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FOR APPROVAL

Owner’s reply on
Approved
Approved with comments
Comments

INSPECTION AND TESTING PLAN


FOR BUILDING

D I S TR I .

OWNER E

PM

CM/CE

QA/QC

54 SHEETS WITH COVER BUSINESS

COST

R SCH
E
V C 08.07.2021
PROCESS

I 6488C AA80-000-00- EQIPMENT

S B 02.11.2020 00200 MACHINE


I 6488C AA80-000-00-
O
A 08.05.2020 00200 FURNACE

N On the Not on the APP’D APP’D


NO DATE DESCRIPTION REFERENCE NO. control control PIPING
S list list SECTION PROJECT TEAM
ORDER NO. 563500 ELECT.

OWNER INST
PROJECT TEAM: GPUFP
CIVIL
APPROVED Bangladesh Chemical Industries Corporation
CONST
CONTRACTOR
PROCURE
Mitsubishi Heavy Industries, Ltd
SECTION QA/QC Gr. SUBCONT
CHINA NATIONAL CHEMICAL ENGINEERING & CONSTRUCTION
APPROVED CORPORATION SEVEN, LTD
PROJECT
MHI E

SITE
Ghorasal Polash Urea Fertilizer Project
JAPAN EXPORT On the Not on the CONTRACTOR DWG. No. REV.
CONTROL Control List Control List SPARE

6488C AA80-000-00-00200 C
DRAWN DATE 08-July-2021 TOTAL
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

INSPECTION AND TESTING PLAN


FOR BUILDING

DOCUMENT APPRAISAL STAMP

REVIEWER'S NAME SIGN DATE

REVIEW GRADE

Result Code Description

A Accepted

C Proceed with exceptions to next submission and Revision

R Do Not Proceed - Revise as noted and Resubmit

Acceptance in any of these categories in no way relieves the Contractor/Supplier of its responsibility for
the due & proper performance of the Works in accordance with the Contract/Purchase Order

PROJECT MANAGER SIGN-OFF:

NAME DATE:

Rev. Description of Approved By


Rev. Date Prepared By Checked By Approved By
No. Revision (Employer)

00 05.08.2020 Issue for Review Xiong Youyi Wang Huaizhong


01 02.11.2020 Issue for Review Xiong Youyi Wang Huaizhong
02 08.07.2021 Issue for Review Xiong Youyi Wang Huaizhong
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

CONTENT
1. SCOPE ........................................................................................................1

2. DEFINITIONS ............................................................................................1

3. REFERENCE ..............................................................................................1

4. ABRREVIATIONS AND CODES ...............................................................1

4.1 Inspection Point...................................................................................1

4.2 ITP Code for building ..........................................................................2

5. RESPONSIBILITY .....................................................................................2

5.1 CC7 shall be responsible for: ................................................................2

5.2 Responsibility of QA/QC Manager .......................................................3

5.3 Responsibility of Quality Inspector .......................................................3

6. PLANNING AND PROCEDURE ................................................................3

7. INSPECTION FLOW ..................................................................................5

8. REQUEST FOR INSPECTION ....................................................................5

9. INSPECTION RECORD..............................................................................6

10.INSPECTION REPORT .............................................................................7

10.1 Document Review Items ......................................................................7

10.2 Inspection Report ................................................................................7

11.INSPECTION AND TEST STATUS ...........................................................8

12.APPENDIX ................................................................................................8
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

1. SCOPE

This procedure is provided for control of the construction of Field work inspection

and test (hereafter called 'Inspection') to verify that building works are being located,

and the building works must in compliance with the latest construction drawings,

instructions, procedures and other applicable documents for Ghorasal Polash Urea

Fertilizer project.

2. DEFINITIONS

Project Ghorasal Polash Urea Fertilizer Project (GPUFP)

Owner Bangladesh Chemical Industries Corporation

Consortium Leader Mitsubishi Heavy Industries, LTD.


China National Chemical Engineering NO.7 Construction
Consortium party
Co., LTD.
Construction teams Organized and managed by CC7

3. REFERENCE

Project contract and related quality management documents

MHI quality management procedures and documentation

Construction QA/QC Plan

4. ABRREVIATIONS AND CODES

4.1 Inspection Point

“R”- Review: This indicates a document review.

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Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

“○”-Every time: means always need to be attended.

“△”-Discretion: means attendance is required if it is judged to be attended & Not a

HOLD point.

“-”-None: means it doesn’t need inspection or witness or surveillance.

4.2 ITP Code for building


No. Discipline Code ITP Code Inspection/Test Stage
1 BD 001 Building structure Erection Work
2 BD 002 Masonry Works
3 BD 003 Waterproof and damp proof
4 BD 004 Plastering Works
5 BD 005 Wall &Roof Sheeting
6 BD 006 Metal, Studs, Drywall & Ceilings
7 BD 007 Fire Caulking
8 BD 008 Painting Works
9 BD 009 Doors, Windows,Frames & Hardware ,Windows
10 BD 010 Tile Work
11 BD 011 Millwork
12 BD 012 Toilet Accessories
13 BD 013 Floor Inspection
14 BD 014 Fire Detection and Protection Inspection
15 BD 015 Fence and Gate works
16 BD 016 Final walk down
17 BD 017 Punch close
18 BD 018 Final sign off acceptance

5. RESPONSIBILITY

5.1 CC7 shall be responsible for:

5.1.1 Establishing and maintaining the inspection plan.

5.1.2 Inspection in accordance with applied procedure.

5.1.3 Submitting the inspection records and results required to verify conformance to

specified requirements.

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Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

5.1.4 Qualification of inspection personnel.

5.1.5 Control of the inspection, measuring and test equipment used for inspection.

5.1.6 CC7 shall be responsible for supervision and management of Construction teams.

5.2 Responsibility of QA/QC Manager

QA/QC Manager shall be responsible for coordination relating to inspection

among the MHI、BCIC and CC7 for control of witness inspection and for evaluating

its records and results to verify conformance to specified requirements.

5.3 Responsibility of Quality Inspector

The Quality Inspector of CC7 shall be responsible for witnessing the inspection

performed at specified points. Inspector of CC7 shall be responsible for review of

records and results to verify conformance to the specified requirements.

6. PLANNING AND PROCEDURE

6.1 CC7 shall establish the inspection plan, which must conform to requirements specified

in the Construction Quality Requirements and shall specify the inspection items

described in the list of Field inspection items into the quality plan depending on

required quality level of each item.

6.2 CC7 shall submit the inspection plan to MHI&BCIC for review and formal approval

at the planning stage of construction.

6.3 During the construction phase, additional plans may be made if necessary, CC7 and

MHI shall jointly review the additional submitted plans for new inspection item.

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Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

6.4 The main activities for building to be controlled on field are as follow:

* Building structure Erection Work

* Masonry Works

* Waterproof and damp proof

* Plastering Works

* Wall &Roof Sheeting

* Metal, Studs, Drywall & Ceilings

* Fire Caulking

* Painting Works

* Doors, Windows,Frames & Hardware ,Windows

* Tile Work

* Millwork

* Toilet Accessories

* Floor Inspection

* Fire Detection and Protection Inspection

* Fence and Gate works

* Final walk down

* Punch close

* Final sign off acceptance

The purpose of each individual ITP is to define and specify the required level of

Quality Control for the involved work main steps and related involvement of

4 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

concerned parties, the above list may not be exhaustive and could be added to in

consideration of Project Control needs, additionally method statements, ITP

check/punch lists could and will be utilized as necessary.

6.5 Any deviations or exceptions to any of the inspection and test points of the ITP

shall be resolved, agreed and approved by CC7's QA/QC department.

7. INSPECTION FLOW

8. REQUEST FOR INSPECTION

8.1 The QA/QC department will collect the RFI prepared by all engineers and send it to

MHI and owner.

8.2 Document no. of Request for Inspection (RFI) shall be controlled as following.

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Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

GPUFP-XX-XX-XXXX
① ② ③
① Area
Code Area Code Area
00 Common Area/System AM Ammonia Area/System
UR Urea synthesis Area/System UG Urea granulation Area/System
CO CO2 Recovery Area/System UT Utility Area/System
OF Offsite Area/System

② Work Code:
Code Description Code Description Code Description
CVS Civil Works BD Building IN Instrument
ME Mechanical EL Electric PA Painting
PI Piping IS Insulation FI Fire Proofing
TK Tank PR Pre-commissioning MI Miscellaneous

③ Serial No.–0001~9999

9. INSPECTION RECORD

Professional engineer shall perform the inspection required to verify conformance.

QC inspector shall prepare and maintain the records of inspected items. Inspection

records shall as a minimum identify the following:

* Item tag, name and quantity

* No. of reference specification or drawing

* Date of inspection

* Name of inspector or operator

* Name of witness inspectors of the MHI and OWNER

* Type of inspection

* Registers number of measuring and test equipment or a data recorder used

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Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

* Results of acceptability or rejection

* Reference to information or action taken in connection with nonconformance (If any)

* Name of person evaluating results

Professional engineer and quality inspector shall evaluate the inspection results

against acceptance criteria to verify conformance of an item to the specific

requirements, and sign and date on the records for an acceptable item. For an

unacceptable item, Subcontractor shall re-inspect after solving the causes of un-

acceptance.

10. INSPECTION REPORT

10.1 Document Review Items

10.1.1 Only for inspection items requiring document review, the QC inspector shall file

and store the inspection records within one working day after the inspection.

10.1.2 QC Inspector shall evaluate the inspection records and certificates against

acceptance criteria to verify conformance of an item to specified requirements.

10.1.3 Only for an unacceptable item, QC inspector or Construction Supervisor shall

immediately notify its reason to the Construction crews.

10.2 Inspection Report

10.2.1 Professional engineer shall prepare the inspection report of each inspection and

test item based on Inspection and Test Plan.

10.2.2 QC Inspector shall file and maintain the approved inspection report.

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Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021

11. INSPECTION AND TEST STATUS

11.1 QC inspector shall establish the control status of inspection and test with indicators

such as marking, stamps, tags, labels or records to the product of service that has

passed the required inspection and test, is released for next processing.

11.2 The procedure for identification established by Subcontractor should specify the

inspection authority responsible for putting or withdrawing identification, status

marks and indicators used.

11.3 QC Inspector/Construction Supervisor shall monitor to ensure that Construction

teams shall implement the inspection and test status.

12. APPENDIX

The following appendices shall be formed form a part of this procedure.

APPENDIX 1:Request for Inspection

APPENDIX 2:Request for Inspection Summary

APPENDIX 3:Inspection and Test Plan

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REQUEST FOR INSPECTION

Ghorasal Polash Urea Fertilizer Project


Discipline: RFI No.:

Inspection Date:

Precise Unit/Location:

Discipline Inspection Activity

Civil Tank Material Alignment

Structural Painting/Coating Survey Grouting

Architectural Insulation Piling Cable Test

Building Control System Earth Work Loop Test

Electrical Fireproofing Concreting Site/Shop Visit

Instrumentation Safety Welding WQT

Mechanical Common Line Check New PQR

√ Piping Others Pressure Test Others

Noted:
If it is related, the “√”will be marked.
No Item No./Description Insp. Scope Area/ Location Date, Start Time Duration

Attachment Required

Inspection Checklist Survey Report Calibration Certificate Delivery order (DO)


IFC Drawing Test Report Vendor Manual Other
Results
Acceptable Acceptable with comments Not Acceptable
Signature
CC7 MHI BCIC Vendor/Other

Name

Position

Signature

Date

9 / 51
Civil/Structure

Mechanical/Rotating
SUMMARY OF FIELD INSPECTION (DAILY BASIS)
Piping

Instrument

Project:Ghorasal Polash Urea Fertilizer Project Electrical

Date of Inspection: Sheet No.: of . Insulation/Painting/Fireproofing

Inspection Points
No. Items to Be Inspected Q’ty Area/Block Location Time Person in Charge Remarks
CC7 MHI BCIC 3rdP

Prepared by CC7:
Date:
10 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner

1 Building structure Erection Work

1.1 Anchor bolts Location Visual 100% As per Drawing ○ △ △ FBI001

Erection level for columns,


1.2 Alignment, Plumb Measurement 100% corners As per Drawing ○ △ △ FBI001
buildings/structures
Diagonal dimensions of
1.3 As per Drawing Visual 5% As per Drawing ○ △ △ FBI001
columns

1.4 Electrical conduit As per Drawing Visual 100% As per Drawing ○ △ △ FBI000

1.5 Final inspection Compliance/Complete Visual 100% As per Drawing ○ ○ ○ FBI001

2 Masonry Works
As per
As per Drawing Method All As per Drawing ○ △ △ FBI002
Statement
3 Waterproof and Damp Proof
As per
As per Drawing Method Each Building As per Drawing ○ ○ ○ FBI003
Statement
4 Plastering Works
As per
As per Drawing Method Each Building As per Drawing ○ △ △ FBI004
Statement
5 Wall &Roof Sheeting
Materials, As per As per Approved
5.1 Wall Sheeting Installation Attachment, and Method All Drawing & ○ △ △ FBI005
Alignment Statement Specification

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Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
As per As per Approved
Materials, Alignment,
5.2 Roof Sheeting Installation Method All Drawing & ○ △ △ FBI005
End & Side Lap
Statement Specification
As per Approved
5.3 Waterproof Test Leakage and drain Visual All Drawing & ○ △ △ FBI005A
Specification
6 Metal, Studs, Drywall & Ceilings
Material Delivery
Per Approved As per Approved
6.1 Inspection, Metal Studs & Visual All Deliveries ○ △ R FBI006
Submittal Submittal
Drywall
Material Delivery
Per Approved As per Approved
6.2 Inspection-ceiling Grid & Visual All Deliveries ○ △ R FBI006
Submittal Submittal
Ceiling Tiles
Metal Stud Track
6.3 Location Measurement All Walls As per Drawing ○ △ △ FBI006
Installation
Stud Spacing
Partial Wall Farming (one Measurement All
6.4 Electrical/Plumbing As per Drawing ○ △ △ FBI006
side drywall) Visual Walls/Rooms
Rough, in Plumbness
Final Wall Framing & All
6.5 As per Drawing Visual As per Drawing ○ △ △ FBI006
Drywall Walls/Rooms
Grid &Wall Mould All
6.6 As per Drawing Visual As per Drawing ○ △ △ FBI006
Installation Walls/Rooms
Acoustical Ceiling Tile All
6.7 As per Drawing Visual As per Drawing ○ △ △ FBI006
Installation Walls/Rooms
7 Fire Caulking

Material Delivery Per Approved As per Approved


7.1 Visual All Deliveries ○ △ R FBI007
Inspection-fire Caulk Submittal Submittal
All
7.2 Fire Caulking Installation Per UL listing Visual Locations/Room As per UL Listing ○ △ △ FBI007
s
8 Painting and Latex Painting Works

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Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
Surface Condition,
8.1 Painting First Coat Visual All As per Drawing ○ △ △ FBI008
Paint Type
Surface Condition,
8.2 Painting Second Coat Second Coat Applied, Visual All As per Drawing ○ △ △ FBI008
Type of Surface
Surface Condition,
8.3 Painting Final Coat Second Coat Applied, Visual All As per Drawing ○ △ ○ FBI008
Type of Surface
9 Doors, Windows,Frames & Hardware ,Windows

Material Delivery
Per Approved As per Approved
9.1 Inspection-doors, Frames & Visual All Deliveries ○ △ △ FBI009
Submittal Submittal
Hardware、glass

9.2 Door Installation Functionality Visual All As per Drawing ○ △ △ FBI009

Material Delivery Per Approved As per Approved


9.3 Visual All ○ △ R FBI009
Inspection-overhead Door Submittal Submittal
Overhead Door and Roller As per Approved
9.4 Functionality All ○ △ △ FBI009
Shutter Installation Submittal
Location, Levelness,
Window Type,
9.5 Window Installation Visual All Deliveries As per Drawing ○ △ △ FBI009
Glazing, Accessories,
Flashing, Caulking
10 Tile Work

Material Delivery Per Approved As per Approved


10.1 Visual All Deliveries ○ △ R FBI010
Inspection-tile & Grout Submittal Submittal
Tile Materials,
10.2 Tile Installation Alignment, Locations, Visual All Rooms As per Drawing ○ △ △ FBI010
Joint Alignment

13 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner

11 Millwork
Material Delivery
Per Approved As per Approved
11.1 Inspection - millwork& Visual All Deliveries ○ △ R FBI011
Submittal Submittal
Counter tops
11.2 Millwork Installation As per Drawing Visual All Rooms As per Drawing ○ △ △ FBI011

12 Toilet Accessories
Material Delivery
Per Approved
12.1 Inspection-toilet Visual All Deliveries As per Drawing ○ △ R FBI012
Submittal
Accessories & Partitions
Mounting Height and
Toilet Accessories
12.2 Location, Proper Visual All Rooms As per Drawing ○ △ △ FBI012
Installation
Attachment
As per
Per IFC and Standard
12.3 Sanitary and Piping System Method Each Area As per Drawing ○ △ △ FBI012
Drawing
Statement
As per
Plumbing/Piping System
12.4 As per Drawing Method Each Area As per Drawing ○ △ △ FGP001
Leak Test
Statement
Pressure Test Required for As per
12.5 Supply Line(Demi, As per Drawing Method Each Area As per Drawing ○ △ △ FGP001
Portable Water) Statement
As per
Flushing for Supply Line
12.6 As per Drawing Method Each Area As per Drawing ○ △ △ FBI012
after Pressure Test
Statement
As per
Operation Test in Case of
12.7 As per Drawing Method Each Area As per Drawing ○ △ △ FBI012
Electrical Water Heater
Statement
13 Floor Inspection
As per
13.1 Raised Floor As per Drawing Each Area As per Drawing ○ △ △ FBI013
Method

14 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
Statement

As per
Per IFC and Standard
13.2 Epoxy Floor Method Each Area As per Drawing ○ △ △ FBI013
Drawing
Statement
14 Fire Detection and Protection Inspection

14.1 Portable Fire Extinguishers As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
As per
14.2 Hose Reels Inspection As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
Statement
As per
Hydrants/Monitors and
14.3 As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
Cabinets
Statement
As per
14.4 Fire Detection As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
Statement
As per
CO2 Fire Suppression
14.5 As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
System
Statement
Breathing Apparatus
14.6 As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
Checklist
Safety Shower/Eye Bath
14.7 As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
Inspection
Escape Routes and
14.8 As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
Unit/Area Signage
15 Fence and Gate works

As per Drawing Measurement Each Area As per Drawing ○ △ △ FBI015

16 Final walk down

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Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner

Package/
Completeness Visual Package No Outstanding Items ○ ○ ○
punch list

17 Punch close

Each Punch Signed


Completeness Punch list All Punch Close ○ ○ ○
Items on punch list

18 Final sign off acceptance


Signed off
Turnover Package Visual Before Turnover Turnover to Owner ○ ○ ○ Turnover
Package

19. Plumbing

Installation and Visual/water


17.1 Plumbing All No Leakage ○ ○ ○ FCV035
Flushing flushing

17.2 Utility Leakage Pressure Test All No Leakage ○ ○ ○ FCV036

Full Water
17.3 Drain Leakage All No Leakage ○ ○ ○ FCV037
Test

20. HVAC

Performance
18.1 Temperature / Each Room ±2℃ ○ ○ ○ FCV038
Test

Performance
18.2 Air Volume / Each Room ≧Design Air Volume ○ ○ ○ FCV038
Test

As per
18.3 Duct, Damper, Diffuser Installation All Connection ○ △ - FCV039
Drawing

16 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner

As per
18.4 Refrigeration piping Installation All Pressure Test ○ △ - FCV040
Drawing

As per
18.5 Indoor & Outdoor Unit Installation All Stability ○ △ - FCV041
Drawing
Visual
Inspection/
18.6 Exposure Test Installation All Leakage Property ○ △ - FCV042
Insulation or
Exposed Duct
As per
18.7 Ventilation Installation All Stability ○ △ - FCV043
Drawing

Insulation for Ducting & As per


18.7 Installation All Defect & Gap Free ○ △ - FCV044
Piping Drawing

As per Air Balance &


18.8 Testing & Commissioning Operation All ○ △ - FCV045
Drawing Performance

21. HVAC electrical

HCP, HPDP Installation As per FCV048 /


19.1 Installation All Performance ○ △ -
Check Drawing FCV049

Cabling & Tray Installation As per


19.2 Installation All Performance ○ △ - FCV046
Check Drawing
Arrangement, Wire
Cable Termination As per
19.3 Marking & All Performance ○ △ - FCV046
Inspection Drawing
Termination
Insulation Resistance Test Resistance & As per
19.4 All Performance ○ △ - FCV047
and Continuity Inspection Continuity Specified

17 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner

As per
19.5 Voltage and Phase Check Voltage & Phase All Performance ○ △ - FCV056
Specified

As per
19.6 Function Test Function All Performance ○ △ - FCV038
Specified
Prepared by (CC7): Approved by (MHI): Approved by (OWNER): Rev. No.& Date: R: Review
○: Every Time
△: Discretion
―: None

18 / 51
Ghorasal Polash Urea Fertilizer Project (GPUFP)

Project GPUFP

Quality Control Forms List ITP No. 6488C AA80-000-00-00200


Inspection Stage Building

No. QCF No. Description Rev. Remark

1 FBI000 Electrical Conduit Inspection Record 0


Steel Structure Erection Inspection
2 FBI001 0
Record
3 FBI002 Masonry Work Inspection Record 0
Waterproof and Damp Protection
4 FBI003 0
Inspection Record
5 FBI004 Plastering Work Inspection Record 0
Wall & Roof Sheeting Inspection
6 FBI005 0
Record
7 FBI005A Waterproof Test Inspection Record 0
Metal, Studs, Drywall & Ceilings
8 FBI006 0
Inspection Record
9 FBI007 Fire Caulking Work Inspection Record 0
Painting and Latex Painting Works
10 FBI008 0
Inspection Record
Doors, Windows, Frames & Hardware
11 FBI009 0
Inspection Record
12 FBI010 Tile Work Inspection Record 0

13 FBI011 Millwork Inspection Record 0

14 FBI012 Toilet Accessories Inspection Record 0


General Pressure Test Inspection
15 FGP001 0
Record
16 FBI013 Floor Inspection Record 0
Fire Detection and Protection
17 FBI014 0
Inspection Record
Fence and Gates Works
18 FBI015 0
Inspection Record
19 FCV035 Plumbing Checklist 0

20 FCV036 Pressure Test Report 0


Plumbing/Piping System Leak Test
21 FCV037 0
(Building Works)
22 FCV038 HVAC Functional Test Checklist 0

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Installation/Testing of HVAC
23 FCV039 0
Accessories
Refrigerant Piping Layout and Support
24 FCV040 0
Installation
25 FCV041 Indoor & Outdoor Unit Inspection 0

26 FCV042 HVAC Duct Work Testing 0

27 FCV043 Ventilation Installation Checklist 0


Insulation of HVAC Ducts Pipes and
28 FCV044 0
Equipment
29 FCV045 HVAC Inspection Record 0

30 FCV046 Cable Installation Checklist 0


Insulation Resistance Test and
31 FCV047 0
Continuity Inspection
Control and Relay Panels Inspection
32 FCV048 0
Checklist
33 FCV049 Power Panel Inspection Checklist 0

34 FCV056 Voltage and Phase Check Record 0

20 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI000 Rev. 0


Electrical Conduit Inspection Record RFI No.

Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark


Material, Size and Dimension of Installed PVC Pipe Meet
1 □ACC □REJ □N/A
Requirement of Specification.
Method of PVC Pipe Pulling and Fixing Meet Requirement of
2
Specification.

3 Joint Connector is Installed as per Drawing

Joints are connected closely and firmly and Meeting


4
Requirement of Specification
Material, Size, Specification, Location and Quantity of PVC
5
Pipe Fittings and Wire Box Meet Requirement of Specification
Comments:

Signature
CC7 MHI BCIC

Name

Dept.

Signature

Date

21 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Steel Structure Erection Form No. FBI001 Rev. 0

RFI No.
Inspection Record
Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Receiving of Material Component □ACC □REJ □N/A

2 Preparation for Erection □ACC □REJ □N/A

3 Erection □ACC □REJ □N/A


Dimensional Inspection
4 (Level, Axis, Lines, Perpendicular and □ACC □REJ □N/A
Diagonal dimensions of Columns)
5 Bolting/Welding □ACC □REJ □N/A

Visual Inspection for Platform Grating,


6 □ACC □REJ □N/A
Handrails and Ladders

7 Anchor Bolts □ACC □REJ □N/A

8 Dimensional Check of Anchor Bolt Holes □ACC □REJ □N/A

9 Grouting □ACC □REJ □N/A

10 Painting or Galvanizing □ACC □REJ □N/A


Comments:

Signature
CC7 MHI BCIC

Name

Dept.

Signature

Date
22 / 51
QUALITY CONTROL FORM
Inspection/Test Stage: Area/Location
Form No. FBI002 Rev. 0

Masonry Work Inspection Record RFI No.


Report No.
Report Date
Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark


1 Surface Treatment Accepted □ACC □REJ □N/A
2 Quality of Material Accepted □ACC □REJ □N/A
3 Location, Wall Centre, Vertical Board Accepted □ACC □REJ □N/A
4 Protection of Weather Accepted □ACC □REJ □N/A
5 Proportioning & Mixing of Mortar Accepted □ACC □REJ □N/A
6 Damp Proof Course is Correctly Installed □ACC □REJ □N/A
7 Bonding Alignment Accepted □ACC □REJ □N/A
8 Brickwork is Plumb and True □ACC □REJ □N/A
9 Lintel Bearings Adequate and Correct □ACC □REJ □N/A
10 Mortar Joints Uniform and Pointed Correctly □ACC □REJ □N/A
Reinforcement and Installation of Accessories
11 □ACC □REJ □N/A
(Horizontal Dowels, Vertical Dowels, etc.)
12 Installation of Column Practice Accepted □ACC □REJ □N/A
13 Opening/ Sleeve Accepted □ACC □REJ □N/A
14 Surface Condition of Application Accepted □ACC □REJ □N/A
15 Condition of Trowel Finish Accepted □ACC □REJ □N/A
16 Condition of Curing Accepted □ACC □REJ □N/A
Comments:

Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date

23 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI003 Rev. 0


Waterproof and Damp Protection RFI No.
Inspection Record Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Surface Preparation Accepted □ACC □REJ □N/A

2 Quality of Material Accepted □ACC □REJ □N/A

3 Weather Condition Accepted □ACC □REJ □N/A

4 1st Layer Accepted □ACC □REJ □N/A

5 2st Layer Accepted □ACC □REJ □N/A

6 3st Layer Accepted □ACC □REJ □N/A

7 Curing Condition Accepted □ACC □REJ □N/A

8 Leakage Test Accepted □ACC □REJ □N/A

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

24 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI004 Rev. 0


Plastering Work Inspection Record RFI No.

Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Surface Treatment Accepted □ACC □REJ □N/A

2 Quality of Material Accepted □ACC □REJ □N/A

3 Protection for Weather Accepted □ACC □REJ □N/A

4 Proportioning and Mixing Accepted □ACC □REJ □N/A

5 Surface Condition of Application Accepted □ACC □REJ □N/A

6 Condition of Trowel Finish Accepted □ACC □REJ □N/A

7 Condition of Curing Accepted □ACC □REJ □N/A

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

25 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location


Form No. FBI005 Rev. 0

Wall & Roof Sheeting Inspection Record RFI No.


Report No.
Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Material Accepted □ACC □REJ □N/A

2 Preparation of Framing Accepted □ACC □REJ □N/A

3 Dimensional (Size, Elevation & Slope) Accepted □ACC □REJ □N/A

4 Installation of Accessories Accepted □ACC □REJ □N/A

5 Condition of Fastening Accepted □ACC □REJ □N/A

6 Condition of Cleaning Accepted □ACC □REJ □N/A


Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

26 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location


Form No. FBI005A Rev. 0

Waterproof Test Inspection Record RFI No.


Report No.
Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark


Waterproof and Damp Protection Construction Completed
1 □ACC □REJ □N/A
and Accepted.
Leakage Test

Fill Water Time Minimum Water Depth


From to

Ambient Temperature Weather □Sunny □Rainy □Cloudy

Holding Time Testing Date

Note: No Leakage is Found and Water can be Drained Smoothly and Successfully.

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

27 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Metal, Studs, Drywall & Ceilings Form No. FBI006 Rev. 0

Inspection Record RFI No.

Report No.

Report Date
Building Name &
Location/Area
No.
Related Drawing No.

No. Item to Check Result Remark


□ACC □REJ □
1 Condition of Material Accepted
N/A
□ACC □REJ □
2 Metal Stud Installation Accepted
N/A
□ACC □REJ □
3 Final Wall Framing & Drywall
N/A
□ACC □REJ □
4 Grid & Wall Mould Installation
N/A
□ACC □REJ □
5 Acoustical Ceiling Tile Installation
N/A

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

28 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI007 Rev. 0


Fire Caulking Work Inspection Record RFI No.

Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Material Accepted □ACC □REJ □N/A

2 Cleanliness of Joint Surface Accepted □ACC □REJ □N/A

3 Climatic Condition Accepted □ACC □REJ □N/A

4 Mixing and Preparation of Material Accepted □ACC □REJ □N/A

5 Curing Condition Accepted □ACC □REJ □N/A

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

29 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI008 Rev. 0


Painting and Latex Painting Works RFI No.
Inspection Record Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Material Accepted □ACC □REJ □N/A


Condition of Surface Condition Prior to Apply
2 □ACC □REJ □N/A
Primer Coat Accepted
3 Weather Condition Accepted □ACC □REJ □N/A
Application of First Coat & Curing Condition
4 □ACC □REJ □N/A
Accepted
Application of Second Coat & Curing Condition
5 □ACC □REJ □N/A
Accepted
Application of Final Coat & Curing Condition
6 □ACC □REJ □N/A
Accepted

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

30 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI009 Rev. 0


Doors, Windows, Frames & Hardware RFI No.
Inspection Record Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Type and Condition of Material Accepted □ACC □REJ □N/A

2 General Operation of Doors/Windows □ACC □REJ □N/A


Installation of Frames Anchored Plumb and
3 □ACC □REJ □N/A
Level Accepted
4 Hardware in Good Mechanical Operation □ACC □REJ □N/A

5 Glass Well Bedded and Putty Neatly Trimmed □ACC □REJ □N/A
Operation of Overhead or Telescoping Doors/
6 □ACC □REJ □N/A
Windows (controls, smoothness and speed)
Telescoping Doors Guides Installed, Secured
7 □ACC □REJ □N/A
and Aligned Properly
8 Installation of Hardware Accepted □ACC □REJ □N/A

9 Instruction Manuals for Special Checked □ACC □REJ □N/A

10 Test Certificate for Fire Rated Door □ACC □REJ □N/A


Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

31 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI010 Rev. 0


Tile Work Inspection Record RFI No.

Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Surface Preparation Accepted □ACC □REJ □N/A

2 Quality of Material Accepted □ACC □REJ □N/A

3 Weather Condition Accepted □ACC □REJ □N/A


Condition and Application of Adhesive
4 □ACC □REJ □N/A
Accepted
5 Pattern and Layout of Installation Accepted □ACC □REJ □N/A

6 Correct Type and Proportioning of Adhesive □ACC □REJ □N/A

7 Tile Finish is Plumb and Level □ACC □REJ □N/A


Trimming around Openings and Fittings
8 □ACC □REJ □N/A
Accepted
9 Condition of Joint Grouting Accepted □ACC □REJ □N/A

10 Curing Condition Accepted □ACC □REJ □N/A

11 Condition of Washing and Cleaning Accepted □ACC □REJ □N/A

12 Drained Slope Accepted (if required) □ACC □REJ □N/A


Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

32 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI011 Rev. 0


Millwork Inspection Record RFI No.

Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Material Accepted □ACC □REJ □N/A

2 Surface Preparation Accepted □ACC □REJ □N/A


Formation and Dimensional of Millwork
3 □ACC □REJ □N/A
Accepted
Fastening Items (Screws, Nails, Washers, etc.)
4 □ACC □REJ □N/A
Installed Properly

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date
33 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location


Form No. FBI012 Rev. 0

Toilet Accessories Inspection Record RFI No.


Report No.
Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Equipment Accepted □ACC □REJ □N/A

2 Condition of Material Accepted □ACC □REJ □N/A

3 Fixture and Equipment Support Accepted □ACC □REJ □N/A

4 Piping Extended to All Applicable Points □ACC □REJ □N/A

5 Pressure Test Performed and Accepted □ACC □REJ □N/A

6 Leakage Test Performed and Accepted □ACC □REJ □N/A

7 Cleaning and Curing Condition Accepted □ACC □REJ □N/A


Operation Test in Case of Electrical Water
8 □ACC □REJ □N/A
Heater Performed and Accepted

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

34 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location
General Pressure Test Form No. FGP001 Rev. 0
Inspection Record
RFIN No.

Report No.

Report Date

Checklist Prior to Pressure Test

No. Items to be Confirmed Result Remark

1 Line Completed as per ACC REJ N/A

2 All NDT Done and Accepted as per Specification

3 All Instrument and Control Valves Removed prior to Pressure Test

4 Line Check Completed and All Punch A Closed Out

5 Water source, water quality and air source meet the requirements

6 Related NCR Close out

Pipeline No. Pipe Material

Pipe Size & Thickness Ambient temperature ℃

Test Medium Design Pressure Mpa

Test Pressure Mpa Actual Test Pressure Mpa

Starting Time Ending Time

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date
35 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI013 Rev. 0


Floor Inspection Record RFI No.

Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Material Accepted □ACC □REJ □N/A

2 Appearance of Floor Accepted □ACC □REJ □N/A


Position and width of deformation joint and joint
3 □ACC □REJ □N/A
filling quality Accepted
4 Raised Floor Laying Accepted

4.1 Floor Panels Installation Accepted □ACC □REJ □N/A

4.2 Pedestals and Stringers Installation Accepted □ACC □REJ □N/A

4.3 Earthing Connection (if applicable) Accepted □ACC □REJ □N/A

5 Epoxy Floor Laying Accepted

5.1 Cleanliness Inspection prior Application Accepted □ACC □REJ □N/A

5.2 Layers and Curing Cycles Accepted □ACC □REJ □N/A


Application shall be extended to above floor level
5.3 □ACC □REJ □N/A
min +150mm to wall
Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

36 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI014 Rev. 0


Fire Detection and Protection RFI No.
Inspection Record Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Type and Condition of Equipment Accepted □ACC □REJ □N/A


Portable Fire Extinguishers, Hose Reels,
2 Hydrants/Monitors and Cabinets Installed □ACC □REJ □N/A
Properly According to Vendor’s Manual
Fire Detection Program (Heat and Smoke)
3 □ACC □REJ □N/A
Operation Accepted
4 CO2 Fire Suppression System Accepted □ACC □REJ □N/A

5 Breathing Apparatus Installation Accepted □ACC □REJ □N/A

6 Safety Shower/Eye Bath Installation Accepted □ACC □REJ □N/A

7 No Roadblock in the Escape Routes and Unit □ACC □REJ □N/A

8 Area Signage or Indicator is Correct and Clear □ACC □REJ □N/A

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

37 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location

Form No. FBI015 Rev. 0


Fence and Gates Works RFI No.
Inspection Record Report No.

Report Date

Location/Area Building Name & No.

Related Drawing No.

No. Item to Check Result Remark

1 Condition of Material Accepted □ACC □REJ □N/A

2 Plumb, Levelness and Height of Wall Accepted □ACC □REJ □N/A


Masonry and Plastering Works of Wall
3 □ACC □REJ □N/A
Accepted
4 Stability of Wall Accepted □ACC □REJ □N/A

Location and Size of Gates Accepted □ACC □REJ □N/A

Comments:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

38 / 51
QUALITY CONTROL FORM

Inspection / Test Stage:


Area/Location

Form No. FCV035 Rev. 0

Plumbing Checklist RFIN No.

Report No.

Report Date

Inspection Item ACC REJ Remarks

Verify the use of correct plumbing materials

1. Sanitary waste and vent system

2. Acid waste and vent system

3. Potable water system

4. Instrument air system

5. Plumbing fixtures and equipment

Verify plumbing installation per design documents

6. Hangers and supports

7. Piping

8. Joints

9. Valves

10.Fixtures

11.Hydrotesting

12.Correctness to codes, regulations

Notes:

Signature
CC7 MHI BCIC

Name

Dept.

Signature

Date

39 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV036 Rev. 0
Pressure Test Report RFIN No.
Report No.
Report Date
Test Package No.: Description:
P. &I.D. No.(s) R P. &I.D. No.(s) R P. &I.D. No.(s) R P. &I.D. No.(s) R

ISO No. Sht. R ISO No. Sht. R ISO No. Sht. R

Test Condition
Test Medium Chlorine Content
Test Media/Metal Temp Min. Max. Actual
Ambient Temp. Min. Actual
Test Pressure Min. Max. Test Pressure Min. Max.
Holding Time: Min. Actual
Test Gage M.T.E. Date Last Test Gage Low High
Number: M.T.E. Calibrated: Range: Low High
CC7 MHI BCIC
Signature Date Signature Date Signature Date
Pre-Test Walkdown Complete:
NDE, PWHT, PMI (if required)
Complete/Accepted:
Verification of Satisfactory Test Results
Verification of Line Restoration
Picture as evidence during inspection

Picture 1 Picture 2 Picture 3

40 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV037 Rev. 0
Plumbing/Piping System Leak Test RFIN No.
(Building Works) Report No.
Report Date
Work Scope
□ Plumbing □ Down Pipe
□ Drainpipe □ Other
Test Method
Test Medium Test Pressure Duration Remarks
□ Leak Test
□ Full Water Test
□ Flow Test
□ Ball Test
□ Other
Check List
Inspection ACC REJ Remarks
A. Leak/Full Water Test
1.Joint sealing and other requirements completed.
2.Leak test carried-out as per above method and result is acceptable
3.Drain out completed as necessary.
4.Cleaning of internal is carried-out satisfactorily after test.
5.Protection/cover provided (temporary or permanent) as precaution.
(Check if cover may be required to be installed for open ends)
B. Flow or Ball Test
1.Sealing and other required works completed
2.Flow direction is as per requirement
3.No blockage observed along the flow path
4.Cleaning of internal is carried-out satisfactorily after test.
5. Protection/cover provided(temporary or permanent) as precaution.
(Check if cover may be required to be installed for open ends)
Remarks:

Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date

41 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV038 Rev. 0
RFIN No.
HVAC Functional Test Checklist
Report No.
Report Date
No. Description ACC REJ Remarks
1 Specified equipment installed in accordance with
manufacturer’s drawings and specifications.
2 Blowers/Fan/Ventilators working properly
3 Electrical/Instruments
4 Filters are cleaned and free of damage
5 Heating/Cooling Temperature measured and tested
6 Dryers are working properly
7 Compressor functioning properly
8 Outdoor/Indoor unit operational
9 Thermostat functioning
10 Drain pan and connection
11 Dampers working properly
12 Duct supports installed per specifications.
13 Balancing and adjusting completed and controls systems
adjusted.
14 Ceiling diffusers checked.
15 Systems checked for completeness
16 Controls and switches in working condition
17 Unit vibration control
18 CFM of Unit maintained as per required capacity and space
19 Measured & record flow
20 Check proper operation of humidifier
21 All the connection to unit installed
22 Check full load appears (FLA) as per manufacture required.

Remarks:

Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
42 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location

Form No. FCV039 Rev. 0

Installation/Testing of HVAC Accessories RFIN No.

Report No.

Report Date

No. Description ACC REJ Remarks

1 Check the material is as per approved drawing

2 Check the support are properly fixed and level as per drawing

3 Check the material free from damages

4 Check the connection of the duct and duct accessories are


properly clipped or sealed
5 Ensure the nameplate/identification tags of the equipment as per
requirement
6 Check the installation as per manufacturer recommendation
Volume dampers shall be located a minimum of two duct sizes
7
away from fittings
Branch ducts with a minimum length of 2 equivalent duct
8 diameters, shall be required for all diffusers, registers and
grilles direct attachment to main duct not allowed.
9 All fan wheels shall be statically and dynamically balanced in
accordance with AMCA Standard 204-05.
10 Ducts shall be terminated at the fire damper sleeves or the
damper frames.
Testing

1 Check the equipment working properly

2 Ensure the item is free of damages

Remarks:

Signature
CC7 MHI BCIC

Name

Dept.

Signature

Date
43 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV040 Rev. 0
RFIN No.
Refrigerant Piping Layout and Support
Installation Report No.
Report Date
No. Description ACC REJ Remarks
1 All duct work completed &connections sealed properly
2 Check search light required powered (min 500 watts)
3 Light test should be done proper darkness
4 Duct entire surface free of debris and dust
5 Duct leak test method
6 Duct leak test conducted and find: Accepted/Rejected
7 Check smoke fan housing proper fixed.
8 Identify ductwork section to be tested.

9 Check ductwork Section proper sealed / Seal All Openings (except


one)
10 Check Pressurize ductwork to specified level
11 Check & Measure flow required to maintain duct pressure
12 Check % of Flow requirements

13 Function test Blower with speed control (VFD) to generate range


of pressure/flow
14 Pressure instrument (manometer) is celebrated
15 Check smoke generator Maximize & minimum Flow Range
16 Calculates Leakage rate based on duct square feet input

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

44 / 51
QUALITY CONTROL FORM

Inspection / Test Stage:


Area/Location

Form No. FCV041 Rev. 0

Indoor & Outdoor Unit Inspection RFIN No.

Report No.

Report Date

Inspection Item ACC REJ Remarks

1. Verify nameplate data.

2. Verify preservation integrity.

3. Verify foundation and foundation bolts meet specified


requirements.

4. Verify installation tolerance have been met.

5. Verify grouting meet specifications.

6. Verify all internals are correctly installed.

7. Verify all shipping devices have been removed.

8. Verify all vents, drains, instrument connections, etc., are installed


in accordance with equipment trim isometrics.

9. Verify alignments of piping connections are correct.

10.Verify coating system meets specified requirements.

11.Verify insulation meets specified equipment.

12.Verify prior to final closing for internal cleanliness.

13.Verify all ladders, platforms, stairways, and walkways are


correctly
Notes:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date

45 / 51
QUALITY CONTROL FORM

Inspection / Test Stage:


Area/Location

Form No. FCV042 Rev. 0

HVAC Duct Work Testing RFIN No.

Report No.

Report Date

Inspection Item ACC REJ Remarks


1. All duct work completed &connections sealed properly
2. Check search light required powered (min 500 watts)
3. Light test should be done proper darkness
4. Duct entire surface free of debris and dust
5. Duct leak test method
6. Duct leak test conducted and find
7. Check smoke fan housing proper fixed.
8. Identify ductwork section to be tested.
9. Check ductwork Section proper sealed / Seal All Openings
(except one)
10.Check Pressurize ductwork to specified level
11.Check & Measure flow required to maintain duct pressure
12.Check % of Flow requirements
13.Function test Blower with speed control (VFD) to generate range
of pressure/flow
14.Pressure instrument (manometer) is celebrated
15.Check smoke generator Maximize & minimum Flow Range
16.Calculates Leakage rate based on duct square feet input
Notes:

Signature
CC7 MHI BCIC

Name

Dept.

Signature

Date

46 / 51
QUALITY CONTROL FORM

Inspection / Test Stage: Area/Location


Form No. FCV043 Rev. 0
RFIN No.
Ventilation Installation Checklist
Report No.
Report Date
Equipment Description:
Drawing No.
Specification No.
Vendor Drawing No.
Inspection Item ACC REJ Remarks
1. Assembly
2. Orientation
3. Elevation
4. Shimming and Grouting
5. Final Alignment and Rotation
6. Bolting and Anchoring
7. Instrumentation
8. Insulation
9. Protection
10.Cleaning, Lubrication, Adjustment, Packings
Vessel Internals Check
Item No. Horizontal & Plumb Tightness All Parts Operable Cleanliness Remarks

Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
47 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location

Form No. FCV044 Rev. 0

Insulation of HVAC Ducts Pipes and RFIN No.


Equipment
Report No.

Report Date

No. Description ACC REJ Remarks

1
Check the insulation materials are in accordance with the
approved material for types, thickness, density and finish

2
Ensure all material are free from damages, debris and
dust

3
Ensure all material is stored properly in dry condition and
dust free

4
Check the insulation is applied in accordance with the
approved MS and drawing details

5
Check the insulation is correctly aligned, lapped and
adequately bonded
6 Check the vapor sealing has been correctly applied
7 Check the vapor seal around the support and anchor
8 Check the field applied jacket is properly done
9 Duct joints shall be sealed prior to insulation.
Exterior insulated ductwork shall be provided with
10 aluminum jacketing manufactured in accordance with
ASTM B209/B209M.

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date
48 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location

Form No. FCV045 Rev. 0

HVAC Inspection Record RFIN No.

Report No.

Report Date

No. Inspection/Verification Checkpoints: ACC REJ Remarks

1 Materials are in accordance with Design Documents.

2 Air conditioning checklist complete.

3 Internal accessories complete.

4 Leak testing complete.

5 Temporary blank-offs removed.

6 Connections between duct and equipment complete/acceptable.

7 All Non-conformance Reports are closed.

8 Walkdown is complete.

9 Other Inspection/Verification Activities performed as follows:

Remarks:

Signature

CC7 MHI BCIC

Name

Dept.

Signature

Date
49 / 51
QUALITY CONTROL FORM

Inspection / Test Stage:


Area/Location

Form No. FCV046 Rev. 0

Cable Installation Checklist RFIN No.

Report No.

Report Date

Cable No.

Drawing No.

Verify the following are acceptable ACC REJ Remarks

1. Cable length adequate

2. Cable preparation proper

3. Termination lug correct Size/type

4. Crimping tool correct

5. Permanent cable I.D. correct

6. Terminals torqued in accordance with specification

7. Wire size, type, and color correct

8. Correct polarity of conductors

Comments:

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Name

Dept.

Signature

Date

50 / 51
QUALITY CONTROL FORM

Inspection / Test Stage: Area/Location


Form No. FCV047 Rev. 0

Insulation Resistance Test and Continuity RFIN No.


Inspection Report No.
Report Date

Tag Description Tag No.

Test Equipment Test Voltage

Related Drawing No.

Panel No. Wire or Cable Insulation


Wire Cable Rated
Circuit No. Resistance Initials
Tagging Voltage
Feeder No. Quantity Size From To (Megohms)*

Signature
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Signature

Date

51 / 51
QUALITY CONTROL FORM

Inspection / Test Stage: Area/Location


Form No. FCV048 Rev. 0

Control and Relay Panels Inspection RFIN No.


Checklist Report No.
Report Date
Inspection Items ACC REJ Remarks
1. Panel ground wire installed
2. Internal cooling fan
3. Forced ventilation
4. Nameplates complete
5. Internal device labels complete
6. Terminal strips labeled
7. NEMA construction (I, 3R, etc.) of enclosure
8. Field wire markers complete
9. Unused knockouts plugged
10.Convenience outlet phased
11.Internal lighting complete
12.Floor entrances sealed
13.Touch up painting completed

14.Annunciator wiring bundled and formed to allow removal of a single


print wiring without shutdown. Future points are not blocked.

Comments:

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CC7 MHI BCIC

Name

Dept.

Signature

Date

52 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV049 Rev. 0

Power Panel Inspection Checklist RFIN No.


Report No.
Report Date
Inspection Items ACC REJ Remarks
1. Remote trip installed
2. Panel directory complete
3. All nameplates complete
4. Ground bus installed
5. Ground bus tied to plant ground grid
6. All mechanical interlocks operational
7. Unused knockouts plugged
8. Floor anchors installed
9. Grouting complete
10.Touch up painting complete
Provide the data and complete the following:
1. Incoming Feeder Size
2. Main Disc. or Fuse Rating
3. Vertical Bus Rating
4. Vertical Bus Type
5. Megger at 1000V
6. Megger at 1000v Ground
7. Feeder Fuse Type

Comments:

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Name

Dept.

Signature

Date

53 / 51
QUALITY CONTROL FORM

Inspection/Test Stage: Area/Location


Form No. FCV056 Rev. 0
Voltage and Phase Check Record RFI No.
Report No.
Report Date

Tag Description Tag No.

Circuit No. Related Drawing

No. Verify the following are acceptable in accordance with design documents: Result Remark

1 Cable size type, location, installation and routing

2 Cable bend radius is as specifications and cable jacket free of kinks


Cable termination supports and support spacing is as drawings and
3
Specifications
4 Cable installation neat and evenly spaced

5 Cable free of surface damage

6 Termination Kit/Materials installed is as Manufacturer’s instructions

7 Document DC High Potential Test (hypot)


Cable Terminated is as equipment manufacturer’s instructions, including
8
torquing of bolted connections.
Left to Right

9 Check phase location and marking: Top to Bottom

Front to Rear
Comments:

Signature
CC7 MHI BCIC

Name

Dept.

Signature

Date

54 / 51

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