PROJECT NAME PROJECT SYMBOL

INSPECTION & TESTING PLAN

DOC. NO. : REV NO. : 00

ACTIVITY : DATE :

INSPECTION LEVEL
METHOD OF
NO. ACTIVITY DESCRIPTION ACCEPTANCE CRITERIA VERIFYING DOCUMENT TIME INSPECTION/ FREQUENCY
INSPECTION Owner Contractor Consultant

SewAage Water Installation

A Prepare Material
1 submersible pumps Review, Visual CAI-DWG-ME-DD-PL-GE-6001
2 PVC Pipe for Venting Review, Visual PVC CLASS D JIS 5K
3 PVC pipe for Sewage and waste water pipe Review, Visual PVC AW JIS 10K1 QC-ME-GEN-002 Per as execution M W SW
4 STP Review, Visual CAI-DWG-ME-DD-PL-STP-7001
5 Accessories Review, Visual CAI-TS-PL-01

B Implementation Work
elevation accordance to the approved shop
1 Digging Visual drawing, Excavation limits, Excavation slope, QC-ME-INS-007 Daily
tidiness of excavated soil
work access is not interrupted, The place
2 Relocation soils Visual where the soil is placed for more than 12 QC-ME-INS-007 Daily
hours, must be protected
3 Install pipe Visual Daily
4 backfill & Compaction MS-ME-MECH-001, CAI-DWG-ME-DD-PL Daily
QC-ME-INS-007 M W SW
5 Install the accessories Visual Daily
Visual, CAI-DWG-ME-DD-PL-STP-4001
6 Install pump Daily
Measurement
7 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, The test is carried out for 2-5 hours, the
1 Soak and sloping test QC-ME-TST-003 Per as execution SW W W
Measurement volume of water comes out is the same

-, Review CAI-TS-EP-01, MS-ME-EL-009, MS-ME-

2 Continuity & megger test QC-ME-TST-004, 005, 006 Per as execution SW W W
-, Visual EL-010
-, Visual QC-ME-COM-007 & QC-ME-COM-
3 Testing commissioning Submersible pump CAI-TS-PL-01 Per as execution SW W W
-, Measurement 008

-, Closing of all outstanding NCR

-, Submission complilation of relevant -, Final Document
-, Review
D Completion of Work inspection record / Reports and Contract -, Certificate of Completion (COC) Per as execution H H H
-, Visual
checklist, Documentations, Completed and -, Certificate of Origin (COO)
signed-off punchlist / NCR
LEGEND
Hold is defined as critical steps in the instalation and testing process. Otherwise owner waiving letter, the project team cannot proceed to the next activity until the inspection, measurment or test has been witnessed
H : Hold Point
approved by the attending parties
W : Witness Point Witness point of inspection/test, is an activity during construction where inspection, measurements or testing must take place and documented

SW : Spot Witness Spot Witness, This activity may perform during perform during construction where interim measurements, and/or witness of activity normally take place, prior to final measurement or inspection being done

R : Review Review of Inspection/Test Record and Other Document

ITP Sign-Off post completion of Works

CONTRACTOR APPROVAL Consultant APPROVAL

NAME : NAME :
SIGN : SIGN :
DATE: DATE:

FMR-QCL-09/R1
ECT SYMBOL

REMARK

ment or test has been witnessed and

inspection being done

 Doc.No. Revision :

0A
005-ITP-ME-2022
Inspection & Test Plan of Sewage Water Installation CHECKED Sheet: Of:
Project No. : MD - 2408 DATE PREPARED APPROVED BY
QC
Project : Cainiao Smart Logistic Warehouse 5/25/2022 Site QC Project Manager
Manager

Responsbility*
No Item Description/Inspection Activity & Test Plan Method of Inspection Acceptance Criteria / Reference Verifying Document Time Inspection / Frequency Remarks
Murinda BNBV CN
SewAage Water Installation
A Prepare Material
1 submersible pumps Review, Visual CAI-DWG-ME-DD-PL-GE-6001
2 PVC Pipe for Venting Review, Visual PVC CLASS D JIS 5K
3 PVC pipe for Sewage and waste water pipe Review, Visual PVC AW JIS 10K1 QC-ME-GEN-002 Per as execution M W SW
4 STP Review, Visual CAI-DWG-ME-DD-PL-STP-7001
5 Accessories Review, Visual CAI-TS-PL-01

B Implementation Work
elevation accordance to the approved shop drawing,
1 Digging Visual Excavation limits, Excavation slope, tidiness of QC-ME-INS-007 Daily
excavated soil

work access is not interrupted, The place where the soil

2 Relocation soils Visual QC-ME-INS-007 Daily
is placed for more than 12 hours, must be protected

3 Install pipe Visual Daily

4 backfill & Compaction MS-ME-MECH-001, CAI-DWG-ME-DD-PL Daily
QC-ME-INS-007 M W SW
5 Install the accessories Visual Daily
6 Install pump Visual, Measurement CAI-DWG-ME-DD-PL-STP-4001 Daily
7 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, The test is carried out for 2-5 hours, the volume of
1 Soak and sloping test QC-ME-TST-003 Per as execution SW W W
Measurement water comes out is the same

-, Review
2 Continuity & megger test CAI-TS-EP-01, MS-ME-EL-009, MS-ME-EL-010 QC-ME-TST-004, 005, 006 Per as execution SW W W
-, Visual
-, Visual QC-ME-COM-007 & QC-ME-
3 Testing commissioning Submersible pump CAI-TS-PL-01 Per as execution SW W W
-, Measurement COM-008

-, Closing of all outstanding NCR

-, Submission complilation of relevant inspection -, Final Document
-, Review
D Completion of Work record / Reports and Contract checklist, -, Certificate of Completion (COC) Per as execution H H H
-, Visual
Documentations, Completed and signed-off punchlist / -, Certificate of Origin (COO)
NCR

* Legend :

M : Field Inspection or/and Test which is performed by the subcontractor

R : Review of Inspection/Test Record and Other Document
I : Inspection/Test Record to be submitted only for information
P : Issue/Provide Document
SW : Spot Witness, This activity may perform during perform during construction where interim measurements,
and/or witness of activity normally take place, prior to final measurement or inspection being done
W : Witness point of inspection/test, is an activity during construction where inspection, measurements
or testing must take place and documented
H : Hold Point is defined as critical steps in the installation and testing process. Otherwise
owner issue waiving letter, the Project Team cannot proceed to the next work activity until the
inspection, measurement or test has been witnessed and approved by the attending parties
 Attached : Date:
QC-ME-INS-007
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Sewage and Waste Water Pipe Installation (Using PVC Pipe) Project No. MD2408
Location :

Ref. Drawing :

RESULT
No. ITEM TO CHECKED REMARKS
YES NO
INSTALLATION
1 Brand, dimensions and installation according to specifications
2 The installation of the pipe sparing & sleeve is according to the drawing.
3 Installation of piping does not leak, straight and parallel.
4 BOP and piping sloping are according to the drawing.
5 Installation & flange dimensions are according to specifications.
6 Valve installation (Gate valve, Check valve etc.)
7 Installation of air venting is done
8 Installation of hanger/pipe support is sturdy and safe.
9 Painting / labeling the pipe is correct.
10 Grouting work is done.

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
QC-ME-TST-006
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Insulation Resistance Test / Megger Test Insulation - 3 Phase Project No. MD2408
Location :

Reference Drawing :

GROUPING INSULATION RESISTANCE TEST RESULT

No. BUSDUCT LINE R-S R-T R-N R-G S-T S-N S-G REMARK
T-N T-G N-G
FROM TO PASS FAIL
Ω Ω Ω Ω Ω Ω Ω Ω Ω Ω

Note : Tools Used

X : Bad • R : Phase 1 • T : Phase 3 • G : Phase G • Merk :
√ : Good • S : Phase 2 • N : Phase N • Type :
Comment Conclusion :
Approved
Approved with comment
Not Approved
Revised & Resubmit
Prepared Reviewed Approved Approved Approved Approved
SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-TST-005
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT
Doc.No. : Page: 00 of 00

Subject : Insulation Resistance Test / Megger Test Insulation - 1 Phase Project No. MD2408

Location :
Ref. Drawing :

Insulation Resistance Test

Grouping Result
No. Cable Type L-N L-G N-G Remarks
From To MΩ MΩ MΩ Pass Fail

Note : Tools Used

X : Not Good • L : Line • G : Grounding • Merk
√ : Good • N : Neutral • Type
Comments Conclusions:
Approved
Approved w/ comments
Not approved
Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-TST-004
CAINIAO SMART LOGISTIC
WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Continuity Test Project No. MD2408

Location :

Reference Drawing :

Result Result
No. Cable No. Remark No. Cable No. Remark
Pass Fail Pass Fail

Note : Tools Used

X : Not Good • L : Line • G : Grounding • Merk
√ : Good • N : Neutral • Type
Comment : Conclusion :
Approved
Approved with comment
Not Approved
Revised & Resubmit
Prepared Reviewed Approved Approved Approved Approved
SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-TST-003
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Non-Pressurized Pipe Leak Test (Soak & Sloping Test) Project No. MD2408
Location :

Reference Drawing :

Soap Test
Location / Pipe Length Depth length
No. Initial Re-check Soap Test Result Sloping Test Result
Gridline (meter) difference
Time Depth Length Time Depth Length
Comments Conclusions:
Approved
Approved w/ comments
Not approved

Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao

Name

Signature

Date