Project N0.

: REV
CONTRACTOR OF :
PT. CIPTA BANGUN NUSANTARA 20000312-OS-10103 B
DOC. NO. :

DATE : BY CHD APVD

13 Nov 2020 IBN SPT ITO

FIELD INSPECTION AND TEST PLAN FOR CIVIL WORK

RESPONSIBILITY
LEVEL OF
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / REMARKS
INSPECTION DOCUMENT CBN SERD
REFERENCE

1. EARTH WORKS

1.1. SURVEY

(1) Survey Tools and Equipment Review/Visual Calibration Certificate Valid Certificate R R

FI-S.0.01, FI-S.0.02,
Bench Marks (BM), Coordinates and Elevation, Marking and
(2) Dimension & Survey IFC Drawing FI-S.0.03, FI-S.0.04 W SW
Stake Out, Location, number, stability and protection

1.2 EXCAVATION

A. Preparation

Method Statement Method Statement

(1) Construction Method Review R R
Approval Approval

(2) Set out location, based on IFC drawing and endorsed Bench mark Survey IFC Drawing FI-C-0.01 W SW

(3) Demolition or Protection of Existing Facility Visual IFC Drawing FI-C-0.01 W SW

(4) Investigation of Existing under-ground Facilities Visual IFC Drawing FI-C-0.01 W SW

B. Excavation Work
 (1) Depth and width of excavation Survey IFC Drawing FI-C-0.01 W SW
Line, Slope and Grades according to approved drawing
(2) Survey IFC Drawing FI-C-0.01 W SW

(3) Quality of Cleaning Visual IFC Drawing FI-C-0.01 W SW

1.3. BACKFILL
A. Preparation

(1) Quality of cleaning before backfill Visual Engineering Spec. FI-C-0.03 W R

(2) Incorporate with SERD comments: Test Engineering Spec. FI-C-0.03 W R

(3) Clearing & grubbing before filing Visual Engineering Spec. FI-C-0.03 W R

B. Placement of Backfill

(1) Cleaning (removal of trash debris, etc.) in soil Visual Engineering Spec. FI-C-0.03 W SW

(2) Sand filling around underground pipe and cable (if any) Visual Engineering Spec. FI-C-0.03 W SW

(3) Quality of Cleaning after backfill Visual Engineering Spec. FI-C-0.03 W SW

(4) Uniformly in layers depth for soil backfill Visual Engineering Spec. FI-C-0.03 W SW

(5) Fill shall be Spreading Thickness per Layer and compacted Dimension Engineering Spec. FI-C-0.03 W SW

All foundation surfaces shall be dry before starting the placement

(6) Visual Engineering Spec. FI-C-0.03 W SW
of fill

Compaction shall be caried out using a power operated stamper or

(7) Visual Engineering Spec. FI-C-0.03 W SW
vibrating

(8) Retaining Wall / Slope Protection Dimension Engineering Spec. FI-C-0.03, FI-S.0.02 W SW

(9) Final Elevation Survey IFC Drawing FI-S.0.02 W SW

Engineering Spec. & IFC

(10) Provision of Slope using Vegetation Visual FI-C-0.03 W SW
Drawing

C. Testing / Monitoring
 (1) Compaction test by Field Dencity Test (Sand Cone) Test ASTM D1556 FI-C.0.04 W SW

(2) Compaction test by for Sand gravel by DCP or CBR Test ASTM D4429 FI-C.0.02 W SW

(3) Soil Monitoring Test Engineering Spec. Inspection report W SW

2 FOUNDATION

2.1. BORED PILE WORKS

A. Preparation

Method Statement
(1) Construction method Review Work Method Statement R R
Approval

(2) Demolition or protection of existing facility Visual Engineering Spec. FI-C.4.01 W SW

(3) Investigation of existing underground facilities Visual Engineering Spec. FI-C.4.01 W SW

(4) Set out location Survey IFC Drawing FI-S.0.03 W SW

B. Bored Pile

(1) Location and numbering the drill point Visual IFC Drawing FI-S.0.03 W SW

(2) Depth & Dimension of drilling Visual IFC Drawing FI-S.0.03 W SW

(3) The length of casing Visual Engineering Spec. FI-C.1.04 W SW

Standard Drawing / IFC

(4) Reinforcing Bar Installation Visual FI-C.2.03 W SW
Drawing

(5) Pre-Pouring Concrete Visual Engineering Spec. FI-C.2.02 W SW

(6) Installation tremie pipe Visual Engineering Spec. FI-C.1.04 W SW

(7) Check Sedimention Visual Engineering Spec. FI-C.4.01 W SW

FI-C.2.04, FI-C.2.05,
(8) Pouring Concrete Visual Engineering Spec. W SW
FI-C.1.04

(9) Cleaning Pit Visual Engineering Spec. FI-C.4.01 W SW

(10) Cut off Bored Pile Head Visual Engineering Spec. FI-C.1.04 W SW

Verification Checklist
(11) Bored pile -construction verification checklist Visual Engineering Spec. W SW
Report
 (12) Bored Pile - Drilling Log Visual Engineering Spec. Drilling Log Report W SW

C. Test

Method Statement
(1) PDA Test Engineering Spec. Approval, FI-C.1.03, W W
S/C Inspection report,

2.2. GROUTING

A. Preparation
(1)
Method Statement
Construction method Review Work Method Statement R R
Approval

(2) Quality of material Visual, Test,Review Engineering Spec. FI-C.3.01 W SW

(3) Surface rought Visual Engineering Spec. FI-C.3.01 W SW

(4) Cleaning Visual Engineering Spec. FI-C.3.01 W SW

B. Installation FI-C.3.01
(1) Mixing & Placing Visual Engineering Spec. FI-C.3.01 W SW

(2) Temperature Test Engineering Spec. FI-C.3.01 W SW

(3) Curing Visual Engineering Spec. FI-C.3.01 W SW

Visual, Dimension,
(4) Dimension, alignment & stability of form work Engineering Spec. FI-C.3.01 W SW
Survey

(5) Top elevation of form work Dimension, Survey Engineering Spec. FI-C.3.01 W SW

(6) Champer / Surface finish Visual Engineering Spec. FI-C.3.01 W SW

(7) Location Visual IFC Drawing FI-C.3.01 W SW

(8) Baseplate Visual IFC Drawing FI-C.3.01 W SW

(9) Ensure that sleeves around anchor bolt are complete Visual IFC Drawing FI-C.3.01 W SW
 (10) Check that shim / wedgewhich are fix Visual IFC Drawing FI-C.3.01 W SW

2.3. SHALLOW FOUNDATION

A. Preparation
(1) Construction method Review Work Method Statement Method Statement R R
Approval

(2) Material (conformity to specification and drawing) Visual, Test,Review Engineering Spec. FI-C.5.02 W SW

(3) Checking of existing sub-grade bearing capacity Visual Engineering Spec. FI-C.5.02 W SW

Verify materials bellow shallow foundation are adequate to

(4) Visual Engineering Spec. FI-C.5.02 W SW
achieve the design bearing capacity

B. Installation FI-C.5.02

Standard Drawing / IFC

(1) Depth and dimension Visual & Dimension FI-C.5.02 W W
Drawing

Standard Drawing / IFC

(2) Reinforcing Bar Installation Visual & Dimension FI-C.5.02 W SW
Drawing

Engineering Spec. / IFC FI-C.5.02, FI-C.2.02,

(3) Pre-pouring Concrete Visual & Dimension W SW
Drawing FI-C.2.04, FI-C.2.05

Engineering Spec. / IFC FI-C.5.02, FI-C.2.02,

(4) Pouring Concrete Visual & Dimension W SW
Drawing FI-C.2.04, FI-C.2.05

Visual, Dimension,
(5) Location , dimension, Elevation, as per drawing IFC Drawing FI-C.5.02 W SW
Survey
(6) Finishing Visual Engineering Spec. FI-C.5.02 W SW

3 CONCRETE AND REINFORCED CONCRETE

3.1. CONCRETE WORK

 A Preparation

Method Statement
(1) Construction method Visual Work Method Statement R R
Approval

(2)
Cement type, quality and compliance with applicable standard Review Engineering Spec. FI-CM.0.01 W SW

ASTM C33 Spec for

(3) Quality of aggregate Test : Test, Review Laboratorium test W SW
Concrete Aggregate

a) Aggregate Gradation Test Test, Review ASTM C 136 Laboratorium test W SW

b) Specific Gravity Test of Aggregates Test, Review ASTM C 127 Laboratorium test W SW
c) Mud Test of Aggregates Test, Review ASTM C 127 Laboratorium test W SW

Test, Review ASTM C289 and ASTM Laboratorium test W SW

d).Alkali aggregate reaction coarse and fine aggregates
C227
(4) Water Test Test, Review ASTM C 70 Laboratorium test W SW
(5) Mix Design Review Engineering Spec. --- R R
(6) Trial Mix Test, Review Engineering Spec. FI-C.2.01 W SW
(7) Storing condition of cement and aggregate Visual Engineering Spec. --- SW SW
(8) Location and surface condition of joints Visual & Dimension IFC Drawing FI-C.2.02 W SW
(9) Cleaning prior to concrete placing Visual Engineering Spec. FI-C.2.02 W SW
(10) Admixture Review ASTM C 260 & ASTM C FI-C.2.02 W SW
(11) Concreate mixing Visual 494 Spec.
Engineering W SW
FI-C.2.02
B Concrete Pouring
(1) Workmanship of placing and consolidation (drop height, Visual Engineering Spec. FI-C.2.02 W SW
(2) thickness of layer, proper
Concrete finishing vibration,
and removal Transportation method &
of laitance Visual Engineering Spec. W SW
FI-C.2.02
C Finishing/Second Concrete Pouring
(1) Curing (period, method of preventing moisture loss) Visual Engineering Spec. FI-C.2.02 W SW
(2) Chipping surface of concrete to be repaired Visual Engineering Spec. FI-C.2.02 W SW

Appearance of surface after form removal (honeycomb, crack,

(3) Visual Engineering Spec. FI-C.2.02 W SW
etc.)

(4) Mortar finishing (level, chamber, crack, mortar proportion, etc.) Visual Engineering Spec. FI-C.2.02 W SW
 (5) Dimensional inspection for completed casting Dimension Engineering Spec. FI-S.0.01, FI-S.0.02 W SW

D Test Engineering Spec.

(1) Concrete Temperature Test Engineering Spec. FI-C.2.04 W SW
(2) Slump Test Test Engineering Spec. FI-C.2.04 W SW
(3) Compressive Strength Test Test Engineering Spec. FI-C.2.05 W SW

3.2. FORMWORK
A. Preparation
(1) Quality and shape of material Visual Engineering Spec. FI-C.2.02 W SW

IFC Drawing / Barbending

(2) Formwork fabrication Dimension None W SW
Schedule

B. Installation

(1) Location, dimension, alignment, plumb and elevation Dimension, Waterpass IFC Drawing FI-C.2.02 W SW

(2) Chamfer Visual IFC Drawing FI-C.2.02 W SW

(3) Stability against concrete placing and vibration (sufficiency of Visual Engineering Spec. FI-C.2.02 W SW
(4) support, shoring, form
Surface treatment tie, etc.)
(cleaning and form oil application) Visual Engineering Spec. W SW
FI-C.2.02
(5) Protection of form scaffolding Visual Engineering Spec. None W SW

Time of removal of form, shoring and support : Submit data on

(6) Visual ACI 318 None W SW
method for determining material strength for formwork removal

(7) Final inspection (Pre-pouring) Visual IFC Drawing FI-C.2.02 W W

3.3. REINFORCING BAR WORK

A. Preparation

(1) Construction method Visual Work Method Statement Method Statement R R

(2) Compliance of material with standard Visual & Dimension, Engineering Spec. FI-CM.0.01 W SW
(3) Handling and storing Mill Cert.
Visual Engineering Spec. None W SW
(4) Workmanship in cold bending operation Visual Engineering Spec. None W SW
(5) Surface cleaning (to be free from mud, dirt, grease, loose mill, Visual Engineering Spec. FI-C-2.03 W SW
B. scale, etc.)
Installation
 IFC Drawing / Barbending
(1) Location, shape, sizes, numbers, cleaning and spacing of bars Visual & Dimension FI-C-2.03 W SW
Schedule

IFC Drawing / Barbending

(2) Length and location of lap splice Visual & Dimension FI-C-2.03 W SW
Schedule

Installation of embedded materials for pipe sleeper (level,

(3) Visual & Dimension Engineering Spec. FI-C.2.02 W SW
elevation, location, length, rigidity)

Stability against concrete placing and vibration (sufficiency of

(4) Visual Engineering Spec. FI-C.2.02 W SW
support, shoring, form tie, etc.)

(5) Length and Location of Development Visual & Dimension Engineering Spec. FI-C.2.02 W SW
(6) Final inspection for rebar arrangement (Pre-pouring) Visual & Dimension Engineering Spec. FI-C.2.02 W SW

3.4. PIPE CULVERT

A. Preparation

(1) Material (conformity to specification and drawing) Visual Engineering Spec. FI-C.5.01 W SW
B. Installation

Engineering Spec. / IFC

(1) Pre-pouring and Pouring Concrete Visual & Dimensional FI-C.5.01 W W
Drawing

(2) Location , dimension, Elevation, as per drawing Visual & Dimensional IFC Drawing FI-C.5.01 W SW
(3) Finishing Visual Engineering Spec. FI-C.5.01 W W
(4) Engineering Spec. / IFC W SW
Subgrade and or foundation Visual FI-C.5.01
Drawing

E & C Spec. / IFC W SW

4. PUNCH LIST REPORT Visual All Civil Report
Drawing