX
CQP =0=: Test Rollin/

Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or t7e testing. ins+ection.
docu*ent$tion. $nd re+orting on Test Rolling.
SCOP#
Test Rolling is $ *e$ns to $ssess t7e ;e$ring *e$sure o& $ ro$d;ed. Test Rolling 4ill
;e +er&or*ed onl) 47ere s+eci&ic$ll) reCuired ;) t7e Contr$ct.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring t7$t t7e Contr$ctor $d7eres to t7e Critic$l Acti#it)
Point rel$ted to Test Rolling $nd >@c$#$tion $nd >*;$n?*ent ite*s.
PROC#D"R#
0. Prior to test rolling. $ +re-$cti#it) *eeting s7$ll ;e 7eld to discuss t7e
Contr$ctorGs test rolling +rocedures. re#ie4 t7e +l$ns. $nd discuss
testingEins+ection res+onsi;ilities.
%. T7e C( ,or CAP(1 s7$ll #eri&) t7$t t7e test roller *eets (nDOT s+eci&ic$tion
%000. T7e C( ,or CAP(1 s7$ll docu*ent t7is on &or* CP-8/=6 KTest Roll
Re+ortL.
2. Prior to test rolling. t7e Contr$ctor 4ill +rotect cul#erts $nd structures &ro*
d$*$ge ;) t7e test roller or reCuest $n e@ce+tion 47ere +rotection is not
&e$si;le.
8. Test rolling 4ill ;e +er&or*ed in $ccord$nce 4it7 t7e &ollo4ing t$;le3
Case Test Rollin/ Location Number o7
3asses 3er
$llo!able
yiel1in/ or
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %= o& ''
stri3 ruttin/
{to ;e &illed in ;) (} {to ;e &illed in ;) (} {to ;e &illed in
;) (}
{to ;e &illed in ;)
(}
{to ;e &illed in ;) (} {to ;e &illed in
;) (}
{to ;e &illed in ;)
(}
{to ;e &illed in ;) (} {to ;e &illed in
;) (}
{to ;e &illed in ;)
(}
;) (}
{to ;e &illed in ;)
(}
;) (}
{to ;e &illed in ;)
(}
5. T7e &ore*$n. C( ,or CAP(1 $nd (nDOT 4ill o#ersee testing rolling
+er&or*ed.
=. I& test rolling +$sses. t7e &ore*$n. C( ,or CAP(1 $nd (nDOT 4ill sign-o&& on
t7e Test Rolling Critic$l Acti#it) Point.
'. I& test rolling does not +$ss. t7e C( ,or CAP(1 $nd (nDOT 4ill docu*ent t7e
loc$tion o& t7e &$ilure on &or* CP-8/=6. T7e Contr$ctor s7$ll de#elo+ $nd t$?e
correcti#e $ctions. T7e &ore*$n. C( ,or CAP(1 $nd (nDOT 4ill o#ersee
retesting until test rolling +$sses $nd t7e Testing Rolling Critic$l Acti#it) Point 7$s
;een signed-o&&. Correcti#e $ction $nd result 4ill ;e noted on &or* CP-8/=6.
A. T7e C( ,or CAP(1 s7$ll co*+lete t7e D$il) 6ield Re+ort ,CP-8%A61 $nd
enter t7is in&or*$tion into (nDOTGs TRACS s)ste*.
FI("R#S $ND FORMS
CP-8/=63 Test Roll Re+ort
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %' o& ''
CQP =0>: (ra1e Control
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or ins+ection. testing. $nd
re+orting reCuire*ents reg$rding ro$d4$) ele#$tions using st$nd$rd *et7ods $nd
:PS-guided *$c7ines.
SCOP#
T7is +rocedure 4ill ;e used to deter*ine de+t7 o& su;cut e@c$#$tions. toler$nce t7e to+
o& s$nd gr$ding gr$de. $nd deline$te t7e li*its o& *uc? e@c$#$tion.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor s7$ll insert s+eci$l +ro#isions t7$t $++l)}
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring t7$t gr$de control is +er&or*ed in $ccord$nce 4it7
t7e &ollo4ing +rocedures $nd +roject reCuire*ents. T7e CQM is res+onsi;le &or
ensuring t7$t t7e Contr$ctor $d7eres to $ll Critic$l Acti#it) Points rel$ted to >@c$#$tion
$nd >*;$n?*ent ite*s.
(nDOT 4ill sign-o&& on Critic$l Acti#it) Points. $nd #eri&) t7$t t7e Contr$ctor 7$s
+ro#ided su&&icient gr$de control t7roug7 #eri&ic$tion ins+ections.
PROC#D"R#
Su;cut >@c$#$tion
0. {Contr$ctor s7$ll enter *e$ns $nd *et7ods to +er&or* su;gr$de e@c$#$tion ,e.g.
($c7ine control $nd +rocedures &or set-u+ $nd c$li;r$tion}
%. {Contr$ctor s7$ll *et7ods to 7$#e t7e C( c7ec? toler$nce. 6or e@$*+le.
+ro#ide Blue to+ ele#$tions 4ill ;e +l$ced ;) Design-Builder sur#e)ors &ro*
Project Sur#e) Controls e#er) =//G in t$ngent sections $nd <//G in #ertic$l $nd
7oriIont$l cur#e loc$tions. >@ce+tions 4ill ;e under ;ridges or in ot7er $re$s
47ere :PS does not 7$#e co#er$ge. In t7ese $re$s ;lue to+s 4ill ;e +l$ced
e#er) 0//G.}
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} %A o& ''
2. {Contr$ctor s7$ll +ro#ide *et7ods t7$t 4ill $llo4 (nDOT to c7ec? toler$nce ,e.g.
+ro#ide ;lue to+s. +ro#ide ro#ers 4it7 d$t$}
8. {Contr$ctor st$te t7e $llo4$;le toler$nces +er S+eci&ic$tion}
<. D7en t7e su;cut e@c$#$tion is co*+lete. t7e CAP( s7$ll #eri&) 4it7 t7e &ore*$n
t7$t t7e e@c$#$tion 7$s ;een +er&or*ed in $ccord$nce 4it7 t7e Rele$sed &or
Construction Pl$ns $nd S+eci&ic$tion %00%. T7e CAP( s7$ll docu*ent t7e gr$de
control c7ec? on 6or* CP8056.

5. T7e CAP( s7$ll +ro#ide (nDOT 6or* CP8056 $nd in&or* (nDOT t7$t t7e
gr$de is re$d) &or $ Critic$l Acti#it) Point ins+ection. (nDOT 4ill +er&or*
#eri&ic$tion ins+ection on t7e gr$de control. I& $cce+t$;le. t7e &ore*$n. (nDOT
$nd CAP( 4ill sign-o&& on t7e Critic$l Acti#it) Point.
=. I& t7e toler$nce is not $cce+t$;le. t7e CAP( 4ill docu*ent t7e un$cce+t$;le
loc$tions on &or* CAP-8056. T7e Contr$ctor s7$ll t$?e correcti#e $ction until t7e
Critic$l Acti#it) Point is signed-o&& ;) (nDOT. t7e &ore*$n $nd CAP(.
($teri$l Inst$ll$tion
0. B$c?&ill *$teri$l 4ill onl) ;e inst$lled $&ter t7e Su;gr$de >@c$#$tion Critic$l
Acti#it) Point is signed-o&& ;) (nDOT $nd t7e C( ,or CAP(1 7$s +ro#ided
docu*ent$tion t7$t +roduction test results o& t7e *$teri$l 7$#e *et t7e *ini*u*
reCuire*ents o& t7e ($teri$ls Control Sc7edule.
:r$ding :r$de
0. {Contr$ctor s7$ll enter *e$ns $nd *et7ods to +er&or* su;gr$de e@c$#$tion ,e.g.
($c7ine control $nd +rocedures &or set-u+ $nd c$li;r$tion. toler$nce}
%. {Contr$ctor s7$ll enter *et7ods to to c7ec? toler$nce ,e.g. Select :r$nu$lr 4ill
;e inst$lled to t7e reCuired el#$tions $nd c7ec?ed ;) utiliIing :PS e#er) 0//G
4it7 r$ndo* o&&sets &ro* Centerline1.
2. {Contr$ctor s7$ll +ro#ide *et7ods t7$t 4ill $llo4 (nDOT to c7ec? toler$nce ,e.g.
+ro#ide ;lue to+s. +ro#ide ro#ers 4it7 d$t$}
8. {Contr$ctor st$te t7e $llo4$;le toler$nces +er S+eci&ic$tion}
<. D7en t7e gr$de is re$d) &or toler$nce. t7e CAP( s7$ll #eri&) 4it7 t7e &ore*$n
t7$t t7e e@c$#$tion 7$s ;een +er&or*ed in $ccord$nce 4it7 t7e Rele$sed &or
Construction Pl$ns $nd S+eci&ic$tion %00%. T7e CAP( s7$ll docu*ent t7e gr$de
control c7ec? on 6or* CP8056.
{CONTRACTOR}
S.P. XXXX
5. T7e CAP( s7$ll +ro#ide (nDOT 6or* CP8056 $nd in&or* (nDOT t7$t t7e
gr$de is re$d) &or $ Critic$l Acti#it) Point ins+ection. (nDOT 4ill +er&or*
#eri&ic$tion ins+ection on t7e gr$de control. I& $cce+t$;le. t7e &ore*$n. (nDOT
$nd CAP( 4ill sign-o&& on t7e Critic$l Acti#it) Point.
=. I& t7e toler$nce is not $cce+t$;le. t7e CAP( 4ill docu*ent t7e un$cce+t$;le
loc$tions on &or* CP-8056. T7e Contr$ctor s7$ll t$?e correcti#e $ction until t7e
Critic$l Acti#it) Point is signed-o&& ;) (nDOT. t7e &ore*$n $nd CAP(.
'. T7e C( s7$ll co*+lete t7e D$il) 6ield Re+ort ,CP-8%A61 $nd enter t7is
in&or*$tion into (nDOT TRACS s)ste*.
FI("R#S $ND FORMS
CP-80563 :r$de Control Toler$nce Re+ort
CP-8/263 Dee?l) :r$ding-B$se-P$#ing Re+ort
CP-8/563 (ont7l) :r$ding $nd B$se Re+ort
{CONTRACTOR}
S.P. XXXX
CQP =0A: #mban?ment
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or testing. ins+ection.
docu*ent$tion. $nd re+orting e*;$n?*ent &ill +l$ce*ent.
SCOP#
>*;$n?*ent $++lies to $ll ne4 e*;$n?*ent *$teri$l +l$ced.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor to insert s+eci$l +ro#isions t7$t $++l)}
R#SPONSI%ILITI#S
T7e C( is res+onsi;le &or ensuring (nDOT certi&ied testers +er&or* t7e reCuired
testing. $nd ensuring t7$t t7e Contr$ctor $d7eres to $ll Critic$l Acti#it) Points rel$ted to
>*;$n?*ent ite*s.
(nDOT 4ill +er&or* $cce+t$nce testing. sign-o&& on critic$l $cti#it) +oints. $nd +ro#ide
ins+ection.
PROC#D"R#
0. Prior to 4or?. t7e Contr$ctorGs >n#iron*ent$l Co*+li$nce ($n$ger 4ill #eri&) $ll
erosion control de#ices $re in +l$ce +er t7e $++ro#ed erosion control +l$ns $nd
s+eci&ic$tions.
%. >*;$n?*ent o;ser#$tions s7$ll &ollo4 t7e reCuire*ents o& CP2/%-0 ,:r$ding
$nd B$se1.
2. T7e C Ins+ector s7$ll co*+lete &or* CP-8/'6. T7e CPA( or C( s7$ll $udit
t7is +rocess +eriodic$ll).
in&or*$tion into (nDOT TRACS s)ste*.
{CONTRACTOR}
S.P. XXXX
CP-8/'63 >@c$#$tion $nd >*;$n?*ent O;ser#$tions
{CONTRACTOR}
S.P. XXXX
CQP =0B: #8caation
P"RPOS#:
docu*ent$tion. $nd re+orting o& e@c$#$tion o+er$tions.
R#L$T#D DOC"M#NTS:
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor to insert list o& s+eci$l +ro#isions t7$t $++l)}
R#SPONSI%ILITI#S:
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied testers +er&or* t7e reCuired
testing. $nd docu*ent$tion o& e*;$n?*ent &ill o+er$tions.
T7e CQM is res+onsi;le &or ensuring t7$t t7e Contr$ctor $d7eres to $ll Critic$l Acti#it)
Points rel$ted to >@c$#$tion Ite*s.
(nDOT 4ill +er&or* $cce+t$nce testing. sign-o&& on critic$l $cti#it) +oints. $nd +ro#ide
ins+ection.
PROC#D"R#:
0. Prior to 4or?. t7e Contr$ctorGs >n#iron*ent$l Co*+li$nce ($n$ger 4ill #eri&) $ll
erosion control de#ices $re in +l$ce +er t7e $++ro#ed erosion control +l$ns $nd
s+eci&ic$tions.
%. >@c$#$tion $cti#ities 4ill ;e +er&or*ed in $ccord$nce 4it7 t7e Contr$ct
Docu*ents.
2. T7e C( 4ill coordin$te 4it7 t7e Contr$ctors :eotec7nic$l >ngineer to identi&)
undercut reCuire*ents ;$sed on e@+osed conditions o& Cuestion$;le su;cut
$re$s. T7e :eotec7nic$l >ngineer $ndEor C( s7$ll +rocess $ 6ield Design
C7$nge t7roug7 t7e Construction ($n$ger in $ccord$nce 4it7 CP%/0 K6ield
Design C7$ngeL i& necess$r).
8. U+on co*+letion o& cle$ring $nd gru;;ing. t7e Contr$ctorGs C( 4ill ins+ect t7e
su;gr$de &or suit$;ilit).
{CONTRACTOR}
S.P. XXXX
<. T7e C Ins+ector s7$ll co*+lete &or* CP-8/'6. T7e CPA( or C( s7$ll $udit
t7is +rocess +eriodic$ll).
in&or*$tion into t7e (nDOT TRACS s)ste*.
=. T7e C( s7$ll #eri&) t7$t t7e Critic$l Acti#it) Points &or ;$c?&illing e@c$#$tions
$re *et +rior to +roceeding 4it7 $n) ;$c?&ill o+er$tions.

(uc? >@c$#$tion
0. {contr$ctor s7$ll est$;lis7 +rocedures &or 7o4 to c7ec? *uc? li*its ,e.g. A C$t
2'< ;$c?7oe 4ill ;e &itted 4it7 :PS gr$de control to est$;lis7 *uc? e@c$#$tion
li*its $nd d$t$ 4ill ;e retrie#ed s7o4ing t7e $ctu$l de+t7 $nd 4idt7 t7e *$c7ine
re$c7ed. T7e *uc? e@c$#$tion li*its 4ill ;e det$iled 4it7in t7e d$t$ recorder $nd
co*+$red to t7e cross sections &or correct de+t7 $nd 4idt7 o& t7e e@c$#$tion.}
%. {contr$ctor to +ro#ide *et7ods t7$t 4ill $llo4 (nDOT to c7ec? toler$nce}
2. A&ter co*+letion o& *uc? e@c$#$tion in 4et +onds. PieIocone tests 4ill ;e
utiliIed to deter*ine t7e *ec7$nic$l +ro+erties o& t7e soil in order to judge t7e
suit$;ilit) o& t7e e@c$#$tion $cti#ities.
FI("R#S $ND FORMS:
CP-8/'63 >@c$#$tion $nd >*;$n?*ent Re+ort
{CONTRACTOR}
S.P. XXXX
CQP =0C: Tem3orary #rosion an1 Se1iment Control
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or o;ser#$tion $nd t7e
docu*ent$tion o& erosion $nd sedi*ent control.
SCOP#
>rosion $nd sedi*ent control is t7e +re#ention o& soil erosion $nd sedi*ent$tion during
construction o+er$tions. T7is 4or? includes i*+le*enting 7oriIont$l slo+e gr$ding.
construction +7$sing. $nd ot7er construction +r$ctices to *ini*iIe erosion $s 4ell $s
&urnis7ing $nd inst$lling sedi*ent control de#ices.
R#L$T#D DOC"M#NTS
XXXX S+eci$l Pro#isions
>n#iron*ent$l ($n$ge*ent Pl$n
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring t7$t t7e Contr$ctor $d7eres to t7e Critic$l Acti#it)
Points rel$ted to >n#iron*ent$l $nd (iscell$neous ite*s.
T7e >n#iron*ent$l Co*+li$nce ($n$ger ,>C(1 is res+onsi;le &or +er&or*ing c7ec?s o&
t7e reCuired o;ser#$tions $nd docu*ent$tion o& erosion $nd sedi*ent control.
(nDOT 4ill +er&or* ins+ections o& te*+or$r) erosion control $nd sedi*ent ite*s 4it7
t7e Contr$ctorGs #CM;
PROC#D"R#
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t te*+or$r)
erosion control $nd sedi*ent control 4ill ;e inst$lled $ccording to t7e (nDOT
St$nd$rds S+eci&ic$tions. +er*its. t7e ($teri$ls Control Sc7edule. t7e R6C
docu*ents. $nd contr$ct +ro#isions. T7e +re-$cti#it) *ust include (nDOTGs
>n#iron*ent$l Co*+li$nce ($n$ger.
%. T7e C( s7$ll #eri&) t7$t t7e (iscell$neous Products Critic$l Acti#it) Point 7$s
;een +er&or*ed +rior to inst$ll$tion o& $n) +roduct.
{CONTRACTOR}
S.P. XXXX
2. T7e C( s7$ll +ro#ide test results $nd certi&ic$tions t7$t $ll *$teri$ls inst$lled
*eet t7e reCuire*ents o& t7e Sc7edule o& ($teri$ls Control. T7e C( s7$ll
enter t7is in&or*$tion into TRACS $nd +ro#ide $ 7$rd co+) to (nDOT.
8. T7e contr$ctor s7$ll construct. *$int$in. $nd re*o#e te*+or$r) erosion control
*e$sures $s reCuired ;) t7e R6C docu*ents. contr$ct docu*ents. +er*its. or
$s ordered ;) (nDOT.
<. T7e C( s7$ll ensure t7e contr$ctor conducts ins+ections $nd *$int$ins $ log
$s +er t7e NPD>S +er*it.
5. T7e Contr$ctor s7$ll in#ite (nDOTGs >n#iron*ent$l Co*+li$nce ($n$ger to $ll
ins+ections.
=. {Contr$ctor s7$ll identi&) s+eci$l +er*itting or en#iron*ent$l issues t7$t need to
;e $ddressed}
'. T7e Contr$ctorGs en#iron*ent$l st$&& $re res+onsi;le &or +re#enting or *ini*iIing
t7e +otenti$l &or erosion $&ter te*+or$r) erosion control *e$sures 7$#e ;een
inst$lled.
A. T7e contr$ctor s7$ll use {to be filled in by the Contractor to +reser#e $nd +rotect
#eget$tion $ccording to t7e Beget$tion Preser#$tion Pl$n.
FI("R#S $ND FORMS
NPD>S ins+ection &or*s $nd logs
{CONTRACTOR}
S.P. XXXX
CQP =0D: Lan1sca3in/
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or o;ser#$tion. testing $nd
docu*ent$tion o& l$ndsc$+ing o+er$tions.
SCOP#
T7is 4or? s7$ll include *ulc7 +l$ce*ent. tur& est$;lis7*ent. $nd +l$nt inst$ll$tion.
including. tilling. li*ing. &ertiliIing. seeding. $nd sodding.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor s7$ll insert list o& s+eci$l +ro#isions t7$t $++l)}
Rele$sed &or Construction Dr$4ings
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied testers +er&or* t7e reCuired
testing $nd t7e Contr$ctor $d7eres to t7e Critic$l Acti#it) Points.
(nDOT 4ill sign-o&& on Critic$l Acti#it) Points $nd ins+ect l$ndsc$+ing inst$ll$tion.
PROC#D"R#
0.
Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t l$ndsc$+ing
ite*s 4ill ;e inst$lled $ccording to t7e (nDOT St$nd$rds S+eci&ic$tions. +er*its.
t7e ($teri$ls Control Sc7edule. t7e R6C docu*ents. $nd contr$ct +ro#isions.
T7e +re-$cti#it) *ust include (nDOTGs >n#iron*ent$l Co*+li$nce ($n$ger.
%.
T7e C( s7$ll #eri&) t7$t t7e (iscell$neous Products Critic$l Acti#it) Point 7$s
;een +er&or*ed +rior to inst$ll$tion o& $n) +roduct. 6or +roducts t7$t reCuire
Bisu$l Ins+ection. (nDOT $nd t7e C( s7$ll re#ie4 t7ese +roducts $nd de#elo+
+rocedures $nd +rocess &or e#$lu$ting +rocedures &or $cce+t$nce.
2.
T7e C( s7$ll +ro#ide test results $nd certi&ic$tions t7$t $ll *$teri$ls inst$lled
*eet t7e +l$ce*ent reCuire*ents o& t7e Sc7edule o& ($teri$ls Control. T7e
C( s7$ll enter t7is in&or*$tion into TRACS $nd +ro#ide $ 7$rd co+) to (nDOT.
{CONTRACTOR}
S.P. XXXX
8.
Seeding $nd 6ertiliIer Cu$ntities 4ill ;e re+orted ;) t7e contr$ctor $nd $ co+) o&
t7e Cu$ntit) re+ort 4ill ;e su;*itted to t7e C( e$c7 ti*e cre4s $re *o;iliIed to
t7e +roject. T7e C( 4ill #eri&) t7e $ccur$c) o& e$c7 re+ort $nd +ro#ide t7e
in&or*$tion to (nDOT $nd enter t7e d$t$ into TRACS.

FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
CQP =0E: Pile Driin/
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or o;ser#$tion. ins+ection.
testing $nd re+orting &or inst$ll$tion o& steel +iles.
SCOP#
Steel +iles 4ill ;e used to su++ort 7e$#il) lo$ded structures &or t7e +roject including
;ridge +iers $nd $;ut*ents.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor s7$ll insert list o& s+eci$l +ro#isions}
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied ins+ectors +er&or* reCuired
o;ser#$tions. testing. $nd docu*ent$tion o& +ile dri#ing $cti#ities. T7e u$lit)
Assur$nce ins+ector 4ill ;e onsite during $ll +ile dri#ing $cti#ities.
(nDOT 4ill +ro#ide o#ersig7t ins+ection $nd #eri&ic$tion.
PROC#D"R#
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t +iling 4ill ;e
inst$lled $ccording to t7e (nDOT St$nd$rds S+eci&ic$tions. +er*its. t7e
($teri$ls Control Sc7edule. t7e R6C docu*ents. $nd contr$ct +ro#isions.
%. In $ccord$nce 4it7 S+eci&ic$tion %8<%. t7e C( s7$ll #eri&) $nd su;*it t7e (ill
Test Re+orts $nd (ill S7i++ing P$+ers to (nDOT +rior to inst$ll$tion o& +ile.
2. T7e C( s7$ll +ro#ide $ (nDOT certi&ied ;ridge ins+ector to ins+ect t7e
inst$ll$tion o& t7e e$c7 Test Pile $nd +ro#ide docu*ent$tion o& t7e test +ile
results on &or* CP-80/6. T7e C( s7$ll coordin$te t7e results o& t7e test +ile
to t7e Contr$ctorGs !e$d Design >ngineer J Structures.
{CONTRACTOR}
S.P. XXXX
8. T7e C( s7$ll +ro#ide $ (nDOT certi&ied ;ridge ins+ector to ins+ect $nd
docu*ent t7e inst$ll$tion o& e$c7 non-test +ile on &or* CP-8/A6.
<. T7e C( s7$ll i**edi$tel) re+ort $ll de#i$tions to t7e R6C +l$ns to t7e ( &or
resolution.
FI("R#S $ND FORMS
CP-8/A63 Pile Su**$r) Re+ort
CP-80/63 Test Pile Re+ort
{CONTRACTOR}
S.P. XXXX
CQP =10: Portlan1 Cement Concrete %atc2 Plant
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or testing. ins+ection. $nd
re+orting &or Portl$nd Ce*ent Concrete J B$tc7 Pl$nt Ins+ections.

SCOP#
Construction Cu$lit) +ersonnel 4ill +er&or* o;ser#$tions o& t7e ;$tc7 +l$nts.
R#L$T#D DOC"M#NTS
S+eci$l Pro#isions {Contr$ctor to insert list o& S+eci$l Pro#isions}
Contr$ct Docu*ents
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or *$int$ining test records $nd docu*ents +ro#ided ;) t7e
contr$ctor.
T7e certi7ie1 su33lier is res+onsi;le &or +ro#iding (nDOT certi&ied Concrete Pl$nt I
$nd Concrete Pl$nt II tec7nici$ns. $nd +ro#iding docu*ent$tion to t7e C( $s
reCuired. T7e su++lier is res+onsi;le &or o;t$ining $nd *$int$ining t7eir certi&ied +l$nt
st$tus.
PROC#D"R#
Re$d) (i@ Pl$nt
0. u$lit) Control testing 4ill ;e t7e res+onsi;ilit) o& t7e Pl$nt u$lit) Su+er#isor
47o 4ill record $ll in&or*$tion reg$rding t7e +roject in $ u$lit) !og;oo?. T7e
log;oo? 4ill ;e *$int$ined in $ccord$nce 4it7 (nDOT %850 $nd +ro#ide t7e
&ollo4ing in&or*$tion3
$. "$rds +roduced d$il) is recorded
;. T7e $++ro+ri$te concrete *i@ is utiliIed
c. Certi&ied ($teri$ls $re used
d. D$il) *oisture $nd gr$d$tion re+orts $re co*+leted
{CONTRACTOR}
S.P. XXXX
e. (nDOT 6or* TP %8082-/2,%///1 is co*+leted $nd su;*itted
&. Control C7$rts 4ill ;e co*+leted in $ *$nner $++ro#ed ;) t7e
>ngineer $nd 4ill cont$in t7e &ollo4ing in&or*$tion3
I. Test d$t$ &ro* *oisture content o& $ggreg$tes
II. :r$d$tion Testing
T7e +roducerEcontr$ctor 4ill test t7e *$teri$ls in $ccord$nce 4it7 t7e Sc7edule o&
($teri$ls Control $nd 4ill &or4$rd records to t7e C( 4ee?l) 47o 4ill &or4$rd t7e* to
(nDOT.
T7e &ollo4ing +rocedure is to ;e &ollo4ed 47en s$*+ling &or t7e *inus M%// test3
$. T7e s$*+les 4ill ;e t$?en &ro* t7e ;elt using t7e (nDOT &l$t-
nosed s$*+ling scoo+.
;. T7e s$*+les 4ill ;e t$?en side ;) side o&& t7e ;elt.
c. T7e s$*+les $re t7en +l$ced directl) in t7e +$n &or testing.
P$#ing
T7e C( or 7is re+resent$ti#e 4ill #eri&) t7e &ollo4ing3
$. Producer 7$s (nDOT $++ro#ed *i@ designs design$ted &or t7is
+roject. Aggreg$te Cu$lit) source testing 7$s ;een +er&or*ed ;)
(nDOT. T7e C( 4ill ?ee+ $ record o& *i@ designs used on t7e
+roject on &or* CP- 80%6.
;. Pl$nt 7$s c$li;r$ted $nd correl$ted t7e testing eCui+*ent in
$ccord$nce 4it7 +rescri;ed (nDOT testing +rocedures $s listed in t7e
(nDOT Concrete ($nu$l.
c. Co$rse $nd &ine $ggreg$te gr$d$tions 7$#e ;een co*+leted +ro+erl).
d. Producer Cu$lit) +ersonnel 7$#e (nDOT Concrete Pl$nt I $nd Pl$nt II
certi&ic$tions.
e. Producer Concrete !e#el II su+er#isor is on site $t $ll ti*es or 7$s $
cellul$r +7one in t7eir +ossession $nd $;le to ;e $t t7e +l$nt in $
re$son$;le $*ount o& ti*e.
&. Control C7$rts 4ill ;e co*+leted in $ *$nner $++ro#ed ;) t7e (nDOT
$nd 4ill cont$in t7e &ollo4ing in&or*$tion3
{CONTRACTOR}
S.P. XXXX
I. Test d$t$ &ro* *oisture content o& $ggreg$tes. tot$l 4$ter in
*i@. DEC r$tio. $d*i@ture dos$ge. $nd &le@ur$l strengt7 $re
su**$riIedN gr$d$tion $nd $ir content $re su**$riIed $nd
+lotted on control c7$rts.
II. T7e control c7$rts cont$in3 d$te. ti*e. lot $nd su;lot. $nd
$++lic$;le s+eci&ic$tions.
III. T7e c7$rts $re $ re$d$;le siIe $nd $re dis+l$)ed on t7e
testing &$cilit) 4$ll.
IB. B$tc7 4eig7t $djust*ents $re noted on t7e control c7$rts
under $ re*$r?s colu*n.
g. Contr$ctors $ggreg$te sources $re #eri&ied $nd +reli*in$r) tests $re
done 4ell in $d#$nce o& +roject d$te.
7. (i@ designs $re su;*itted $nd $++ro#ed.
i. A concrete P$#ing Cont$ct Re+ort ,6OR(%0581 is co*+leted.
j. Sc$les $nd 4$ter *eter $re c$li;r$ted.
?. Beri&) ce*entitious *$teri$ls $nd $d*i@tures $re $++ro#ed $nd
s$*+led
l. B$tc7 truc?s $re c7ec?ed $nd $++ro+ri$te ite*s $re re#ie4ed on 6or*
8226.
*. Stoc?+iling $nd lo$ding o& deli#ered $ggreg$te $re *onitored $nd
recorded on 6or* 8226.
n. Aggreg$te 7o++er $nd sc$les $re re#ie4ed $nd recorded on 6or*
8226.
o. Ce*entitious 7o++er $nd sc$les $re c7ec?ed $nd recorded on 6or*
8226.
+. (oisture tests $re +er&or*ed +er t7e sc7edule o& tests $nd recorded
on t7e +ro+er &or*.
C. :r$d$tion tests $re +er&or*ed +er t7e sc7edule o& tests $nd recorded
on t7e +ro+er &or*.
r. u$lit) tests $re o;t$ined.
{CONTRACTOR}
S.P. XXXX
s. D$il) di$r) including necess$r) in&or*$tion $nd recorded on 6or*
8226.
C( or 7is re+resent$ti#e 4ill $udit t7$t t7e contr$ctor 7$s docu*ented ins+ections
4it7 $ B$tc7 Pl$nt O;ser#$tion 6or* ,CP-82261. T7is &or* includes ins+ection o&
+l$nt certi&ic$tion. tec7nici$ns. certi&ic$te o& co*+li$nce. su+er#isor log;oo?. *$teri$ls.
$nd gener$l o+er$tions.
T7e +roducerEcontr$ctor 4ill test t7e *$teri$ls in $ccord$nce 4it7 Sc7edule o& ($teri$ls
Control Ond 4ill &or4$rd records to t7e C( 4ee?l) 47o 4ill &or4$rd t7e* to (nDOT.

(nDOT testing o& *$teri$ls 4ill ;e in $ccord$nce 4it7 Sc7edule o& ($teri$ls Control
$nd 4ill &or4$rd records to t7e C( 4ee?l).
FI("R#S $ND FORMS
CP-80%63 Concrete (i@ Design !og
CP-82263 B$tc7 Pl$nt O;ser#$tion
CP-%%%63 P$#ing Aggreg$te Dor?s7eet
(nDOT 6or* TP %8082-/2,%///1
{CONTRACTOR}
S.P. XXXX
CQP =11: Rea1y Mi8 Concrete Mi8 Desi/n
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or +re+$ring Portl$nd Ce*ent
Concrete ,PCC1 *i@ designs.
SCOP#
Portl$nd Ce*ent Concrete ,PCC1 is de&ined $s +rec$st or c$st-in-+l$ce Portl$nd
ce*ent concrete +l$ced $s structur$l concrete. slo+e +rotection. side4$l?s. gutters. &l$t
4or?. $++ro$c7 sl$;s. dri#e4$)s. *edi$n ;$rriers. &ences. $nd ditc7 linings. T7e
concrete *i@ design &or +$#e*ent sl$;s is $ddressed in t7e Portl$nd Ce*ent P$#ing-
(i@ Designs.
R#L$T#D DOC"M#NTS
S+eci$l Pro#isions {Contr$ctor to insert list o& S+eci$l Pro#isions}
Contr$ct Docu*ents
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or $ssuring t7e Agenc)Gs Project ($n$ger t7$t onl) $++ro#ed
concrete *i@es $re used on t7e +roject. T7e C( 4ill ret$in on &ile $ll $++ro#ed *i@
design su;*itt$ls.
PROC#D"R#
0. I& $llo4ed ;) t7e R6P. t7e Contr$ctor 7$s t7ree o+tions $#$il$;le +ert$ining to
concrete jo; *i@ +ro+ortions3
$. T7e Contr$ctor *$) reCuest concrete *i@ designs $nd concrete *i@
design $djust*ents &ro* t7e (nDOT Concrete >ngineering Unit. T7e
*i@ designs $re considered tri$l *i@es.
;. T7e Contr$ctor *$) re#ise t7e concrete *i@ designs reCuested &ro*
(nDOT &ollo4ing *i@ design +rocedures st$ted in {insert Special
Pro!ision o& t7e Design-Build (odi&ic$tions to t7e (nDOT S+eci$l
Pro#isions. $s reCuired &or t7e t)+e o& concrete used.
c. 6or $ll ot7er c$ses. t7e Contr$ctor s7$ll +roduce concrete *i@ designs
&ollo4ing *i@ design +rocedures st$ted in {insert Special Pro!ision o&
{CONTRACTOR}
S.P. XXXX
t7e Design-Build (odi&ic$tions to t7e (nDOT S+eci$l Pro#isions. $s
reCuired &or t7e t)+e o& concrete used.
I. A *i@ t7$t *eets (nDOT s+eci&ic$tions &or t7e +roject3 t7is *i@
design c$n ;e sent to $ (nDOT +roject re+resent$ti#e 47o 4ill
&or4$rd t7e design to t7e Concrete O&&ice &or #eri&ic$tion.
II. A +re-$++ro#ed *i@3 t7is is $ *i@ design t7$t 7$s +re#iousl) ;een
used on st$te +rojectsN $d#ise (nDOT o& t7$t +roject nu*;er or
re&erence.
III. A non-st$nd$rd *i@ design3 t7is is $ *i@ design t7$t does not *eet
t7e (nDOT *i@ design reCuire*ents ;ut c$n ;e +ro#en to *eet t7e
+rojectGs reCuired co*+ressi#eE&le@ur$l strengt7. $ir content. etc.
t7roug7 $ tri$l *i@.
IB. A *i@ cont$ining Hig7 R$nge D$ter Reducer ,HRDR13 t7is is $
structur$l concrete *i@ ,CP-2001 t7$t 7$s s+eci&ic reCuire*ents
set &ort7 in {insert Special Pro!ision
B. T7e C( 4ill ensure t7$t t7e concrete *i@ 7$s ;een designed to
*eet t7e (nDOT S+eci&ic$tion %850 $nd {insert Special Pro!ision.
$nd 7$s ;een su;*itted to (nDOT on t7e $++ro+ri$te &or* &or
re#ie4. I& it is $ Contr$ctor-design *i@. it *ust *eet t7e s+eci&ic
reCuire*ents o& {insert Special Pro!ision.
%. T7e C( 4ill ensure t7$t t7e (nDOT *i@ $nd strengt7 reCuire*ents ;$sed on
*$@i*u* $ggreg$te siIe in t7e *i@. $nd t7e c$lcul$ted 4$ter-ce*ent r$tio $re
*et. T7e C( 4ill ensure t7$t t7e $ggreg$te testing 7$s ;een +er&or*ed in
$ccord$nce 4it7 (nDOT st$nd$rds.
2. T7e C( 4ill ensure t7$t t7e *$teri$ls used ,ie. ce*ent. +oIIol$n. 4$ter. $nd
$d*i@tures1 $re &ro* (nDOT #eri&ied sources.
FI("R#S $ND FORMS
CP-80263 ReCuest &or Concrete (i@ Design A++ro#$l
{CONTRACTOR}
S.P. XXXX
CQP =1.: Pain/ Concrete Mi8 Desi/n
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or +re+$ring Portl$nd
Ce*ent Concrete P$#ing J (i@ Designs.
SCOP#
Portl$nd Ce*ent Concrete ,PCC1 +$#ing is de&ined $s 7ig7 +er&or*$nce concrete $s
s+eci&ied in (nDOT %2/0 $nd *odi&ied ;) S+eci$l Pro#ision {insert Special Pro!ision if
applicable.
All Contr$ctor *i@ designs s7$ll ;e su;*itted to t7e (nDOT Concrete >ngineering Unit
&or re#ie4 $nd +reli*in$r) A++ro#$l +rior to concrete +l$ce*ent on t7e Project. (nDOT
&in$l $++ro#$l o& t7e Contr$ctorGs *i@ designs s7$ll ;e ;$sed on s$tis&$ctor) &ield
+l$ce*ent.
T7e Contr$ctor is reCuired to cont$ct t7e (nDOT Concrete >ngineering Unit $ *ini*u*
o& % d$)s +rior to $n) *i@ing so t7$t $ (nDOT re+resent$ti#e c$n o;ser#e t7e +rocess.
T7is s$*e %-d$) noti&ic$tion is reCuired +rior to $n) +7)sic$l testing on 7$rdened
concrete s$*+les. Addition$ll). $n) 7$rdened concrete test s+eci*ens *ust ;e
ret$ined &or $ *ini*u* o& A/ d$)s $nd ;e *$de $#$il$;le &or (nDOT.
R#L$T#D DOC"M#NTS
S+eci$l Pro#isions {Contr$ctor to insert list o& s+eci$l +ro#isions t7$t $++l)}
Contr$ct Docu*ents
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or $ssuring t7e Agenc)Gs Project ($n$ger t7$t onl) $++ro#ed
concrete *i@es $re used on t7e +roject. T7e C( 4ill ret$in on &ile $ll $++ro#ed *i@
design su;*itt$ls.
PROC#D"R#
0. I& $llo4ed ;) t7e R6P. t7e Contr$ctor 7$s t7ree o+tions $#$il$;le +ert$ining to concrete
jo; *i@ +ro+ortions3
A. T7e Contr$ctor *$) reCuest concrete *i@ designs $nd concrete *i@
design $djust*ents &ro* t7e (nDOT Concrete >ngineering Unit. T7e
*i@ designs $re considered tri$l *i@es.
{CONTRACTOR}
S.P. XXXX
B. T7e Contr$ctor *$) re#ise t7e concrete *i@ designs reCuested &ro*
(nDOT &ollo4ing *i@ design +rocedures st$ted in {insert special
pro!ision o& t7e Design-Build (odi&ic$tions to t7e (nDOT S+eci$l
Pro#isions. $s reCuired &or t7e t)+e o& concrete used.
C. 6or $ll ot7er c$ses. t7e Contr$ctor s7$ll +roduce concrete *i@ designs
&ollo4ing *i@ design +rocedures st$ted in {insert special pro!ision o&
t7e Design-Build (odi&ic$tions to t7e (nDOT S+eci$l Pro#isions. $s
reCuired &or t7e t)+e o& concrete used.
%. T7e Contr$ctor s7$ll cont$ct (nDOT or design$ted re+resent$ti#e to coordin$te
+reli*in$r) s$*+ling o& $ggreg$te &or concrete +$#ing $s soon $s co$rse $nd
&ine $ggreg$te $re $#$il$;le &or testing. (nDOT 4ill s$*+le $nd test t7e
$ggreg$te to #eri&) s+eci&ic gr$#it) $nd $;sor+tion d$t$ $nd +er&or* ot7er tests
$s deter*ined ;) (nDOT. I& Cl$ss B or C $ggreg$te is used. t7e Contr$ctorGs
$ggreg$te testing s7$ll ;e in con&or*$nce 4it7 S+eci$l Pro#isions {insert s+eci$l
+ro#ision}.
2. A *ini*u* o& %0 d$)s +rior to t7e co**ence*ent o& +$#ing o+er$tions. t7e
Contr$ctor s7$ll su;*it to (nDOT &or re#ie4 $nd $++ro#$l. T7e concrete
+$#e*ent +l$ce*ent *$) co**ence 0< d$)s $&ter +reli*in$r) $++ro#$l o& t7e
Contr$ctorFs concrete +$#e*ent *i@ design $nd jo; *i@ &or*ul$ ,-(61 ;)
(nDOT ,&in$l A++ro#$l is ;$sed on s$tis&$ctor) +l$ce*ent in t7e Project1.
8. Structur$l Concrete P$#e*ent *i@ designs s7$ll ;e su;*itted in $ccord$nce 4it7
(nDOT S+eci&ic$tion %850 $nd S+eci$l Pro#ision {insert s+eci$l +ro#ision}
<. Hig7 >$rl) *i@es s7$ll cont$in $ *ini*u* ce*ent content o& 5// l;s +er cu;ic
)$rd. $nd $ *ini*u* &le@ur$l strengt7 o& <// +si or $ *ini*u* co*+ressi#e
strengt7 o& 2/// +si 4it7in 8' 7ours.
5. T7e concrete gr$d$tion s7$ll *eet t7e reCuire*ents &or 4ell gr$ded $ggreg$te in
$ccord$nce 4it7 S+eci$l Pro#ision {insert s+eci$l +ro#ision}.
=. T7e co$rse $ggreg$te is su;ject to t7e disincenti#e set &ort7 in S+eci$l Pro#ision
{insert s+eci$l +ro#ision}.
'. T7e 4$terEce*entitious r$tio s7$ll con&or* to t7e reCuire*ents o& T$;le DC-0 o&
S+eci$l Pro#isions {insert s+eci$l +ro#ision}
A. T7e $ir content &or $ll +$#ing gr$de concrete s7$ll ;e =./ +ercent +lus or *inus
0.< +ercent {insert s+eci$l +ro#ision}
{CONTRACTOR}
S.P. XXXX
0/. An $++ro#ed T)+e A 4$ter reducing concrete $d*i@ture *$) ;e used $t t7e
discretion o& t7e Contr$ctor. T7e use o& $n) $d*i@tures ot7er t7$n $ir entr$ining
$gents $nd T)+e A 4$ter reducers reCuire t7e A++ro#$l o& (nDOT.
00. T7e *$teri$ls used ,ie. ce*ent. +oIIol$n. 4$ter. $nd $d*i@tures1 $re &ro*
(nDOT certi&iedE#eri&ied sources.
0%. T7e Contr$ctorGs Cu$lit) testing s7$ll ;e in $ccord$nce 4it7 S+eci$l Pro#isions
02. T7e Contr$ctor 4ill se$l t7e joints 4it7 Pre&or*ed >l$sto*eric Co*+ression -oint
Se$ls *eeting t7e reCuire*ents o& (nDOT S+eci&ic$tion 2=%0.
FI("R#S $ND FORMS
CP-80263 ReCuest &or Concrete (i@ Design A++ro#$l
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} </ o& ''
CQP =1=: Structural Concrete Pre*Placement
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or. ins+ecting. docu*enting $nd
re+orting &or Concrete Pre-+l$ce*ent o;ser#$tions.
SCOP#
T7is +rocedure co#ers concrete +re-+l$ce*ent o;ser#$tions &or Portl$nd ce*ent
concrete +l$ced +er $++ro#ed +l$ns $nd t7e +roject docu*ents.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {Contr$ctor to insert list o& $++lic$;le s+eci$l +ro#isions}
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring t7e (nDOT certi&ied testers +er&or* reCuired
testing.
Points suc7 $s Structur$l Concrete. Bridges $nd D$lls.
(nDOT 4ill +ro#ide ins+ection o& rein&orce*ent.
PROC#D"R#
0. T7e Contr$ctor s7$ll inst$ll $ll ite*s necess$r) &or concrete +re-+l$ce*ent ,eg.
&or*s. re;$r1.
%. T7e C( s7$ll +ro#ide (nDOT 4it7 co+ies o& $ll *$teri$l certi&ic$tions $nd
testing results +rior to +l$cing concrete.
2. T7e C Ins+ector s7$ll &ill out &or* CP-80=6. T7e C( or CAP( s7$ll +er&or*
+eriodic $udits t7is +rocess.
8. 6or s+re$d &ootings. t7e C Ins+ector s7$ll &ill out &or* CP-8006. T7e C( or
CAP( s7$ll +er&or* +eriodic $udits o& t7is +rocess.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} <0 o& ''
<. T7e C( s7$ll #eri&) t7$t t7e $++ro+ri$te Critic$l Acti#it) Points 7$#e ;een
+er&or*ed +rior to +l$cing concrete.
in&or*$tion into t7e TRACS s)ste*.
=. (nDOT 4ill #eri&) t7$t t7e ite*s 7$#e ;een inst$lled in $ccord$nce 4it7 t7e
Contr$ct reCuire*ents +rior to +l$cing concrete.
FI("R#S $ND FORMS
CP-80063 S+re$d 6ooting Re+ort
CP-80=63 Concrete Pl$ce*ent Ins+ection
CP-8%'63 0
st
Ti*e Ins+ection Re+ort
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} <% o& ''
CQP =1>: Structural Concrete Placement
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or testing. ins+ecting.
docu*enting $nd re+orting Structur$l Concrete Pl$ce*ent.
SCOP#
T7is +rocedure co#ers structur$l concrete +l$ce*ent or c$st-in-+l$ce Portl$nd ce*ent
concrete +l$ced in structures +er $++ro#ed +l$ns $nd t7e +roject docu*ents.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {contr$ctor to insert list o& $++lic$;le s+eci$l +ro#isions}
R#SPONSI%ILITI#S
T7e Contr$ctor is res+onsi;le &or ensuring t7e Concrete Producer su++lies certi&ied
Re$d)-(i@ concrete in $ccord$nce 4it7 t7e (nDOT St$nd$rd S+eci&ic$tions &or
Construction.
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied ins+ectors +er&or* reCuired
testing o& structur$l concrete +l$ce*ent.
Points.
(nDOT 4ill +er&or* $cce+t$nce testing $nd ins+ection $s listed ;elo4.
PROC#D"R#
0. Structur$l concrete +l$ce*ent o+er$tions s7$ll ;e +er&or*ed in con&or*$nce o&
(nDOT St$nd$rd S+eci&ic$tions &or Construction.
{CONTRACTOR}
S.P. XXXX
%. T7e C Ins+ector s7$ll &ill out &or* CP-80=6. T7e C( or CAP( s7$ll +er&or*
+eriodic $udits t7is +rocess.

2. Prior to $n) +l$ce*ent o& structur$l concrete. t7e C( s7$ll #eri&) t7$t $ll Critic$l
Acti#it) Points 7$#e ;een signed-o&&.
8. Test r$tes &or concrete +l$ce*ent 4ill ;e +er&or*ed $ccording to t7e Sc7edule o&
($teri$ls Control.
FI("R#S $ND FORMS
CP-80=63 Concrete Pl$ce*ent Ins+ection
{CONTRACTOR}
S.P. XXXX
CQP =1A: Si1e!al? an1 Curb Pain/
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or testing. ins+ection. $nd
re+orting o& Portl$nd Ce*ent Concrete ,PCC1 side4$l?s $nd cur; $nd gutter.
SCOP#
T7is +rocedure includes +rocedures reg$rding t7e +re+$r$tion &or +l$cing. joint
construction o& concrete cur;ing $nd 4$l?s $nd concrete &inis7ing $nd curing
o+er$tions.
R#L$T#D DOC"M#NTS
Sc7edule o& ($teri$ls Control.
R#SPONSI%ILITI#S
T7e Contr$ctor is res+onsi;le &or ensuring t7e concrete +roducer +ro#ides t7e reCuired.
$++ro#ed *i@es.
T7e C( is res+onsi;le &or ensuring (nDOT certi&ied ins+ectors +er&or* t7e reCuired
testing. T7e C( is $lso res+onsi;le &or ensuring t7$t t7e u$lit) Control Ins+ector
co*+letes &or* CP-80' $nd storing t7e in&or*$tion in Docu*ent Control.
(nDOT 4ill +ro#ide ins+ection o& side4$l? $nd cur; $nd gutter inst$ll$tion.
PROC#D"R#
0. T7e C( 4ill #eri&) t7$t $n $++ro#ed *i@ design is used. T7e C( 4ill re#ie4
t7e *i@ design su;*itted ;) t7e +roducer to t7e Contr$ctor to ensure t7$t t7e
ins+ections $nd tests $nd in&or*$tion listed ;elo4 4ere +er&or*ed $nd t7e
*$teri$ls $nd *i@es *eet t7e $++lic$;le (nDOT reCuire*ents.
%. T7e C( 4ill #eri&) $ll $ddition$l *$teri$ls ,steel rein&orce*ent. joint &illers.
concrete cure1 $re certi&ied *$teri$ls or origin$te &ro* (nDOT certi&ied sources.
2. T7e C( 4ill #eri&) t7$t t7e c$tc7 ;$sins $nd structures 7$#e ;een loc$ted
+ro+erl).
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} << o& ''
8. T7e C Ins+ector s7$ll co*+lete &or* CP-80'6 &or $ll d$)s 4or? is co*+leted
on t7e +roject.
<. (nDOT 4ill +ro#ide ins+ection in t7e &ield during Portl$nd Ce*ent Concrete
+l$ce*ent.
5. T7e Contr$ctor 4ill ;e reCuired to +er&or* *$teri$l testing in $ccord$nce 4it7 t7e
($teri$ls Control Sc7edule.
FI("R#S $ND FORMS
CP-80'63 Side4$l? $nd Cur; P$#ing
{CONTRACTOR}
S.P. XXXX
CQP =1B: Concrete Pain/
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or testing. ins+ection.
docu*ent$tion. $nd re+orting &or Portl$nd Ce*ent Concrete ,PCC1 +$#ing o+er$tions.
SCOP#
Portl$nd Ce*ent Concrete +$#e*ent ,PCC +$#e*ent1 is de&ined $s c$st-in-+l$ce
Portl$nd Ce*ent Concrete +l$ced $s +$#e*ent sl$;s. T7is section includes
+rocedures reg$rding t7e +re+$r$tion &or. +l$ce*ent. $nd &inis7ing o+er$tions. $nd
se$ling. T7is +rocedure does not include PCC +l$ced in girders. $++ro$c7 sl$;s.
colu*ns. +iles. ;o@ cul#erts. side4$l?s. Kcur;s $nd guttersL. or $s concrete slo+e
+rotectionN Structur$l Concrete Pl$ce*ent ,CP-2081 $ddresses t7ese ite*s.
R#L$T#D DOC"M#NTS
St$nd$rd S+eci&ic$tions &or Construction
R6P Contr$ct Docu*ents
(nDOT !$;or$tor) ($nu$l
R#SPONSI%ILITI#S
T7e Contr$ctor is res+onsi;le &or su++l)ing $ +roduct t7$t *eets t7e (nDOT
reCuire*ents &or t7e +roject. t7e reCuire*ents o& t7is +rocedure. $nd $ll reCuired
docu*ent$tion.
T7e C( is res+onsi;le &or ensuring +ro+erl) tr$ined (nDOT certi&ied testers +er&or*
t7e reCuired tests.
(nDOT is res+onsi;le &or Beri&ic$tion Testing. ins+ection. $nd docu*ent$tion o&
Concrete P$#ing +l$ce*ent o+er$tions.
PROC#D"R#
0. Be&ore +$#ing o+er$tions ;egin. t7e C( 4ill coordin$te 4it7 t7e ;$tc7 +l$nt
Cu$lit) +ersonnel to #eri&) t7e correct. $++ro#ed *i@ design is ;eing used.
%. Prior to +$#ing. t7e C Ins+ector s7$ll &ill out &or* CP-80=6. T7e C( or
CAP( s7$ll +er&or* +eriodic $udits t7is +rocess.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} <= o& ''
2. Prior to +$#ing. t7e C( 4ill #eri&) t7$t t7e Concrete P$#e*ent 7old +oint 7$s
;een signed-o&&.
8. (nDOT 4ill +ro#ide #eri&ic$tion testing in $ccord$nce 4it7 t7e ($teri$ls Control
Sc7edule.
<. (nDOT 4ill +ro#ide ins+ection o& t7e concrete +$#e*ent +l$ce*ent o+er$tions.

5. T7e Contr$ctor 4ill conduct testing in $ccord$nce 4it7 (nDOT St$nd$rd
S+eci&ic$tions &or Construction $t t7e r$te s+eci&ied ;) t7e Sc7edule o& ($teri$ls
Control3
$. :r$d$tion3 PContr$ctor to insert r$tes +er t7e *ini*u*s in t7e Sc7edule o&
($teri$ls Control or $t 7ig7er r$tes $s desiredQ.
;. Aggreg$te (oisture3 PContr$ctor to insert r$tes +er t7e *ini*u*s in t7e
Sc7edule o& ($teri$ls Control or $t 7ig7er r$tes $s desiredQ.
c. Tot$l (oisture in (i@ture3 PContr$ctor to insert r$tes +er t7e *ini*u*s in
t7e Sc7edule o& ($teri$ls Control or $t 7ig7er r$tes $s desiredQ.
d. Slu*+ $nd Air Test3 PContr$ctor to insert r$tes +er t7e *ini*u*s in t7e
e. 6le@ur$l Strengt73 PContr$ctor to insert r$tes +er t7e *ini*u*s in t7e
=. T7e C( 4ill +ro#ide $ll *$teri$l testing re+orts on (nDOT $++ro#ed &or*s $nd
4ill enter t7e d$te into (nDOT TRACS s)ste*.

'. T7e C( 4ill su;*it test results 4ee?l) to Agenc) on ,(nDOT 6or* %88'-/81.
FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} <' o& ''
CQP =1C: Concrete Curin/
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) Procedures &or concrete curing *$teri$ls $nd
+r$ctices under t7e s+eci&ic$tions o& t7is +roject.
SCOP#
Concrete curing *$teri$ls *$) include {insert (nDOT $llo4ed curing *$teri$ls}.
Curing *et7ods $re &ollo4ed in $ccord$nce 4it7 Concrete P$#ing S+eci&ic$tion %2/0.
R#L$T#D DOC"M#NTS
R#SPONSI%ILITI#S
Points.
(nDOT 4ill sign-o&& on $ll Critic$l Acti#it) Points $nd +ro#ide #eri&ic$tion ins+ection.
PROC#D"R#
"# Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t concrete curing
4ill ;e +er&or*ed in $ccord$nce 4it7 {insert special pro!ision number S+eci$l
Pro#isions $nd (nDOTGs St$nd$rd S+eci&ic$tions &or Construction %2/0 &or
Concrete P$#ing.
$# T7e C( s7$ll #eri&) t7$t t7e (iscell$neous Products Critic$l Acti#it) Point 7$s
;een +er&or*ed +rior to using $n) curing co*+ound. 6or +roducts t7$t reCuire
Bisu$l Ins+ection. (nDOT $nd t7e C( s7$ll re#ie4 t7ese +roducts $nd de#elo+
+rocedures $nd +rocesses &or e#$lu$ting +roducts &or $cce+t$nce.

%# T7e C( 4ill #eri&) t7e &ollo4ing3 {contractor to modify belo&
$. An $++ro#ed ;l$n?et or *e*;r$ne curing *et7od is used.
i. I& t7e ;l$n?et *et7od is used. it 4ill +ro#ide $n $irtig7t $nd *oisture
+roo& en#iron*ent. ;l$n?ets o#erl$++ed 0'L. $nd se$*s se$led
4it7 $ 4indro4 o& e$rt7.
ii. I& *e*;r$ne *et7od is used 3
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} <A o& ''
0. T7e concrete 4ill ;e co$ted i**edi$tel) $&ter &inis7ing
o+er$tions $t $ r$te o& 0</ &t
%
Eg$l.
%. T7e curing co*+ound s7$ll ;e 47ite +ig*ented con&or*ing
to t7e reCuire*ents o& AST( Design$tion3 C2/A. T)+e %.
Cl$ss B.
2. T7e resin s7$ll ;e 0// +ercent +ol)-$l+7$-*et7)lst)rene.
8. T7e curing co*+ound s7$ll con&or* to $ll reCuire*ents
$ccording to T$;le CC-0 in S+eci$l Pro#isions.
<. T7e curing co*+ound s7$ll ;e 4ell *i@ed. An) de&iciencies
in cure co#er$ge 4ill ;e su++le*ented 4it7 t7e Bl$n?et
(et7od.
;. T7e +$#e*ent sur&$ce $nd edges $re cured $s soon $s sur&$ce conditions
+er*it. $nd 4it7in 2/ *in. o& re*o#$l o& $n) &or*s.
c. T7e concrete is cured $nd +rotected &or $t le$st =% 7ours. e@ce+t t7$t cure
ti*e *ust ;e e@tended to A5 7ours 47en &l) $s7 or Portl$nd-+oIIol$n
ce*ent su;stitutions $re used.
d. >@tre*e ser#ice *e*;r$ne cure consisting o& 47ite-+ig*ented. linseed oil
e*ulsion 4ill ;e used $&ter Se+te*;er 0<
t7
.
T7e C( s7$ll co*+lete t7e D$il) 6ield Re+ort ,CP-8%A61 to record d$il) ins+ections
o& curing *et7ods.
.
FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
CQP =1D: %ituminous Plant
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or s$*+ling. ins+ection.
docu*ent$tion $nd re+orting o& 7ot *i@ $s+7$lt ,H(A1 7ot +l$nt ins+ections.
SCOP#
T7is +rocedure de$ls s+eci&ic$ll) 4it7 H(A 7ot +l$nt ins+ection. T7e H(A 7ot +l$nt is
de&ined $s dru* dr)er. ;urner. ;ins. ;elts. +ug*ill. ;inder stor$ge t$n?s. silos. $nd ot7er
eCui+*ent necess$r) to *$?e H(A &ro* AC ;inder $nd co$rse $nd &ine $ggreg$tes.
R#L$T#D DOC"M#NTS
XXXX R6P
R#SPONSI%ILITI#S
T7e Contr$ctor is res+onsi;le &or ensuring t7e ;itu*inous su;contr$ctor 4ill +ro#ide $
Cu$lit) +rogr$* designed to co#er $ll $cti#ities. including *i@ design. +rocess control
ins+ection. s$*+ling $nd testing $nd necess$r) $djust*ents in t7e +rocess t7$t $re
rel$ted to t7e +roduction o& $ Su+er+$#e ,H(A1 +$#e*ent 47ic7 *eets t7e
reCuire*ents o& t7e s+eci&ic$tions.
T7e C( is res+onsi;le &or ensuring t7$t t7e su;contr$ctor +ro#ides +ro+erl) tr$ined
tec7nici$ns to +er&or* t7e reCuired s$*+ling. o;ser#$tions. $nd docu*ent$tion o&
o+er$tions $t t7e 7ot +l$nt. T7e C( 4ill re#ie4 t7e Cu$lit) +rogr$* &or t7e
su;contr$ctor H(A +roduction.
PROC#D"R#
0. T7e ;itu*inous su;contr$ctor 4ill $llo4 (nDOT $++ro#ed $ccess to $ll $re$s
$nd o& t7e H(A +l$nt.
%. T7e C( 4ill ensure t7$t t7e +l$nt certi&ic$tion +rocedure is co*+leted $nnu$ll)
$&ter 4inter sus+ension $nd ;e&ore +roducing ;itu*inous *$teri$l.
2. T7e ;itu*inous su;contr$ctor s7$ll +ro#ide t7e &ollo4ing3
$. Noti&) t7e C( +rior to construction to $rr$nge &or $ +l$nt ins+ection.
;. Pro#ide $ site *$+ o& stoc?+ile loc$tions.
{CONTRACTOR}
S.P. XXXX
c. Pro#ide As+7$lt Pl$nt Ins+ection Re+ort ,(nDOT &or* TP /%08%. TP
/%082-/%1 signed ;) T7e Bitu*inous Pl$nt Aut7oriIed Agent $nd Pl$nt
Ins+ector. B) signing t7e As+7$lt Pl$nt Ins+ection Re+ort. t7e H(A +l$nt
$ut7oriIed $gent $grees to c$li;r$te $nd *$int$in $ll +l$nt $nd l$;or$tor)
eCui+*ent 4it7in $llo4$;le toler$nces set &or t7ese s+eci&ic$tions $nd t7e
(nDOT Bitu*inous ($nu$l.
d. Pro#ide $ (nDOT $++ro#ed (i@ture Design Re+ort +rior to +roduction
*ust ;e $cCuired $nd su;*it co+) to CC(.
8. T7e contr$ctor 4ill test t7e *$teri$ls in $ccord$nce 4it7 Sc7edule o& ($teri$ls
Control $nd *odi&ic$tions in R6P Boo? % section '.X.X. $nd 4ill &or4$rd Cu$lit)
records to t7e C( 4ee?l).
<. Beri&ic$tion co*+$nions o& ;itu*inous cores. $ggreg$te s+eci&ic gr$#it). or TSR
4ill ;e tested ;) Cu$lit) +ersonnel $s necess$r) ,e@. i& t7e results s$*+led &or
#eri&ic$tion ;et4een su;contr$ctor $nd (nDOT $re out o& toler$nce1.
5. T7e Contr$ctor 4ill +ro#ide *iner$l &iller $nd $dditi#e s$*+les to (nDOT $s
reCuired ;) t7e Sc7edule &or ($teri$ls Control.
=. u$lit) testing o& ;itu*inous *$teri$ls suc7 $s e*ulsion $nd ;inder is t7e
res+onsi;ilit) o& t7e su++lier $nd r$ndo* s$*+ling 4ill ;e $rr$nged ;) t7e
(nDOT C7e*ic$l !$;or$tor).
Beri&ic$tion testing o& ;itu*inous *$teri$ls suc7 $s $s+7$lt e*ulsion s7$ll ;e
o;t$ined &ro* $ s+lit o& t7e su++lierGs s$*+le. u$lit) +ersonnel 4ill
s$*+le t7e &irst s7i+*ent o& ;inder &or e$c7 gr$de $t t7e st$rt o& t7e )e$rGs
+roduction. PContr$ctor to insert r$te +er t7e *ini*u*s de&ined in t7e Sc7edule
o& ($teri$ls ControlQ.
'. T7e C( 4ill $udit t7e $s+7$lt testing l$;or$tor).
FI("R#S $ND FORMS
(nDOT 6or* TP /%08%
(nDOT 6or* TP /%082-/%
{CONTRACTOR}
S.P. XXXX
CQP =1E: %ituminous Fob Mi8 Desi/n
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or docu*ent$tion $nd re+orting
#eri&ic$tion o& $ Hot (i@ As+7$lt ,H(A1 (i@ture Design.
SCOP#
H(A is $ &le@i;le ;itu*inous +$#e*ent consisting o& co$rse $nd &ine $ggreg$tes
ce*ented toget7er 4it7 $n $s+7$lt ;inder +roduct. T7e contr$ctor s7$ll use onl)
(nDOT $++ro#ed H(A designs on t7e +roject. e@ce+t &or te*+or$r) +$#e*ents. 47ere
*i@ designs *$) ;e used $t t7e discretion o& t7e Contr$ctor.
R#L$T#D DOC"M#NTS
(nDOT St$nd$rd S+eci&ic$tions &or Construction ,%//<1
R#SPONSI%ILITI#S
T7e Contr$ctor is res+onsi;le &or ensuring t7e ;itu*inous su;contr$ctor su;*its to
(nDOT t7e $++lic$;le *i@ design,s1 &or $++ro#$l. Bitu*inous su;contr$ctor 4ill
+ro#ide t7e C( 4it7 docu*ent$tion to #eri&) t7$t *i@ design tests. +rocedures. $nd
end +roduct con&or* to %25/ s+eci&ic$tion.
T7e C( is res+onsi;le &or ensuring t7$t t7e su;contr$ctor utiliIes +ro+erl) tr$ined
tec7nici$ns $nd +er&or*s t7e $++lic$;le (nDOT +rocedures. T7e C( is res+onsi;le
&or con&ir*ing t7e ;itu*inous su;contr$ctor 7$s $deCu$tel) tested $nd su;*itted t7e
*$teri$ls &or *i@ design.
PROC#D"R#
0. T7e Contr$ctor 4ill noti&) (nDOT o& intent to s$*+le $ggreg$te &or Cu$lities.
%. T7e C( 4ill re#ie4 t7e *i@ design su;*itted ;) t7e ;itu*inous su;contr$ctor
to ensure t7$t t7e tests $nd in&or*$tion 4ere +er&or*ed $nd docu*ented in
$ccord$nce 4it7 DBS-%25/ ,Pl$nt (i@ed As+7$lt P$#e*ent1 outlined in t7e
S+eci$l Pro#isions.
2. T7e C( 4ill ensure $ (nDOT $++ro#ed (i@ture Design Re+ort is used &or $ll
+$#ing e@ce+t &or s*$ll Cu$ntities o& *$teri$l. A (i@ture Design Re+ort +resents
t7e -(6 ,-o; (i@ 6or*ul$1 including co*+osite gr$d$tion. $ggreg$te co*+onent
{CONTRACTOR}
S.P. XXXX
+ro+ortions. $nd $s+7$lt ;inder content o& t7e *i@ture. design $ir #oids. Boids in
(iner$l Aggreg$te. $nd $ggreg$te ;ul? s+eci&ic gr$#it) #$lues. -(6 li*its 4ill ;e
s7o4n &or3 gr$d$tion control sie#es. +ercent $s+7$lt ;inder content. $ir #oids. $nd
B(A.
8. Beri&ic$tion co*+$nions ,s+lit o& (nDOT #eri&ic$tion1 4ill ;e tested $s necess$r).
FI("R#S $ND FORMS
None.
{CONTRACTOR}
S.P. XXXX
CQP =.0: %ituminous Pain/
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or ins+ection. testing. $nd
docu*ent$tion o& ;itu*inous +$#ing o+er$tions in t7e &ield.

SCOP#
T7is +rocedure de$ls s+eci&ic$ll) 4it7 t7e ins+ection. testing. $nd docu*ent$tion o&
$cti#e. non-te*+or$r) use. ;itu*inous +$#ing o+er$tions on t7e +roject.
R#L$T#D DOC"M#NTS
S+eci$l Pro#isions {Contr$ctor to insert list o& $++lic$;le s+eci$l +ro#isions}
Contr$ct Docu*ents
(nDOT Bitu*inous ($nu$l
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring +ro+erl) tr$ined tec7nici$ns +er&or* t7e reCuired
o;ser#$tions. testing. $nd docu*ent$tion o& H(A +roduct. Tec7nici$ns +er&or*ing
+rocess control testing 4ill ;e certi&ied $s $ !e#el I Bitu*inous u$lit) ($n$ge*ent
,(1 Tester. Indi#idu$ls +er&or*ing *i@ design c$lcul$tions or *i@ design $djust*ents
4ill ;e certi&ied $s $ !e#el II Bitu*inous ( Tester. Contr$ctor 4ill 7$#e $ !e#el II
Bitu*inous ( Tester $#$il$;le to *$?e $n) necess$r) +rocess $djust*ents.
T7e C( 4ill $lso ensure t7$t l$;or$tor) eCui+*ent c$li;r$tion is current $nd
o+er$tion$l +rior to t7e ;eginning o& +roduction. T7e C( 4ill ensure $n $++ro#ed
Su+er+$#e :)r$tor) Co*+$ctor ,S:C1 is used to conduct Cu$lit) testing. In $ddition.
t7e l$;or$tor) 4ill ;e eCui++ed 4it7 $ tele+7one. &$@ *$c7ine $nd co+) *$c7ine &or use
;) t7e Contr$ctor or (nDOT.
(nDOT 4ill +ro#ide &ield ins+ection including *$r?ing core loc$tions.
PROC#D"R#
T7e CQM 4ill ensure3
{CONTRACTOR}
S.P. XXXX
0. P$#e*ent t)+es $nd design st$nd$rds s7$ll con&or* to t7e t)+es de&ined ;)
(nDOT in Boo? %. Section ' $s listed ;elo43
%. T7e C Ins+ector s7$ll co*+lete &ro* CP-8%%6 e$c7 +$#ing d$). T7e C( or
CAP( s7$ll $udit t7is +rocesses +eriodic$ll).
2. S$*+les o& H(A 4ill ;e t$?en ;e7ind t7e +$#er ;e&ore $n) co*+$ction 7$s ;een
+l$ced on t7e *$t $ccording to t7e &ollo4ing3
$. (ini*u* s$*+le siIe o& </ +ounds ,00/ +ounds 47en s$*+ling &or TSR1.
;. Re+resent$ti#e o& t7e *i@ture.
c. (eet reCuire*ents o& AST( D 5=A $nd AST( D 255<.
d. S$*+les 4ill ;e s+lit t4o 4$)s ;) Cu$rtering.
8. S$*+ling $nd testing 4ill ;e conducted ;) ;itu*inous +$#ing su;contr$ctor $s
outlined in Sc7edule o& ($teri$ls Control &or t7is +roject.
<. Docu*ent$tion3
$. T7e ;itu*inous +$#ing su;contr$ctor 4ill *$int$in d$il) l$;or$tor) test
d$t$ su**$r) s7eets $nd control c7$rts on $n ongoing ;$sis. Design-
Builder or its su;contr$ctor 4ill nu*;er test results in $ccord$nce 4it7
st$nd$rd (nDOT +rocedures. &$@ $ll +roduction test results on test
su**$r) s7eets to t7e District ($teri$ls !$;or$tor). $nd record on &or*s
$++ro#edEsu++lied ;) (nDOT t7$t include t7e &ollo4ing in&or*$tion3
i. Percent +$ssing on sie#es listed in (nDOT St$nd$rd S+eci&ic$tion
&or Construction T$;le %25/-%.
ii. Co$rse $nd &ine $ggreg$te $ngul$rit).
iii. ($@i*u* s+eci&ic gr$#it) ,:**1.
Bul? s+eci&ic gr$#it) ,:*;1.
i#. Percent $s+7$lt ;inder content ,P;1.
#. C$lcul$ted +roduction $ir #oids ,B$1. R:** $t N initi$l. R:** $t
N design. R:** $t N *$@i*u*.
#i. C$lcul$ted #oids in *iner$l $ggreg$te ,B(A1.
#ii. Co*+osite $ggreg$te s+eci&ic gr$#it) ,:s;1 re&lecting current
+ro+ortions.
#iii. Aggreg$te +ro+ortions in use $t t7e ti*e o& s$*+ling.
i@. Tons 47ere s$*+led.
@. Cu*ul$ti#e tons.
@i. Tons re+resented ;) Test.
@ii. 6ines to e&&ecti#e $s+7$lt r$tio ,6EAe1.
@iii. (i@ture (oisture Content.
{CONTRACTOR}
S.P. XXXX
;. T7e &ollo4ing d$t$ 4ill ;e recorded on t7e st$nd$rdiIed control c7$rts.
i. Blended $ggreg$te gr$d$tion. include sie#es s7o4n in T$;le
%25/.%-> &or s+eci&ied *i@ture.
ii. Percent $s+7$lt ;inder content ,P
;
1
iii. ($@i*u* s+eci&ic gr$#it) ,:
**.
1
i#. Production $ir #oids ,B
$
1
#. B(A
c. T7e ;itu*inous su;contr$ctor Cu$lit) +ersonnel 4ill su**$riIe d$il)
l$;or$tor) d$t$ in 4ee?l) $nd *ont7l) su**$r) re+orts $nd enter t7e
in&or*$tion into (nDOTGs TRACS s)ste*.
d. T7e C( s7$ll collect $nd ret$in $ll tic?ets ,sorted ;) d$)1 in t7e +roject
&iles. T7e C( s7$ll *$?e t7e tic?ets $#$il$;le u+on (nDOTs reCuest.
FI("R#S $ND FORMS
CP-8%%63 Bitu*inous P$#ing O;ser#$tion
{CONTRACTOR}
S.P. XXXX
CQP =.1: T2ir1 Party "tility Installation
Re# . D$te
P"RPOS#
docu*ent$tion $nd re+orting +l$ce*ent o+er$tions o& utilit) reloc$tions 4it7in t7e
+roject li*its.
SCOP#
S+eci&ic leg$l $gree*ents ;et4een t7e De+$rt*ent. t7e Contr$ctor. $nd t7e loc$l
co*+$nies or *unici+$lities 4ill identi&) t7e e@tent o& t7e t7ird +$rtiesG res+onsi;ilities
$nd t7ose o& t7e De+$rt*ent $nd t7e Contr$ctor.
T7e Contr$ctor Utilit) Coordin$tor 7$s t7e res+onsi;ilit) o& +ro#iding $++lic$;le sections
o& t7e $gree*ents to t7e C(.
T7e C( 4ill direct Cu$lit) o+er$tions ;$sed on t7ose $gree*ents.
Se4er $nd 4$ter utilit) construction 4ill ;e +er&or*ed ;) t7e Contr$ctor. ins+ections
$nd testing o& t7ese inst$ll$tions 4ill ;e +er&or*ed ;) t7e construction Cu$lit) st$&& in
$ccord$nce 4it7 t7e $++lic$;le +rocedures in t7is *$nu$l.
T7e re*$inder o& t7e utilit) inst$ll$tions 4ill ;e +er&or*ed ;) t7ird +$rt) contr$ctors. 6or
t7ird +$rt) inst$ll$tions t7e C( is res+onsi;le onl) &or docu*enting 4or? t7$t is
co*+leted in co*+li$nce 4it7 t7e utilit) +er*it. I& t7e 4or? is not in co*+li$nce. t7en
t7e C( 4ill noti&) t7e Contr$ctorGs Project ($n$ger. (nDOT. t7e Tr$&&ic Control
Su+er#isor $nd Pu;lic A&&$irs.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
($ster Utilit) Agree*ents
R#SPONSI%ILITI#S
T7e t7ird +$rt) utility contractor is res+onsi;le to +ro#ide design. +er*itting. tr$&&ic
control. ins+ection. $nd testing.
T7e Contr$ctorGs +u;lic rel$tions de+$rt*ent is res+onsi;le &or $d#$nce +u;lic
noti&ic$tions i& t7e +ending utilit) 4or? 4ill $&&ect tr$&&ic. Coordin$tion 4it7 t7e
{CONTRACTOR}
S.P. XXXX
Contr$ctorGs Tr$&&ic Control ($n$ger 4ill ;e reCuired &or $ll utilit) 4or? 47ic7 e&&ects
tr$&&ic
T7e CQM is res+onsi;le &or ensuring +ro+erl) tr$ined ins+ectors +er&or* o;ser#$tions
o& t7e &ield $cti#ities +er&or*ed &or utilit) crossingsEinst$ll$tions +er&or*ed ;) t7e utilit)
co*+$n).
PROC#D"R#
0. T7roug7 r$ndo* ins+ections. t7e C( 4ill #eri&) t7e &ollo4ing3
$. T7e utilit) is inst$lled $t t7e loc$tion. $lign*ent. $nd de+t7 reCuired.
;. T7e su;gr$de 4$s +re+$red $s reCuired ;) t7e t7ird +$rt) utilit) $nd
(nDOT reCuire*ents 47en inside t7e RED.
c. T7e +i+es 4ere ;edded $s reCuired ;) (nDOT reCuire*ents 47en inside
t7e RED.
d. T7e ;$c?&ill *$teri$l *et (nDOT reCuire*ents 47en inside t7e RED.
e. T7e ;$c?&ill 4$s co*+$cted *eeting t7ird +$rt) utilit) reCuire*ents $nd
(nDOT reCuire*ents 47en inside t7e RED.
&. Pi+e $nd *$teri$ls *et t7ird +$rt) utilit) $nd (nDOT reCuire*ents.
g. -ointing *et t7ird +$rt) utilit) $nd (nDOT reCuire*ents.
7. An) concrete +l$ced *eets t7e +roject reCuire*ents to include #eri&ic$tion
4it7 +ro+er testing.
i. Beri&ic$tion testing 7$s ;een +er&or*ed ;) t7e t7ird +$rt) testing &ir* to
ensure co*+li$nce 4it7 +roject Cu$lit) reCuire*ents.
j. As-;uilts $re ;eing +er&or*edE+ro#ided.
%. T7e Cu$lit) ins+ector #eri&ies t7e utilit) inst$ll$tion is in $ccord$nce 4it7 +roject
+l$ns. $nd 4ill su**$riIe o;ser#$tions $nd note $n) de&iciencies in $ d$il)
re+ort. T7e d$il) re+ort 4ill include *$teri$ls used. inst$ll$tion +rocesses. $nd
$n) de&iciencies &ro* +l$ns. +rocedures. or +er*its t7$t *$) neg$ti#el) i*+$ct
t7e &in$l +roduct.
2. T7e C( s7$ll co*+lete t7e D$il) Re+ort 6or* ,CP-8%A61 $nd enter t7is
in&or*$tion into (nDOTGs TRACS s)ste*.
FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
CQP =..: %ri1/e Remoal
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or o;ser#$tions. ins+ections.
docu*ent$tion $nd re+orting on ;ridge de*olition $nd re*o#$l.
SCOP#
During t7e course o& t7e +roject. +re#iousl) constructed ;ridges 4ill reCuire de*olition.
R#L$T#D DOC"M#NTS
Rele$sed &or Construction Dr$4ings
S+eci$l Pro#isions {Contr$ctor s7$ll list $++lic$;le s+eci$l +ro#isions1
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring t7$t t7e Contr$ctorGs >n#iron*ent$l Co*+li$nce
($n$ger ,>C(1 7$s o;t$ined t7e $++ro+ri$te en#iron*ent$l cle$r$nces.
(nDOT 4ill ins+ect ;ridge de*olition. (nDOT 4ill re+ort $n) ins+ection $nd
o;ser#$tion concerns to t7e Contr$ctorGs u$lit) ($n$ger.
PROC#D"R#
0. T7e C( 4ill #eri&) t7$t $n $++ro#ed +l$n is in +l$ce $s reCuired +rior to $n)
;ridge re*o#$l o+er$tions.
%. Bridge re*o#$l is done +er (nDOT S+eci&ic$tion %88% $nd S+eci$l Pro#ision
{enter S+eci$l Pro#ision nu*;ers}.
2. De*olition o+er$tions $re +er&or*ed +rior to inst$lling ne4 structures t7$t could
;e d$*$ged ;) t7e de*olition ,unless ne4 construction is necess$r) to &$cilit$te
t7e de*olition or t7e +l$n1.
8. T7e C( 4ill docu*ent $n) o;ser#$;le +7)sic$l d$*$ge to e@isting or ne4
constructed ite*s on t7e D$il) 6ield Re+ort.
FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} =/ o& ''
CQP =.=: Pre* an1 Post*)ibration %uil1in/
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or o;ser#$tion. *onitoring.
$nd re+orting o& +re-#i;r$tion $nd +ost-#i;r$tion ;uilding o;ser#$tions.
SCOP#
Pre-#i;r$tion ;uilding o;ser#$tions $nd docu*ent$tion 4ill ;e +er&or*ed &or
construction $cti#ities +roducing #i;r$tions reCuiring *onitoring.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {contr$ctor s7$ll list $++lic$;le s+eci$l +ro#isions}
Bi;r$tion (onitoring Pl$n
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring t7$t +re-#i;r$tion $nd +ost-#i;r$tion ;uilding
o;ser#$tions $re co*+leted $ccording to t7e #i;r$tion *onitoring +l$n. $nd t7$t
Cu$li&ied +ersonnel +er&or* reCuired o;ser#$tions $nd docu*ent$tion o& structures
reCuiring +re-#i;r$tion ;uilding o;ser#$tions.
PROC#D"R#
0. T7e Cu$lit) ins+ectors +er&or* reCuired o;ser#$tions $nd docu*ent$tion ,see
#i;r$tion *onitoring +l$n CP-2%81 o& structures ne$r enoug7 &ro* construction
o+er$tions ,including ;l$sting1 to $&&ect t7e structure. +erson$l +ro+ert). or 4$ter
4ells $nd $ccording to t7e S+eci$l Pro#isions {list special pro!ision}. $nd Boo? %
Section '.X.X.
%. Pre-#i;r$tion $nd +ost-#i;r$tion ins+ections s7$ll ;e +er&or*ed $s reCuired to
docu*ent conditions ,see #i;r$tion *onitoring +rocedure CP-2%81 o& structures
ne$r enoug7 &ro* construction o+er$tions ,including ;l$sting1 to $&&ect t7e
structure. +erson$l +ro+ert). or 4$ter 4ells $nd $ccording to t7e S+eci$l
Pro#isions {list special pro!ision}. $nd Boo? % Section '.X.X.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} =0 o& ''
2. Residents needing +rior notice to construction $cti#ities c$using #i;r$tions le#els
+ossi;l) $&&ecting t7e +erson$l +ro+ert) 4ill ;e $ddressed in $ccord$nce 4it7 t7e
S+eci$l Pro#isions {list special pro!ision}. $nd Boo? % Section '.X.X.
8. A &inding re+ort 4ill ;e su;*itted +rior to t7e st$rt o& construction o+er$tions. $nd
$t t7e co*+letion o& signi&ic$nt #i;r$tion $cti#ities.
FI("R#S $ND FORMS
None.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} =% o& ''
CQP =.>: )ibration Monitorin/
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or o;ser#$tion. *onitoring.
$nd re+orting o& #i;r$tion *onitoring o& construction o+er$tions.
SCOP#
Bi;r$tion *onitoring o;ser#$tions. *onitoring. $nd docu*ent$tion 4ill ;e +er&or*ed &or
construction $cti#ities +roducing #i;r$tions reCuiring *onitoring.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {contr$ctor to list $++lic$;le s+eci$l +ro#isions}
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring Cu$li&ied +ersonnel +er&or* reCuired o;ser#$tions.
*onitoring. $nd docu*ent$tion o& construction $cti#ities +roducing #i;r$tions reCuiring
*onitoring $ccording to t7e S+eci$l Pro#isions Boo? 2. {list s+eci$l +ro#ision} $nd
Section '.X.X $nd '.X.X in t7e R6P. T7e u$lit) Ins+ector 4ill ;e onsite during
construction o+er$tions 47ic7 c$use ground #i;r$tion.
PROC#D"R#
0. Prior to $n) ;l$sting o+er$tions. #eri&) t7$t t7e contr$ctor 7$s su;*itted $
;l$sting +l$n t7ree 4ee?s +rior to $n) ;l$sting o+er$tions. $nd 7$s co*+leted $
#i;r$tion *onitoring +l$n including $ll reCuired docu*ent$tion including
+reconstruction sur#e)s.
%. A #i;r$tion *onitoring +l$n 4ill ;e +roduced ;) t7e C(.

2. u$lit) +ersonnel 4ill +er&or* side ;) side #i;r$tion *onitoring o& t7e contr$ctors
*onitoring &or ;l$sting e#ents.
8. Bi;r$tion *onitoring $cti#ities 4ill ;e +er&or*ed in $ccord$nce 4it7 t7e
S+eci&ic$tion %0/< $nd S+eci$l Pro#ision {insert s+eci$l +ro#ision}. Section '.X.X
$nd '.X.X in t7e R6P.
{CONTRACTOR}
S.P. XXXX
<. T7e contr$ctor is res+onsi;le &or co*+leting $nd su;*itting s7ot logs $s st$ted in
5. T7e C( or 7is re+resent$ti#e 4ill ensure o;ser#$tions. $nd *onitoring $nd
docu*ent$tion is +er&or*ed.
FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
CQP =.A: #lectrical
Re# . D$te
P"RPOS#
docu*ent$tion $nd re+orting o& electric$l o+er$tions.

SCOP#
>lectric$l o+er$tions include t7e inst$ll$tion o& lig7ting $nd intelligent tr$&&ic s)ste*s.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {contr$ctor to list S+eci$l Pro#isions}
R#SPONSI%ILITI#S
T7e su;contr$ctor inst$lling lig7ting $nd intelligent tr$&&ic s)ste*s is res+onsi;le &or t7e
testing o& t7e s)ste*s.
T7e C( is res+onsi;le &or ensuring (nDOT certi&ied testers +er&or* reCuired testing
$nd &or ensuring t7$t t7e Contr$ctor $d7eres to $ll Critic$l Acti#it) Points rel$ted to
*iscell$neous *$teri$ls $nd electric$l ite*s.
(nDOT 4ill +er&or* $cce+t$nce testing. sign-o&& on Critic$l Acti#it) Points. $nd +ro#ide
ins+ection.
PROC#D"R#
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t $ll electric$l
ite*s $re inst$lled in $ccord$nce 4it7 (nDOT S+eci&ic$tions %<8<. %<</. $nd
%<5< $nd S+eci$l Pro#ision {insert Special Pro!ision numbers#
%. Prior to inst$ll$tion o& $n) +roducts. t7e C( s7$ll +ro#ide *$teri$l certi&ic$tions
on $ll *$teri$ls. 6or ite*s t7$t reCuire Bisu$l Ins+ection. (nDOT $nd t7e C(
s7$ll toget7er re#ie4 t7ese +roducts t7e &irst ti*e t7e *$teri$l is deli#ered to t7e
+roject site. T7e C( $nd (nDOT 4ill de#elo+ +rocess $nd +rocedures to
e#$lu$te &uture deli#eries &or +roject $cce+t$nce.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} =< o& ''
2. (nDOT 4ill +er&or* ins+ection on electric$l ite*s. (nDOT 4ill re+ort $n)
ins+ection $nd o;ser#$tion concerns to t7e Contr$ctorGs u$lit) ($n$ger &or
resolution.
{CONTRACTOR}
S.P. XXXX
CQP =.D: Ins3ection o7 Deliere1 Pro0ect Material
Re# . D$te
P"RPOS#
To est$;lis7 Construction +rocedures. docu*ent$tion. $nd re+orting +rocedures &or t7e
control o& recei#ed *$teri$ls used on t7e +roject.
SCOP#
($teri$ls recei#ed &or use on t7e Project 4ill *eet t7e reCuire*ents outlined in t7e
+roject docu*ents. T7e Contr$ctor $nd its su++liers $nd su;-su++liers $re res+onsi;le
&or controlling *$teri$ls used on t7e +roject.
T7e C( 4ill *onitor +roduction $nd testing +rocesses &or t7ird +$rt) $nd su;-su++liers
+ro#ided *$teri$ls. All +urc7$sed +roduct 4ill ;e &ro* su++liers t7$t $re on $n
$++ro#ed +roducts list. certi&ied sources. or ot7er (nDOT $++ro#ed sources. or 4ill ;e
$++ro#ed ;) t7e (nDOT Project ($n$ger.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
R#SPONSI%ILITI#S
T7e CQM is res+onsi;le &or ensuring (nDOT certi&ied testers +er&or* reCuired testing
$nd rel$ted docu*ent$tion.
PROC#D"R#
0.
Ins+ection o& *$teri$ls deli#ered to t7e +roject 4ill ;e controlled ;)
*iscell$neous *$teri$l certi&ic$tions $nd testing reCuire*ents su**$riIed in t7e
Sc7edule o& ($teri$ls Control $nd. i& $++lic$;le. co*+leted ;e&ore inst$ll$tion on
+roject.
%.
>$c7 ti*e $ *$teri$l listed in Section I t7roug7 XI is used &or t7e &irst ti*e on t7e
+roject. t7e (iscell$neous Products Critic$l Acti#it) Point is to occur ,See
CP//% Critic$l Acti#it) Points1. 6or +roducts t7$t reCuire Bisu$l Ins+ection. t7e
C( $nd (nDOT 4ill toget7er re#ie4 t7e +roduct t7e &irst ti*e t7e *$teri$l is
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} == o& ''
deli#ered to t7e Project Site. T7e C( $nd (nDOT 4ill de#elo+ +rocesses $nd
+rocedures to e#$lu$te &uture deli#eries o& t7e +roduct &or $cce+t$nce.

2.
T7e contr$ctorsEsu;contr$ctors 7$#ing *$teri$ls deli#ered 4ill cont$ct t7eir
su++liers to ensure t7$t t7e *$teri$l certi&ic$tions $re to ;e su++lied +rior to or
4it7 deli#er) o& t7e *$teri$l.

8.
Su++lier certi&ic$tions 4ill ;e +ro#ided ;e&ore. or 4it7 t7e deli#er) o& $ +roduct
;e&ore it is unlo$ded $t t7e +roject site. Su++liers *$) deli#er *$teri$ls 4it7out
certi&ic$tion onl) i& t7e su++lier 7$s *$de $rr$nge*ents 4it7 t7e contr$ctor to
recei#e t7e certi&ic$tions 4it7in %8 7ours o& deli#er).

<.
Prec$st concrete ;e$*s. +i+es $nd ;o@ cul#erts. ;e$ring $sse*;lies. steel
rein&orcing $nd e+o@) co$ting. structur$l steel $nd g$l#$niIing 4ill ;e
+re$++ro#ed ;) (nDOT t7roug7 in-+l$nt ins+ection. $s reCuired. Design-Builder
is res+onsi;le &or recei#ing $ll *$teri$l in s$tis&$ctor) condition $t t7e +roject site
$nd &or $ssuring it *eets Contr$ct reCuire*ents $t t7e +oint o& +l$ce*ent.
5.
Aggreg$te. ;itu*inous. +$#ing concrete. $nd Re$d)-(i@ concrete +re+roduction
$nd +roduction testing reCuire*ents $re su**$riIed in t7e Sc7edule o&
($teri$ls Control.
FI("R#S $ND FORMS
CP-8%'63 ($teri$ls Certi&ic$tion Re+ort
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} =' o& ''
CQP =.E: Storm Se!er an1 Culert Installation
Re# . D$te
P"RPOS#
to +ro#ide $ *et7odolog) &or ins+ection o& stor* se4er inst$ll$tion +er&or*ed on t7e
+roject.
SCOP#
T7is 4or? s7$ll include3 Pi+e Se4ers $nd Cul#erts. ($n7oles $nd C$tc7 B$sins. $nd
Ri+ R$+ inst$ll$tion.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
XXXX S+eci$l Pro#isions {contr$ctor to insert list o& $++lic$;le s+eci$l +ro#isions}
Rele$sed &or Construction Pl$ns.
R#SPONSI%ILITI#S
Points rel$ted to stor* se4er $nd cul#ert construction.
Unless ot7er4ise reCuired ;) $ Utilit) Agree*ent or s+eci&ied in Boo? % or listed ;elo4.
(nDOT 4ill +ro#ide ins+ection.
PROC#D"R#
0. T7e Contr$ctor s7$ll +ro#ide #ideo ins+ection o& su;sur&$ce dr$ins to
de*onstr$te co*+li$nce 4it7 (nDOT St$nd$rd Pl$n <-%A=-82/.
%. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t stor* se4er
$nd cul#ert construction 4ill ;e +er&or*ed in $ccord$nce 4it7 (nDOT
S+eci&ic$tions. t7e ($teri$ls Control Sc7edule. t7e R6C docu*ents. $nd contr$ct
+ro#isions.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} =A o& ''
2. Prior to inst$lling $n) +i+e $nd dr$in$ge structures. t7e C( s7$ll #eri&) t7$t t7e
Deli#er) o& Pi+e Critic$l Acti#it) Point 7$s ;een signed o&&.
8. T7e C Ins+ector s7$ll #eri&) t7e sur#e) loc$tion o& $ll *$n7oles $nd structures
+rior to +i+e inst$ll$tion.
<. (nDOT 4ill ins+ect stor* se4er $nd cul#ert inst$ll$tion $nd re+ort $n)
ins+ection $nd o;ser#$tions to t7e Contr$ctorGs u$lit) ($n$ger &or resolution.
5. T7e C Ins+ector s7$ll co*+lete &or* CP-8%<6 4ee?l) $nd enter t7is
docu*ent$tion into TRACS.
FI("R#S $ND FORMS
CP-8%<63 Dee?l) Stor* Se4er $nd Cul#ert u$ntities
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} '/ o& ''
CQP ==0: %uil1in/ Demolition
Re# . D$te
P"RPOS#
To est$;lis7 t7e reCuired Construction u$lit) +rocedures &or o;ser#$tions. ins+ections.
testing. docu*ent$tion. $nd re+orting on de*olition o+er$tions.
SCOP#
During t7e course o& t7e +roject. +re#iousl) constructed ite*s $nd so*e n$tur$ll)
occurring ite*s 4ill reCuire de*olition. T7is +rocedure co#ers re*o#$l $ndEor
de*olition o& t7e ite*s identi&ied ;) t7e Boo? % {insert ite* loc$tions}
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
{contr$ctor to list $++lic$;le s+eci$l +ro#isions}
R#SPONSI%ILITI#S
It is t7e res+onsi;ilit) o& MnDOT to +er&or* 7$I$rdous *$teri$l $ssess*entEins+ection
o& t7e ;uilding to ;e re*o#ed on t7e +roject. (nDOT 4ill ins+ect ;uilding de*olition
$nd re+ort $n) ins+ection $nd o;ser#$tion concerns to t7e QM &or resolution.
T7e Contractor is res+onsi;le &or t7e de*olition $nd dis+os$l or *o#ing o& structures
identi&ied ;) t7e R6P.
T7e CQM is res+onsi;le &or ensuring t7$t t7e ;uildings $re re$d) &or de*olition in
$ccord$nce 4it7 t7e &ollo4ing +rocedures.
PROC#D"R#
0. C( s7$ll +ro#ide docu*ent$tion t7$t t7e Contr$ctor 7$s o;t$ined $ll t7e
necess$r) +er*its &or de*olition o+er$tions.
%. C( 4ill ensure $ll regul$ted 4$ste dis+os$l is +er&or*ed in co*+li$nce 4it7
(nDOT S+eci&ic$tion %0/8 $nd DBS-%0/8.
2. Construction Cu$lit) +ersonnel $re not res+onsi;le &or ins+ection o& t$n? +ull
o+er$tions. T7e Contr$ctor 4ill con&ir* 4it7 intern$l de+$rt*ents ,>n#iron*ent$l1
t7$t +etroleu* t$n?s $re re*o#ed +er t7e DBS-%0/8 s+eci&ic$tion.
FI("R#S $ND FORMS
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} '0 o& ''
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} '% o& ''
CQP ==.: #1/e Drain Ins3ection
Re# . D$te
P"RPOS#
To est$;lis7 reCuired Construction u$lit) +rocedures &or ins+ection $nd re+orting
reCuire*ents &or edge dr$in ins+ection o+er$tions +re&or*ed on t7e +roject.
SCOP#
>dge dr$in ins+ection $++lies to t7e +ost inst$ll$tion o& t7e su;cut dr$in$ge s)ste*
inst$lled on t7is +roject.
R#L$T#D DOC"M#NTS
XXXX Project R6P Boo? %. '.X.X
R#SPONSI%ILITI#S
T7e contr$ctor s7$ll su++l) t7e #ideo eCui+*ent to +er&or* t7e t$+ing $s reCuired. T7e
contr$ctor s7$ll su;*it t7e reCuired docu*ent$tion to t7e de+$rt*ent.
T7e CQM is res+onsi;le &or ensuring c$+$;le +ersonnel +er&or* t7e reCuired
#ideot$+ing o& t7e edge dr$ins.
PROC#D"R#
0. T7e contr$ctor 4ill #ideot$+e $ll su;sur&$ce dr$ins using $ #ideo c$*er$.
%. Bideot$+ing o& t7e su;sur&$ce dr$ins 4ill t$?e +l$ce $&ter $ll +l$cing $nd gr$ding
$round t7e su;sur&$ce 7e$d4$ll is co*+lete.
2. T7e entire inner circu*&erence o& t7e +i+e &ro* t7e c$*er$ to $t le$st 2 &eet
$7e$d o& t7e c$*er$ *ust cle$rl) ;e s7o4n.
8. T7e c$*er$ s7$ll ;e $d#$nced $t $ r$te no gre$ter t7$n 0 &oot +er second.

<. Bideo *ust ;e inde@ed 4it7 t7e &ollo4ing in&or*$tion3
$. Docu*ented loc$tion o& t7e outlets $nd 7e$d4$ll using :PS deter*ined
coordin$tes.
;. Dist$nce ins+ected.
{CONTRACTOR}
S.P. XXXX
5. T7e #ideo *ust ;e +ro#ided in digit$l (P>:-0 or (P>:-8 &or*$t.
=. A se+$r$te #ideo &ile *ust ;e +ro#ided &or e$c7 +i+e run.
'. T7e &ollo4ing de&ects gre$ter t7$t %< +ercent o& t7e inner di$*eter s7$ll ;e
identi&ied. inde@ed. $nd l$;eled3
$. Bre$?s
;. Cr$c?s
c. Se+$r$tions
d. De&lections
e. Crus7ing
A. At $n) de&ect. it is reCuired t7$t t7e c$*er$ ;e +ositioned so t7$t t7e de&ect c$n
;e cle$rl) #ie4ed $nd #ideo recorded no less t7$n < seconds &or +ro+er
$ssess*ent.
0/. An) de&ects listed in t7e $;o#e ite* '. gre$ter t7$n %<R. s7$ll ;e re+l$ced ;) t7e
contr$ctor.
DR$+IN(< FI("R#S $ND FORMS
None
{CONTRACTOR}
S.P. XXXX
CQP ==>: Fence Installation
Re# . D$te
P"RPOS#
+ro#ide $ *et7odolog) c7ec?ing t7e &ence inst$ll$tion.
SCOP#
T7is s7$ll include $ll t)+es o& &ence inst$lled on t7e +roject.
R#L$T#D DOC"M#NTS
Contr$ct Docu*ents
S+eci$l Pro#isions {contr$ctor to list $++lic$;le s+eci$l +ro#isions}
R#SPONSI%ILITI#S
Points.
(nDOT 4ill sign-o&& on Critic$l Acti#it) Points $nd +er&or* ins+ection.
PROC#D"R#
0. Prior to 4or?. $ +re-$cti#it) *eeting 4ill ;e initi$ted to ensure t7$t &ence
inst$ll$tion 4ill ;e +er&or*ed in $ccord$nce 4it7 t7e (nDOT S+eci&ic$tions.
Rele$sed &or Construction Pl$ns. ($teri$ls Control Sc7edule $nd contr$ct
docu*ents.
%. No &ence inst$ll$tion 4ill occur until t7e (iscell$neous Products Critic$l Acti#it)
Point 7$s ;een signed-o&& on $ll &ence ite*s.
2. Once t7e &encing contr$ctor inst$lls t7e initi$l 0//G to %//G section o& $ gi#en t)+e
o& &ence. t7e C( 4ill ;e cont$cted &or re#ie4.

8. T7e contr$ctor. C(. $nd (nDOT ins+ector 4ill re#ie4 t7e section o& &ence &or
$cce+t$nce. T7e C( 4ill co*+lete 6or* CP88/6 $&ter t7e re#ie4 $nd $n)
needed corrections.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} '< o& ''
<. 6uture inst$ll$tion o& &ence is to eCu$l or ;etter t7e section o& &ence &irst re#ie4ed.
FI("R#S $ND FORMS
CP88/63 6encing O;ser#$tion
{CONTRACTOR}
S.P. XXXX
CQP ==A: Steel Fabrication Non*Con7ormances
Re# . D$te
P"RPOS#
To docu*ent t7e +resence o& noncon&or*ing ite*s rel$ted to steel &$;ric$tion $nd t7eir
resolution.
SCOP#
T7is +rocedure 4ill ;e used 47en t7e &$;ric$tion o& structur$l steel is &ound to not *eet
reCuire*ents o& t7e +roject or not *eet Cu$lit) reCuire*ents o& t7e &$;ric$torGs $++ro#ed
u$lit) Control Pl$n ,CP1.
R#L$T#D DOC"M#NTS
T7e &ollo4ing docu*ents coordin$te 4it7 t7is u$lit) Procedure3
0. (<./ J Noncon&or*$nces
R#SPONSI%ILITI#S
T7e Quality Mana/er 9QM:. or designee. is res+onsi;le &or re#ie4ing $nd $++ro#ing
t7e Fabricator4s CP +rior to ;eginning &$;ric$tion o& Project ele*ents. T7e QM is
$lso res+onsi;le &or t7e inclusion o& $ll NCR docu*ent$tion in t7e Contractor4s
docu*ent *$n$ge*ent s)ste*.
T7e Fabricator is res+onsi;le &or gener$ting $ll noncon&or*$nces $nd noti&)ing t7e
MnDOT Onsite Q$ Ins3ector o& t7ose noncon&or*$nces. T7e Fabricator is $lso
res+onsi;le &or *$?ing t7e reCuired re+$irs to co*+lete t7e NCR +rocess.
MnDOT4s structural metals ins3ection sta77 4ill +ro#ide Cu$lit) $ssur$nce ins+ection
$t t7e &$;ric$torGs +l$nt on t7is Project. T7e MnDOT Onsite Q$ Ins3ector is
res+onsi;le &or noti&)ing t7e MnDOT Structural Metals an1 %ri1/e Ins3ection
#n/ineer 47en NCRGs 7$#e ;een gener$ted. T7e MnDOT Structural Metals an1
%ri1/e Ins3ection #n/ineer is res+onsi;le &or coordin$ting $nd +rocessing $ll NCRGs
4it7 ot7er (nDOT +ersonnel.
PROC#D"R#
T7e +rocedures outlined ;elo4 $re to ;e used to +rocess $ll structur$l *et$ls
noncon&or*$nces. Noncon&or*$nces $re cl$ssi&ied $s &ollo4s3
Leel 1 5 NCR4s !it2 a33licable 3re*a33roe1 re3airs; T7is le#el is used to
$ut7oriIe re+$irs not in co*+li$nce 4it7 t7e s+eci&ic$tions. $++lic$;le codes. $ndEor
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} '= o& ''
$++ro#ed s7o+ dr$4ings ;ut do not $&&ect t7e integrit) o& t7e design. T7is +rocess is
condition$l on t7e reCuired re+$ir +rocedures ;eing included in t7e Fabricator4s
$++ro#ed CP. I& t7e +rocedures $re $;sent &ro* t7e $++ro#ed CP. t7is t)+e o& NCR
4ill &ollo4 t7e !e#el % +rocess.
D7en $ noncon&or*$nce is identi&ied. t7e NCR is gener$ted ;) t7e Fabricator.
T7e NCR is $++ro#ed ;) t7e MnDOT Onsite Q$ Ins3ector.
T7e Fabricator 4ill su++l) $ co+) o& t7e co*+leted NCR to t7e MnDOT Q$ Ins3ector
$nd t7e QM &or t7eir records.
Leel . 5 NCR4s !it2out 3re*a33roe1 re3airs; T7is le#el is used to identi&) ite*s
t7$t $re &$;ric$ted incorrectl) ;ut do not $&&ect t7e integrit) o& t7e design.
T7e Fabricator 4ill send t7e NCR to t7e MnDOT Onsite Q$ Ins3ector $nd t7e QM.
T7e MnDOT Onsite Q$ Ins3ector 4ill &ill out $ ReCuest &or De#i$tion $nd su;*it t7e
NCR to t7e MnDOT Structural Metals an1 %ri1/e Ins3ection #n/ineer 47o 4ill
+er&or* $ tec7nic$l re#ie4 $nd reco**end t7e NCR &or Acce+t$nce.
T7e QM s7$ll noti&) t7e MnDOT Structural Metals an1 %ri1/e Ins3ection #n/ineer i&
t7e) 7$#e concerns 4it7 t7e NCR or +ro+osed reco**end$tion.
T7e (nDOT Structur$l (et$ls $nd Bridge Ins+ection >ngineer 4ill &or4$rd t7e NCR to
t7e (nDOT Bridge Construction $nd ($inten$nce >ngineer &or Acce+t$nce.
A&ter t7e NCR is Acce+ted. t7e MnDOT Structural Metals an1 %ri1/e Ins3ection
#n/ineer 4ill send t7e NCR to t7e QM $nd t7e MnDOT Onsite Q$ Ins3ector< 47o 4ill
&or4$rd t7e NCR to t7e Fabricator.
T7e Fabricator 4ill +ro#ide t7e MnDOT Onsite Q$ Ins3ector $nd t7e QM 4it7 $ co+)
o& t7e co*+leted NCR &or t7eir records.
Leel = 5 NCR4s t2at a77ect t2e inte/rity o7 t2e 1esi/n; T7is le#el is used to identi&)
ite*s t7$t $re not in co*+li$nce 4it7 t7e design.
T7e NCR is re#ie4ed ;) t7e MnDOT Onsite Q$ Ins3ector 47o &ills out $ ReCuest &or
De#i$tion.
{CONTRACTOR}
S.P. XXXX
District X Re# {d$te} '' o& ''
T7e NCR $nd ReCuest &or De#i$tion $re &or4$rded to t7e MnDOT Structural Metals
an1 %ri1/e Ins3ection #n/ineer 47o &or4$rds t7e NCR $nd ReCuest &or De#i$tion to
t7e QM &or re#ie4 $nd $++ro#$l o& t7e design c7$nge. A co+) o& t7e NCR $nd ReCuest
&or De#i$tion is sent to t7e MnDOT Oersi/2t Quality Mana/ement S3ecialist.
T7e ( t7en sends t7e $++ro#ed NCR ;$c? to t7e (nDOT Structur$l (et$ls $nd
Bridge Ins+ection >ngineer 47o &or4$rds t7e NCR to t7e (nDOT Bridge ($inten$nce
$nd Construction >ngineer &or Acce+t$nce.
A&ter t7e NCR is Acce+ted. t7e (nDOT Structur$l (et$ls $nd Bridge Ins+ection
>ngineer sends t7e NCR to t7e (nDOT Onsite A Ins+ector 47o 4ill &or4$rd t7e NCR
to t7e 6$;ric$tor.
T7e Fabricator 4ill +ro#ide $ co+) o& t7e co*+leted NCR to t7e QM &or &in$l $++ro#$l
4it7 $ co+) to t7e MnDOT Onsite Q$ Ins3ector $nd t7e MnDOT Oersi/2t Quality
Mana/ement S3ecialist &or t7eir records.
DISPOSITION
All NCR docu*ent$tion is stored in Docu*ent Control $&ter t7e co*+letion o& t7e
NCRGs.
FI("R#S $ND FORMS
T7e KFi/ures an1 FormsL section. 47en used. lists t7e titles $nd nu*;ers o& $ll &or*s
$nd &igures necess$r) to i*+le*ent t7e +rocedure.

Minnesota DOT Construction Quality Plan Template

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Minnesota DOT Construction Quality Plan Template

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MINNESOTA DEPARTMENT OF TRANSPORTATION

Ret$ining D$ll Rein&orce*ent3 Prior to +l$cing structur$l concrete. t7e CAP(

Su+erstructure Rein&orceent Pl$ceent3 A&ter +l$ce*ent o& t7e su+erstructure

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