INSPECTION AND TEST PLAN Revision: 00

Date: 21.05.2019

Description: Installation of HDPE pipes for underground

ITP NO: ACO-9-3004-013-T7-4-B service

Inspection Authority
Acceptance and Codes Quality
Item Activity Description Frequency Reference Remarks
Criteria Record
No. Document MC Consultant

1.0 MS/Material Approvals

MS for Installation of
As per Project Project
1.1 HDPE pipes for Once H/R R Approved MS
Specification Specification
underground service

Project
Each MAR
1.2 HDPE Pipes & Fittings As per MAS Specification / H/R R
Delivery Approval/s
Approved MS

As per Project Each Project / Approved MAR

1.3 Supports H/R R
Specification Delivery MS Approval/s

2.0 Installation

Project
As per Approved
2.1 HDPE Pipe Welding Each Section Specification / W/R W/R Checklist
Drawing
Approved MS

Project
As per Approved
2.2 HDPE Pipe Laying Each Section Specification / W/R W/R Checklist
Drawing
Approved MS

Page 1 of 2
Legend: S – Surveillance Inspection W- Witness Inspection Point H- Mandatory Hold Point for Inspection R- Record Review
 INSPECTION AND TEST PLAN Revision: 00

Date: 21.05.2019

Description: Installation of HDPE pipes for underground

ITP NO: ACO-9-3004-013-T7-4-B service

Inspection Authority
Acceptance and Codes Quality
Item Activity Description Frequency Reference Remarks
Criteria Record
No. Document MC Consultant

Project
2.2 Supports As per specification Each Section Specification / W/R W/R Checklist
Approved MS

3.0 Testing

Project
As per Approved
3.1 Pressure Testing Each Section Specification / W/R W/R Checklist
Drawing
Approved MS
After
4.0 Quality Record Complete Record Complete R R All Reports
Activities

Reviewed and Approved

Prepared By: Reviewed by: Reviewed and Accepted by Engineer’s Representative:
By:

Sign: Sign& Position:

Date: Date:

Page 2 of 2
Legend: S – Surveillance Inspection W- Witness Inspection Point H- Mandatory Hold Point for Inspection R- Record Review