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Inspection and Test Plan Sample 
Selected pages (not the complete plan)         
 
 
  
                                                                     
 
Contact:  
Ed Caldeira   
First Time Quality 
410‐451‐8006 

 
 
 
 
 

Pat 
 
[Pick the date] 
 

An Inspection and Test Plan is more than just a form 
listing inspections and tests. 

It’s a plan that details how you manage your inspection 
and test process to ensure construction quality 
including: 

 How you qualify inspectors 
 How field superintendents inspect phases of work 
 How you handle nonconformances 

 And more... 
 
How you verify that your ITP is being followed 

   
 

PROJECT‐SPECIFIC  
INSPECTION AND TEST PLAN 
Sample of Selected Pages 

Inspection and Test Plan Template Sample


Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
 

PROJECT INSPECTION AND TEST PLAN PLAN 
TABLE OF CONTENTS 
Background Information ........................................................................................................................ 4 
Project name .............................................................................................................................................. 4 

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Project Number .......................................................................................................................................... 4 

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Project location .......................................................................................................................................... 4 

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Project description ..................................................................................................................................... 4 
Plan Scope .................................................................................................................................................. 4 

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Plan Overview ............................................................................................................................................. 4 

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A. Inspector and QC Personnel Qualifications ........................................................................................ 6 
Personnel Qualifications ............................................................................................................................. 6 

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B. Testing Laboratory Qualifications ...................................................................................................... 9 

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Qualification of Testing Laboratories ......................................................................................................... 9 

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C. Listing of Inspected Construction Tasks ............................................................................................ 12 
D. Required Inspections for Each Construction Task ............................................................................. 14 

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Preparatory Site Inspection ...................................................................................................................... 14 
Material quality inspections ..................................................................................................................... 14 
Task‐ready Inspections ............................................................................................................................. 14 
Work in process quality inspections ......................................................................................................... 14 
Task completion quality inspections ........................................................................................................ 15 
Hold Points for Independent Inspections ................................................................................................. 15 
Inspection Status of Construction Tasks ................................................................................................... 15 
E. Required Tests ................................................................................................................................. 18 
Test Status Controls .................................................................................................................................. 18 

F. Inspection and Test Register ............................................................................................................ 21 
G. Control of Nonconformances ........................................................................................................... 23 
Nonconformance Controls ....................................................................................................................... 23 
Nonconformance Corrective Actions ....................................................................................................... 24 

H. Project Completion Inspections ....................................................................................................... 25 
Punch‐Out QC Inspection ......................................................................................................................... 25 
Pre‐Final Customer Inspection ................................................................................................................. 25 
Final Acceptance Customer Inspection .................................................................................................... 25 

I. Inspection, Measuring, and Test Equipment ...................................................................................... 29 
J. Inspection and Test Records ............................................................................................................. 31 
K. Inspecting and Testing Compliance Audits ....................................................................................... 33 

 
Page 3 
[ProjectName] ‐ [ProjectNumber] 
Inspection and Test Plan Template Sample
Version August 3, 2011 
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
 

B. TESTING LABORATORY QUALIFICATIONS 
Testing laboratories are required to perform quality tests as identified on the Test Plan.  
Credentials of laboratories that will be performing tests for this project are included as an exhibit in this 
subsection. 
Records of qualification approval are maintained on the Laboratory Qualifications form and included as 

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exhibits in this subsection. 

QUALIFICATION OF TESTING LABORATORIES 
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Independent laboratories performing tests or quality inspections have additional requirements for 

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purchase order specifications including certification by a nationally recognized testing accreditation 

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organization as appropriate for the scope of the inspection or test: 

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  NRTL: A nationally recognized testing laboratory according to 29 CFR 1910.7. 
 NVLAP: A testing agency accredited according to NIST's National Voluntary Laboratory 

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Accreditation Program. 

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 The American Association of State Highway and Transportation Officials (AASHTO)  

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 International Accreditation Services, Inc. (IAS) 
 American Association for Laboratory Accreditation (A2LA) program 

 
Page 10 
[ProjectName] ‐ [ProjectNumber] 
Inspection and Test Plan Template Sample
Version August 4, 2011 
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
 

[CompanyName]
Laboratory Qualification Form
Version August 4, 2011 
Company Name:  Scope of Work (specification sections): 
 

Project ID  Project Name  Approval  Approved By 

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Yes 

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Conditional 

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[ProjectNumber]  [ProjectName]  No 

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Review Topics  Project‐Related Job Credentials 

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Licenses required:  License and expiration dates:  

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Certification required:  Certifications and expiration dates:  

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NRTL: A nationally recognized testing laboratory 
according to 29 CFR 1910.7. 

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NVLAP: A testing agency accredited according to 

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NIST's National Voluntary Laboratory Accreditation 
Program. 

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The American Association of State Highway and 
Transportation Officials (AASHTO)  
 International Accreditation Services, Inc. (IAS) 
American Association for Laboratory Accreditation 
(A2LA) program 
 
Training required:  Training completed and expiration date: 
 

Type and length of experience required:  Certifications and expiration dates:  
 

Personnel license, certification, and training  required:  List each person’s credentials on the Subcontractor and 
  Supplier Certifications and Licenses form. 

Qualifications 

Senior person designated as Quality Manager   Production capacity 
Demonstrated skills and knowledge  Staffing availability 
Demonstrated experience 

QUALIFICATION NOTES: 

Provisional Approval: Action plan for improvement
 
Follow‐up results and date 
 
 

 
 
Page 11 
[ProjectName] ‐ [ProjectNumber] 
Inspection and Test Plan Template Sample
Version August 4, 2011 
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
 

D. REQUIRED INSPECTIONS FOR EACH 
CONSTRUCTION TASK  
The Quality Manager identifies each Phase of Construction Tast that requires separate Inspectionss to 
assure and control quality results. Each Task triggers as set of requirements for quality control inspections 
before, during and after work tasks.   
A series of inspections will be performed on each Task including 

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 Material inspections 

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 Task Job‐ready inspections  

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 Daily work in process inspections 
 Task Completion inspections 

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Results of inspections and tests will be recorded as follows: 

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 Task inspection results will be recorded on the Task Inspection Form 

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 Daily inspections of work in process will be recorded on the Daily Inspection Report 

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Form exhibits are included as an exhibit in this section. 

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PREPARATORY SITE INSPECTION 
The Superintendent performs a quality inspection prior to starting work and: 

 Assesses completion of required prior work 
 Verifies field measurements  
 Assures availability and receiving quality inspection status of required materials  
 Identifies any nonconformances to the requirements for the task  to begin 
 Identifies potential problems 

MATERIAL QUALITY INSPECTIONS 
Material quality inspections and tests ensure that purchased materials meet purchase contract quantity 
and quality requirements. The Superintendent inspects or ensures that a qualified inspector inspects 
materials prior to use for conformance to project quality requirements. 

The Superintendent ensures that each Task that uses the source inspected materials proceeds only after 
the material has been accepted by the material quality inspection or test. 

TASK‐READY INSPECTIONS 
For each Task, the Superintendent or a qualified inspector performs job‐ready quality inspections to 
ensure that work activities begin only when they should begin. Job‐ready quality inspections verify that 
conditions conform to the project quality requirements. 

WORK IN PROCESS QUALITY INSPECTIONS 

 
Page 14 
Inspection and Test Plan Template Sample
[ProjectName] ‐ [ProjectNumber] 
Copyright Caldeira Quality, Version May 15, 2011 Copyright 
LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
 

[CompanyName]
Inspection and Test Plan Audit Form

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Version August 4, 2011 

Project ID  Project Name  Preparer

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Date

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[ProjectNumber]  [ProjectName]   

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Review Topics: 

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  (Place check mark next to each item audited) 

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Project Inspection and Test Plan  Submittal 

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Inspections and Tests 

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Nonconformances and Corrective Actions 
Inspection and Test Plan Audits 
Inspection Record and Document Controls 
 

Nonconformance Notes and observations 
 
 
 

Action plan for improvement 
 
 
 

Follow‐up results and date 
 
 
 

 
Page 36 
[ProjectName] ‐ [ProjectNumber] 
Inspection and Test Plan Template Sample
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
Version Date: August 3, 2011Copyright 
410-451-8006
Choose from a library of Pre-Filled Inspection
and Test Plan Forms to use as a template

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EXAMPLE INSPECTION TEST PLAN AND LOG

CONTRACT NUMBER PROJECT NAME

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EXAMPLE EXAMPLE EXAMPLE

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Test By 

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(All tests verified by 
Specifications  Superintendent  
Date Forwarded 
Item  Spec #  Section  Subsection  Test Required  Frequency  and/or QC Manager) Date Completed To Contr. Off.  Remarks 

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1.   033000  Cast‐in‐Place  2.12  Mixing and Delivery  Each Truck  Concrete Redimix 
Concrete  Supplier       

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2.   033000  3.12  Concrete – three  1 composite per  Third party inspector  
Cast‐in‐Place  cylinders, slump, air,  truck load delivered   
Concrete  temperature     
3.   074113  1.4A  Installer  Prior to 
Qualifications  commencement of 
Metal Roof Panels  work  Superintendent       
4.   221100  Water Distribution  3.2N  HDPE Pipe ‐ Bent  Once Daily  Plumbing 
Systems  Strap Test  subcontractor       
5.   221100  Water Distribution  3.5A  Hydrostatic Testing  See Spec.  Plumbing 
Systems  of Water System  subcontractor       
6.   221100  Water Distribution  3.5B  Pressure and Leakage  See Spec.  Plumbing 
Systems  Test – Water Line  subcontractor       
7.   221100  Water Distribution  3.6A  Bacteriological  After disinfection,  Plumbing 
Systems  Examination  before use  subcontractor       
8.   221120  3.4A  Mechanical and  See Spec. 
Water Distribution  Electrical Testing  Plumbing 
Systems  (Pump System)  subcontractor       
9.   221200  Water Distribution  3.12A  Leak Test  Until Passing  Plumbing 
Systems  subcontractor       

 
Page 1 
Caldeira Quality | First Time Quality |410‐451‐8006  
Inspection and Test Plan Template Sample
Version July 14, 2010 Copyright 
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
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Test By 
(All tests verified by 
Specifications  Date Forwarded 

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Superintendent  
Item  Spec #  Section  Subsection  Test Required  Frequency  and/or QC Manager) Date Completed To Contr. Off.  Remarks 
10.   221200  Water Distribution  3.12B  Air Test  See Spec.  Plumbing 

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Systems  subcontractor       

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11.   221200  Water Distribution  3.12C  Pressure Test  Until Passing  Plumbing 
Systems  subcontractor       

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12.   221310  Sewage Holding Tank  3.4A  Holding Tank  Until Passing  Plumbing       
Leakage Test    subcontractor 

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13.   269999  Other Electrical Tests  3.1  Storage Tank Water  See Spec.  Plumbing       
And Calibrations  Level Controls  subcontractor 

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14.   312000  Earthwork  3.13C  Compaction Test – at  One per 600 Feet of  Third party inspector      
Pipe Zone  Trench   

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15.   312000  Earthwork  3.13C  Compaction Test – at  One test – at each  Third party inspector      
Pipe Zone  road crossing   
16.   312000  Earthwork  3.13D  Compaction Test –  One per 600 Feet of  Third party inspector      
above Pipe Zone  Trench   
17.   312000  Earthwork  3.13D  Compaction Test –  One test every other  Third party inspector      
above Pipe Zone  lift – at each road   
crossing  
18.   312000  Earthwork  3.13I  Tracer Wire  Until Passing  Third party inspector      
Conductivity Test   
19.   312000  Earthwork  3.16A  Compaction Test –  One per Tank or  Third party inspector      
Backfill/Fills  Utility Building   
20.   312225  Excavation and  3.12B  Moisture‐Density  One Test for Each Soil  Third party inspector      
Embankment  Relationship  Type Encountered   
21.   312225  Excavation and  3.12B  Compaction – Road  One test every 300  Third party inspector      
Embankment  Embankment  sq. yd. of   
(Method 4)  embankment per lift
22.   312225  Excavation and  3.12B  Compaction –  One test every 1000  Third party inspector      
Embankment  Subgrade  sq. yd. of subgrade   

 
Page 2 
Caldeira Quality | First Time Quality |410‐451‐8006  
Inspection and Test Plan Template Sample
Version July 14, 2010 Copyright 
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006
Heating// Ventilating// and Air Conditioning (HVAC)-HVAC Water Aug2011
Treatment 23.25.00
Project: Phase: Contract#: Organization: Crew:
0001
Field Operations

Compliance Verification FTQ 2TQ Heightened Awareness Checkpoints


o Compliance with initial job-ready
requirements o o System flushed of all debris and foreign matter 1502
o Compliance with material inspection and tests o o Treatment chemicals compatible with piping// gaskets// pump
o Compliance with work in process first article linings/seals// and appurtenances 1503
Inspection Forms with
inspection requirements
o checkpoints are available
o Chemical feed/injection for to provide
equipment calibrated
o Compliance with work in process inspection proper application dosages 1504
requirements
most widely used MasterSpec specification
o Compliance with Task completion inspection o Adequate levels of treatment chemical residual is maintained
osections.
between/after dosages 1505
requirements
o Compliance with inspection and test plan o o Location of system sensors clearly indicated and accessible
o Compliance with safety policies and procedures 1506

Reported Nonconformances and incomplete items: o o Readouts and indicators clearly visible 1507
o o Relief valves discharge to approved areas 1508
o o Vents and drains discharge to approved areas 1509
o o MSDS available for all Treatment Chemicals 1510
o o Treatment Chemicals stored in accordance with
manufacturers' recommendations 1511

FTQ Scores and Completion Sign-off


Field Mgmt.-Superintendent Inspection 50.45.01
Quality 5 4 3 2 1 Notes:

On-Time 5 4 3 2 1 Notes:

Safety 5 4 3 2 1 Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Field Mgmt.-QA Inspection 50.45.02


Quality 5 4 3 2 1 Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Quality Score 5 = 100% NO problems 4 = 1 minor problems 3 = Hotspot or 2-3 minor 2 = 6+ or major problems 1 = Excessive problems
On-Time Score 5 = On Time 4 = Late 3 = Late by 1 day 2 = Late by 2 days 1 = Late more than 2 days
Safety Score 5 = 100% NO problems 4 = 1 minor problem 3 = Hotspot or 2-3 minor 2= 4+ or major problem 1= Injury

Inspection and Test Plan Template Sample


Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved Copyright 2011 First Time Quality
410-451-8006
Electrical-Conduit for Electrical Systems 26.05.33.13 Aug2011

Project: Phase: Contract#: Organization: Crew:


0001
Field Operations

Compliance Verification FTQ 2TQ Heightened Awareness Checkpoints


o Compliance with initial job-ready
requirements o o Cuts for Conduits in structural members approved by
ENGINEER 1652
o Compliance with material inspection and tests
o Compliance with work in process first article o o Firestops installed at penetrations through fire partitions// fire
walls// smoke partitions// or floors 1653
inspection requirements
o Compliance with work in process inspection o o Penetrations through floor// exterior wall and roof sealed and
requirements made watertight 1654
o Compliance with Task completion inspection
requirements o o Excess wiring// insulation// ties// etc. removed from Conduits
1655
o Compliance with inspection and test plan
o Compliance with safety policies and procedures o o Conduits secured to prevent movement and chafe 1656
Reported Nonconformances and incomplete items: o o Remaining snake lines labeled at both ends 1657
o o Conduit bends do not exceed minimum for size of Conduit
used and are even 1658

o o Metal Conduits bonded and grounded 1659


o o Conduits are mechanically continuous 1660
o o Flexible connections to equipment subject to vibrations 1661

FTQ Scores and Completion Sign-off


Field Mgmt.-Superintendent Inspection 50.45.01
Quality 5 4 3 2 1 Notes:

On-Time 5 4 3 2 1 Notes:

Safety 5 4 3 2 1 Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Field Mgmt.-QA Inspection 50.45.02


Quality 5 4 3 2 1 Notes:

Sign and date*: Cell # / ID #:: _________________________________ Signed: _________________________________ Date: _________________
Task has been has been verified complete and in compliance with contract drawings and specifications except for non-conformances and incomplete items reported above.

Quality Score 5 = 100% NO problems 4 = 1 minor problems 3 = Hotspot or 2-3 minor 2 = 6+ or major problems 1 = Excessive problems
On-Time Score 5 = On Time 4 = Late 3 = Late by 1 day 2 = Late by 2 days 1 = Late more than 2 days
Safety Score 5 = 100% NO problems 4 = 1 minor problem 3 = Hotspot or 2-3 minor 2= 4+ or major problem 1= Injury

Inspection and Test Plan Template Sample


Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved Copyright 2011 First Time Quality
410-451-8006
 
 

 
For More Information:
Contact: Ed Caldeira 
410‐451‐8006 
www.firsttimequality.com 
EdC@FirstTimeQuality.com 
   

For More Information, contact: Ed Caldeira • Caldeira Quality, LLC • First Time Quality℠ 
410‐451‐8006 • www.firsttimequality.com  • EdC@FirstTimeQuality.com 
Inspection and Test Plan Template Sample
Copyright Caldeira Quality, LLC | First Time Quality, LLC All Rights Reserved
410-451-8006

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