Inspection and Test Plan (ITP)

Project Number and Name: Ampol Lytton Refinery Future Fuels Project Bulk Stormwater Drainage
Inspection Title:
Earthworks

Lot Number: Dates of Work:

Lot Location/Area: Lot Owner: Lachlan Ferguson

Revision Description of Changes Date of Issue

0 Initial Issue 11/05/2023
1 Revision Based on New SOW Document Issued by Kent 14/05/2023

Lot Record Requirements

Type Description Item Reference No.

Hold Point Documentation 1.1
Hold Point Inductions 1.2
Hold Point Pipe Compliance 1.6
Hold Point CCTV 4.1
Hold Point On-maintenance Inspection 4.2

Sign-Off
Name: Signature: Date:

HEQ-TPE-00396
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 Inspection and Test Plan (ITP)

Inspection /
Hold Verification Sign
Test Method
Item Work Step Points/Witness Conformance Criteria Frequency Comments Date
Points BMD Kent

1.0 Preliminary Requirements

Prior to
SWMS to be submitted prior to permit
1.1 Documentation Hold Point establishment Submission
being issued.
on site
All personnel are required to complete
Prior to
an Ampol or Kent induction, BMD
1.2 Inductions Hold Point establishment Induction
induction and an on-site
on site
familiarisation.
All workers onsite are required to be
signed onto the Ampol or Kent permit
provided by Kent, attend the pre-starts
and toolbox talks and to be wearing
1.3 Site Establishment the appropriate PPE as required. As Required Visual Inspection

BMD JHA/JSEA cards to be

completed and kept on hand.
Service location to ascertain and mark
on the ground the position of all
1.4 Service Location underground service and structures All Areas Visual Inspection
within the limits of the work and within
10m beyond the limits of work.
All site survey control to be developed
and confirmed prior to setting out
structures and pavements. All survey
1.5 Survey Setout and Control All Areas
Setout to be in accordance with the
Drawings and Australian Standards
for survey.
The Subcontractor (BMD) is required
to submit the quality conformance
report from the manufacturer for all All pipes,
1.6 Pipe Compliance Hold Point stormwater products, which confirm culverts, & Submission/ Report
compliance with the nominated headwalls.
standards in the Drawings.
BCC S160 CL2.3 (NOV2018).
1.7 Pipe Material Acceptance The Subcontractor (BMD) shall Each pipe,
inspect each pipe for wall and joint culvert, & Visual Inspection
headwall.

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 Inspection /
Hold Verification Sign
Test Method
Item Work Step Points/Witness Conformance Criteria Frequency Comments Date
Points BMD Kent
surface defects, as per Table 3.4
(refer to table below).
BCC S160 CL3.2.7 (NOV2018).

2.0 Stormwater Pipes

- The Principal Contractor /
Company is to inspect the excavated As Requested
surfaces prior to placing the bedding from the Visual Inspection
material. Superintendent
2.1 Trench Foundation BCC S160 CL2.2 (NOV2018).
- The trench has a 1000-mm minimum
trench width. All Trenches Visual Inspection
BCC BSD-8003.
- The nominated 5-mm pipe surround
1 material
material (or other) meets the meets
grading test for
Pipe Surround/Bedding the material requirements outlined in Geotechnical
2.2 every 1000m3.
Material Table 3.2 and 3.3 (refer to the tables Testing
below). BCC S120
CL4.1
BCC S160 CL3.2.5 (NOV2018).
- The nominated 5-mm pipe surround
material (or other) provides the pipe
Pipe Surround/Bedding (rigid & flexible) with a minimum
2.3 150mm cover to the compacted All Backfill Visual Inspection
Material Placement
backfill.
BCC BSD-8011.
- Grade Tolerances from Design:
1. Vertical: 1V in 500H;
2. Horizontal: 1V in 300H.
2.4 Pipeline Tolerances All Lines Survey
(refer to Table 3.1 below)
- Absolute Minimum Grade: 1 in 300.
BCC S160 CL3.2.1, 3.2.4 (NOV2018).
- The The Principal Contractor /
Company is to inspect the pipe, As Requested
2.5 Pipe Inspection joints and surround material prior from the Visual Inspection
to backfill. Superintendent
BCC S160 CL2.2 (NOV2018).
- Minimum backfill depths:
2.6 Backfill Dimensions 1. Private Property: 450-mm; All Lines Visual Inspection
2. Verges & Footpaths: 600-mm;

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 Inspection /
Hold Verification Sign
Test Method
Item Work Step Points/Witness Conformance Criteria Frequency Comments Date
Points BMD Kent
3. Roads: 750-mm
Refer to Table 5.1 below.
BCC S145 CL5.0 (May 2016).
BCC BSD-2042&2043.
- The backfill materials based on
location:
Backfill:
New Constructions (Roads &
Allotments): 1 sample for
every 1000m3
Select a backfill material (general or material.
select) to match the adjoining
subgrade material with 75-mm BCC S120
maximum stone size. CL2.2.
BCC S145 CL7.2,7.4 (May 2016).
BCC BSD-2042&2043. Geotechnical
2.7 Backfill Materials
Testing
Existing Roads: Unbound
A granular fill, stabilised sand or lean Pavement
mix concrete. Material:
Generally, granular fill: 1 material
1. Type 2.1 – CBR80 grading test for
2. Type 2.3 – CBR45 every 500m3.
3. Type 2.5 – CBR 15 BCC S120
BCC S145 CL7.2,7.4 (May 2016). CL6.1.
BCC BSD-2042&2043.
- Place and compact fill material Backfill:
uniformly in layers with loose layer
1 field density
thickness not exceeding 200 mm.
test per 2
- The minimum backfill compaction compacted
standards based on location: layers for every
1. Allotment fill: 40 linear
- 95% standard compaction. metres
2. Road formations (incl. footpaths): Unbound Geotechnical
2.8 Backfill Compaction Pavement:
> 0.3 m below subgrade: Testing
1 in situ density
- 95% standard compaction;
test per single
≤ 0.3 m below subgrade: compacted
- 100% standard compaction; layer of work
for every 40
BCC S145 CL7.5 (May 2016).
linear metres
BCC S145
CL2.3

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 Inspection /
Hold Verification Sign
Test Method
Item Work Step Points/Witness Conformance Criteria Frequency Comments Date
Points BMD Kent

3.0 Stormwater Lines - Project Specific Information

Construct 2100x600 RCBC line in
accordance with: TMR SD 1243, 1250
& 1260 Visual Inspection

Stormwater Drainage
Construct 450 RCP headwalls in Documentation FYFE - STORMWATER
3.1 Structures (Precast All Lines
accordance with BSD-2026 DRAINAGE PLAN
Components)
Engineering
Construct triple barrel 450 RCP lines Surveillance
in accordance with TMR SD 1035 &
1359
The Subcontractor (BMD) is to
provide suitable manhole / drainage Kent | Construction Scope Of
3.2 Vehicle Trafficable Covers All Structures Visual Inspection
structure covers provided for vehicle Work XY21024-18-Y30-5005
access areas,

4.0 Certification
- A CCTV survey/inspection to
demonstrate the assets have been
installed to the required standard.
4.1 CCTV Hold Point
- Issue CCTV survey to BCC
All Lines CCTV Pipe Survey
(hardcopy report and video display).
BCC S145 CL2.4 (May 2016).
An on-maintenacne inspection is to be
Upon
On-Maintenance conducted with the Principal
4.2 Hold Point
Contractor / Company and BCC, as
completion of Inspection
Inspection works
required.

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