Refinery and Petrochemical Integrated Development Project

(RAPID)

PROJECT RAPID SCC

QUALITY CONTROL FORMS LIST ITP Code CVS 7020
DISCIPLINE/Activity CIVIL –Asphalt Road
LIST
Form No. Description Rev. Remarks
1 F70106 Material Test Certificate 0
2 F70107 Survey Report 0
3 F70201 Road and Paving Inspection 0
4 F70203 Asphalt Concrete Compaction 0
5 F70205 Miscellaneous Inspection (Kerb, Shoulder, Drain) 0

Remarks:
 Refinery and Petrochemical Integrated Development Project
(RAPID)

PROJECT RAPID SCC

QUALITY CONTROL FORM AREA/LOCATION
ITEM No.
INSPECTION/TEST STAGE: FORM No. F70106 Rev. 0
MATERIAL TEST CERTIFICATE RFIN No.
(Civil Works)
REPORT No.
REPORT Date
WORK SCOPE
Site Preparation Piling
Road and Paving Drainage
Earth Work/Soils Fence and Gate
Concrete Structural Steel
Building Landscape
Other Material :

ATTACHMENT LIST
No. Item / Material / Sample Laboratory / Supplier Remarks
1
2
3
4
5
6
7
8
9
10
Comments:

Signature
SUB-CONTRACTOR TOYO RAPID PMC VENDOR/OTHER
Name
Signature

Date / / / / / / / /
LEGENDACC : ACCEPT N.A. : Not Applicable REJ : REJECT
Toyo Ref. GC-001
 Refinery and Petrochemical Integrated Development Project
(RAPID)

PROJECT RAPID SCC

QUALITY CONTROL FORM AREA/LOCATION
ITEM No.
INSPECTION/TEST STAGE: FORM No. F70107 Rev. 0
SURVEY REPORT RFIN No.
(Civil Works)
REPORT No.
REPORT Date
Reference Document / Equipment
1 Drawing No. Rev. No.
2 Survey Instrument Model Serial No.
3 Calibration Validity Date
4 Surveyor’s Company/Name
Survey Detail
No. Survey Item Location Elevation BM Ref. No.
1
Comment/Sketch:

Signature
SUB-CONTRACTOR TOYO RAPID PMC VENDOR/OTHER
Name
Signature

Date / / / / / / / /
LEGENDACC : ACCEPT N.A. : Not Applicable REJ : REJECT DWG : DRAWING
Toyo Ref:.GC-002
 Refinery and Petrochemical Integrated Development Project
(RAPID)

PROJECT RAPID SCC

QUALITY CONTROL FORM AREA/LOCATION
ITEM No.
INSPECTION/TEST STAGE: FORM No. F70201 Rev. 0
ROAD AND PAVING RFIN No.
REPORT No.
INSPECTION CHECKLIST
(Civil Works) REPORT Date

Reference Document
1 Drawing No. Rev. No.
2 Location Road No.
INSPECTIONS ACC REJ N/A REMARKS
Check Items
A. SUB-GRADE
1. Compaction
2. Preparation
2. Survey, Line Grade per Drawing?

B. BASE
1. Equipment
2. Layer Thickness / Total Thickness
3. Compaction
4. Material
5. Survey

C. SURFACE, PAVING
1. Weather Condition
2. Mix Temperature
3. Layer Thickness / Total Thickness
4. Overlaps / Joints
5. Rolling
6. Tack Coat
7. Prime Coat
8. Repairs
9. Finish Surface Condition

D. TEST
1. Test completed and acceptable?
COMMENTS

Signature
SUB-CONTRACTOR TOYO RAPID PMC VENDOR/OTHER
Name
Signature

Date / / / / / / / /
LEGENDACC : ACCEPT N.A. : Not Applicable REJ : REJECT
Toyo Ref. C-002
 Refinery and Petrochemical Integrated Development Project
(RAPID)

PROJECT RAPID SCC

QUALITY CONTROL FORM AREA/LOCATION
ITEM No.
INSPECTION/TEST STAGE: FORM No. F70203 Rev. 0
ASPHALT CONCRETE COMPACTION RFIN No.
(ASPHALT ROAD)
REPORT No.
(Civil Works)
REPORT Date
Reference Document
1 Drawing No. Rev. No.
2 Location Road No.
TEST ITEMS
BITUMINOUS CONCRETE COMPACTION

(AASHTO T230)

Date Type Mixture

Location of Sample Sample # of Test

Contractor Sample # of Standard

Required Compact - % SP gr of Standard

Degree of Compaction = Pavement Sp gr x 100= % Compaction

Standard Specimen Sp gr

REMARKS:

Signature
SUB-CONTRACTOR TOYO RAPID PMC VENDOR/OTHER
Name
Signature

Date / / / / / / / /
LEGENDACC : ACCEPT N.A. : Not Applicable REJ : REJECT
Toyo Ref. C-0xx
 Refinery and Petrochemical Integrated Development Project
(RAPID)

PROJECT RAPID SCC

QUALITY CONTROL FORM AREA/LOCATION
ITEM No.
INSPECTION/TEST STAGE: FORM No. F70205 Rev. 0
MISCELLANEOUS INSPECTION RFIN No.
KERB, SHOULDER, DRAIN
REPORT No.
(Civil Works)
REPORT Date
Reference Document
1 Drawing No. Rev. No.
INSPECTIONS ACC REJ N/A REMARKS
A. GENERAL
1. Materials used for Miscellaneous work conform to specs.

B. KERB
1. Compaction of grade prior to installation
2. Alignment/Levelness

C. SHOULDER
1. Compaction of grade prior to installation
2. Alignment/Levelness (No Sagging)
3. Sloping followed as per drawing
4. Shoulder surface finished as per drawing

D. ROAD MARKING
1. Marking carried-out as per related Drawing

E. ROAD SIGNS
1. Signs installed as per related Drawing

F. DRAINAGE
1. Drain installed as per related Drawing
2. Joints sealed as per requirement (RAPID-P0005-TYO-CVS-
SPN-2000-0004, Reinforcement Concrete Foundation and
Structure)

REMARKS:

Signature
SUB-CONTRACTOR TOYO RAPID PMC VENDOR/OTHER
Name
Signature

Date / / / / / / / /
LEGENDACC : ACCEPT N.A. : Not Applicable REJ : REJECT
Toyo Ref. C-019