Reinforced Concrete and Corrugated

HDPE Piping Inspection and Test Plan

Golden Triangle Polymers Project

Project No. 116058

Revision 2
07-13-2023
50-QAIP-00030

Issued for Construction (IFC)

50-QAIP-00030 Page 1 of 8 Revision 2

REVISION CONTROL

REV Date Issued For Prepared By Reviewed By Approved By

AA 02-02-2023 Review B. Ensign J. Black D. Rogers
BB 03-16-2023 Review B. Ensign J. Black D. Rogers
0 04-04-2023 IFC B. Ensign J. Black D. Rogers
1 05-10-2023 IFC B. Ensign J. Black D. Rogers
2 07-13-2023 IFC B. Ensign J. Black D. Rogers

REVISION HISTORY
REV Brief Description of Reason for Changes

2 Top left key code matrix was revised adding Exhibit W items, and added items 1.2 through 1.5 for
MOC, QSR, calibration, and storage control. Removed old 2.1 for duplicate Build it Clean storage
inspection now on 1.5.
1 Section 2.5 revised ITR naming removing testing. Section 3.4 added new testing ITR.
0 Added additional supporting specifications to 2.5. Issued for Construction
BB Corrected grammar 2.4, corrected verbiage in 3.2, changed client inspection code on 3.6.
AA Initial draft, review and issue.

50-QAIP-00030 Page 2 of 8 Revision 2

 Reinforced Concrete and
Corrugated HDPE Piping
Inspection and Test Plan
prepared for

Golden Triangle Polymers Project

Orange, Texas

Project No. 116058

Revision 2
07-13-2023

prepared by

Burns & McDonnell/Zachry

Kansas City, Missouri

50-QAIP-00030 Page 3 of 8 Revision 2

Inspection Codes: H = Hold, W = Witness, I = Inspect Work, R = Review, M = Monitor, AU = Audit, NA = Not Applicable
Hold (H): 24-hour notification to next responsible Party; signature required on ITR by all parties. The work shall not proceed without inspection presence.
Witness (W): 24-hour notification to next responsible party Quality Control and Company; signature required on ITR when the inspection is witnessed. The work may proceed without

BMZ FLS responsible for

Company QC Inspection
inspection presence. Reinforced Concrete and Corrugated
Inspect Work (I) Company Inspection requirement per Exhibit “W” Responsibility Matrix. Notification is not required, signature is required. Company signature not required for contractor to

meeting requirement
HDPE Piping Inspection and Test

BMZ QC Inspection
continue work and go to the next step, only Contractor signature is required to proceed.
Review (R): A review of documentation (auditing of data, drawings, procedures, or field installation). Signature not required.
Monitor (M): Verifying work and testing activities on an ongoing random basis. Owner signature not required. Plan

Other (AI, etc.)

Audit (AU): A review of documentation (auditing of data, drawings, procedures, field installation and third party reports).

Requirement
Front Line Supervisor (FLS): Foreman (F), General Foreman (GF), Superintendent (SUP), Subcontract Manager (SCM), Project Quality Manager (PQM), Field Quality Manager (FQC),
or any designated employee that has been trained to oversee the installation or signoff of work activities.
Comments and Inspection Frequencies
Acceptance Criteria (Code, Standard, ITR Required
Activity ID No. / Activity Description
Specification, SOP, Drawing, etc.) See Note 2

1.0 Pre-Construction Meeting:

Project
The ITP shall be reviewed prior to the commencement of
1.1 Facilitate an ITP review meeting. Field Quality Control Plan Attendance Sheet Quality H M N/A
first of the kind work activities or as needed thereafter.
Manager
50-QAGN-00006
Quality
Any changes to ITPs or ITRs after they are IFC must
Management of
Project follow the Management of Change Procedure and tracked
50-QAPR-00032 Quality Management Change Form and
1.2 Changes to this ITP or ITRs after IFC. Quality H M N/A on the Management of Change Log. Review and approval
of Change Procedure 50-QALS-00022
Manager are required per the MOC and are needed before
Quality
changes are to be incorporated.
Management of
Change Log
50-QALS-00018
50-QAPR-00009 Inspection Project
All test equipment shall be verified, calibrated, and
1.3 Verify the equipment calibration of test equipment. Control of Inspection Measuring and Measuring Test Quality R M N/A
captured on the IMTE Log prior to testing activities.
Testing Equipment Equipment Manager
Calibration Log
50-QAAR-00003
Quality Surveillance The QSR may serve to document an acceptance or a
Project
50-QAPR-00008 Quality Surveillance Report and 50- potential Nonconformance to the project specifications or
1.4 Quality Surveillance Reporting. Quality H M N/A
Report Procedure QALS-00015 other project acceptance criteria for work. It is applicable
Manager
Quality Surveillance to self-performed, supplier, or subcontractor work scope.
Report Log
Applicable
50-QAPR-00033 Build It Clean Cleanliness ITR(s) This ITR(s) shall be completed for in-process or final
& & cleanliness requirements per project specifications as
QC
1.5 Verify all materials are stored properly. Manufactures Storage 50-QAIR-00017 M M N/A applicable.
Inspector
Requirements/Site Storage Storage Control
Requirements Inspection Test This is to be filled out per tag item as applicable.
Report
2.0 Pipe Installation Activities:
Project See: 50-QAIP-00002 Earthworks Inspection and Test
2.1 Ensure installation of bedding is per the project 50-QAIP-00002 Earthworks Inspection
N/A Quality H M N/A Plan for hold points and the required Inspection and Test
specifications. and Test Plan
Manager Reports
Project
2.2 Orientation and elevation of piping per project
Per Project drawings & specifications N/A Quality H M N/A See: Project drawings & specifications
specifications.
Manager

50-QAIP-00030 Page 4 of 8 Revision 2

Inspection Codes: H = Hold, W = Witness, I = Inspect Work, R = Review, M = Monitor, AU = Audit, NA = Not Applicable
Hold (H): 24-hour notification to next responsible Party; signature required on ITR by all parties. The work shall not proceed without inspection presence.
Witness (W): 24-hour notification to next responsible party Quality Control and Company; signature required on ITR when the inspection is witnessed. The work may proceed without

BMZ FLS responsible for

Company QC Inspection
inspection presence. Reinforced Concrete and Corrugated
Inspect Work (I) Company Inspection requirement per Exhibit “W” Responsibility Matrix. Notification is not required, signature is required. Company signature not required for contractor to

meeting requirement
HDPE Piping Inspection and Test

BMZ QC Inspection
continue work and go to the next step, only Contractor signature is required to proceed.
Review (R): A review of documentation (auditing of data, drawings, procedures, or field installation). Signature not required.
Monitor (M): Verifying work and testing activities on an ongoing random basis. Owner signature not required. Plan

Other (AI, etc.)

Audit (AU): A review of documentation (auditing of data, drawings, procedures, field installation and third party reports).

Requirement
Front Line Supervisor (FLS): Foreman (F), General Foreman (GF), Superintendent (SUP), Subcontract Manager (SCM), Project Quality Manager (PQM), Field Quality Manager (FQC),
or any designated employee that has been trained to oversee the installation or signoff of work activities.
Comments and Inspection Frequencies
Acceptance Criteria (Code, Standard, ITR Required
Activity ID No. / Activity Description
Specification, SOP, Drawing, etc.) See Note 2

50-QAIR-00003 Set
Reference the following ITP for
Pre-Cast Concrete
inspection details and required ITRs: Craft
2.3 Installation of precast concrete structures. Structures W M N/A This ITR is to be filled out per tag item.
Earthworks Inspection and Test Plan Foreman
Inspection Test
50-QAIP-00002
Report
50-QAIR-000041
Infiltration &
Exfiltration
Installation
Inspection Test
Manufactures Specifications, 50-STES- Project
Report This is to be filled out by Craft, either per work package
2.4 Joint assembly per manufacturer requirements. 00003, PIP STS03001, PIP STS03600 Quality M M N/A
Or as applicable.
& PIP STS03601 Manager
50-QAIR-00048
HDPE Corrugated
Pipe Installation
Inspection Test
Report
Project See: 50-QAIP-00002 Earthworks Inspection and Test
2.5 Ensure installation of flowfill is per the Project 50-QAIP-00002 Earthworks Inspection
N/A Quality H M N/A Plan for hold points and the required Inspection and Test
specifications. and Test Plan
Manager Reports
3.0 Pipe Joint Testing Activities:
Concrete or cement components will absorb water, so the
Supplier shall fill the system and let it stand for a
minimum of 4 hours to a maximum 72 hours before
topping off and testing. All couplings, bells, joints, etc.,
shall remain exposed (for observation during exfiltration
2.6 Testing of process and sanitary sewers, catch basins and Infiltration & Exfiltration Testing Piping Test Project testing).
sumps shall be in accordance with the project per ASTM C969 Package Quality H W N/A
specification(s). Manager Measure the leakage loss over a timed test period. The
minimum test period shall be 4 hours and the maximum
shall not exceed 24 hours. If the measured rate of
leakage is less than or equal to the allowable leakage in
accordance with 8.2 of ASTM C969, the section of sewer
tested is acceptable.

50-QAIP-00030 Page 5 of 8 Revision 2

Inspection Codes: H = Hold, W = Witness, I = Inspect Work, R = Review, M = Monitor, AU = Audit, NA = Not Applicable
Hold (H): 24-hour notification to next responsible Party; signature required on ITR by all parties. The work shall not proceed without inspection presence.
Witness (W): 24-hour notification to next responsible party Quality Control and Company; signature required on ITR when the inspection is witnessed. The work may proceed without

BMZ FLS responsible for

Company QC Inspection
inspection presence. Reinforced Concrete and Corrugated
Inspect Work (I) Company Inspection requirement per Exhibit “W” Responsibility Matrix. Notification is not required, signature is required. Company signature not required for contractor to

meeting requirement
HDPE Piping Inspection and Test

BMZ QC Inspection
continue work and go to the next step, only Contractor signature is required to proceed.
Review (R): A review of documentation (auditing of data, drawings, procedures, or field installation). Signature not required.
Monitor (M): Verifying work and testing activities on an ongoing random basis. Owner signature not required. Plan

Other (AI, etc.)

Audit (AU): A review of documentation (auditing of data, drawings, procedures, field installation and third party reports).

Requirement
Front Line Supervisor (FLS): Foreman (F), General Foreman (GF), Superintendent (SUP), Subcontract Manager (SCM), Project Quality Manager (PQM), Field Quality Manager (FQC),
or any designated employee that has been trained to oversee the installation or signoff of work activities.
Comments and Inspection Frequencies
Acceptance Criteria (Code, Standard, ITR Required
Activity ID No. / Activity Description
Specification, SOP, Drawing, etc.) See Note 2

Concrete or cement components will absorb water, so the

3.1 Testing of storm sewers and catch basins.
3.2 Systems requiring head testing.
50-QAIR-00116
Infiltration &
Exfiltration Testing
Inspection Test
Per Manufactures recommendations Report
3.3 Test results. & Or
ASTM C969 50-QAIR-00048
HDPE Corrugated
Pipe Installation
Inspection Test
Report
50-QAIR-00019
Pipe Cleanliness
3.4 Piping cleanliness verification. Project BIC program
Inspection Test
Report
50-QAIR-00050
Post Pipe Re-
3.5 Piping reinstatement post-testing. Per Project Drawings instatement
Inspection Test
Report
BMZ shall fill the system and let it stand for 12 to 24, with
a minimum of 4 hours to a maximum of 72 hours before
topping off and testing. All couplings, bells, joints, etc.,
shall remain exposed (for observation during testing).
Project
Quality H W N/A
Measure the leakage loss over a timed test period. The
Manager
minimum test period shall be 4 hours and the maximum
shall not exceed 24 hours. If the measured rate of
leakage is less than or equal to the allowable leakage in
accordance with 8.2 of ASTM C969, the section of sewer
test is acceptable.
BMZ Craft will notify and BMZ Quality will generate this
documentation to be completed prior to the
Project commencement of head testing of any piping test
Quality H W N/A package.
Manager
This is to be filled out either by test package or as
applicable.
BMZ Craft will notify and BMZ Quality will generate this
documentation to be completed during infiltration,
exfiltration, and head testing in the testing section of the
ITR.
Project
Quality H W N/A The Infiltration & Exfiltration Testing Inspection Test
Manager Report shall be used to capture testing activities if testing
occurs later than the installation inspection activities.
This is to be filled out either by test package or as
applicable.
BMZ Craft will notify and BMZ Quality will witness this
Project
documentation assuring the system is completed after
Quality H W N/A
testing has been performed. This is to be filled out either
Manager
by test package, work package or as applicable.
BMZ Quality will witness and generate the documentation
once completed and after testing is complete and the test
Project
package is reinstalled according to P&IDs.
Quality H W N/A
Manager
This is to be filled out either by test package or as
applicable.

50-QAIP-00030 Page 6 of 8 Revision 2

Inspection Codes: H = Hold, W = Witness, I = Inspect Work, R = Review, M = Monitor, AU = Audit, NA = Not Applicable
Hold (H): 24-hour notification to next responsible Party; signature required on ITR by all parties. The work shall not proceed without inspection presence.
Witness (W): 24-hour notification to next responsible party Quality Control and Company; signature required on ITR when the inspection is witnessed. The work may proceed without

BMZ FLS responsible for

Company QC Inspection
inspection presence. Reinforced Concrete and Corrugated
Inspect Work (I) Company Inspection requirement per Exhibit “W” Responsibility Matrix. Notification is not required, signature is required. Company signature not required for contractor to

meeting requirement
HDPE Piping Inspection and Test

BMZ QC Inspection
continue work and go to the next step, only Contractor signature is required to proceed.
Review (R): A review of documentation (auditing of data, drawings, procedures, or field installation). Signature not required.
Monitor (M): Verifying work and testing activities on an ongoing random basis. Owner signature not required. Plan

Other (AI, etc.)

Audit (AU): A review of documentation (auditing of data, drawings, procedures, field installation and third party reports).

Requirement
Front Line Supervisor (FLS): Foreman (F), General Foreman (GF), Superintendent (SUP), Subcontract Manager (SCM), Project Quality Manager (PQM), Field Quality Manager (FQC),
or any designated employee that has been trained to oversee the installation or signoff of work activities.
Comments and Inspection Frequencies
Acceptance Criteria (Code, Standard, ITR Required
Activity ID No. / Activity Description
Specification, SOP, Drawing, etc.) See Note 2

4.0 Non-Conformances Identified:

BMZ Craft General Foreman to ensure required
corrective action is taken.
50-QAAR-00002
4.1 Non-Conforming items are to be identified, documented, Craft
50-QAPR-00001 Nonconformance Construction BMZ Quality to verify corrective action has been
and dispositioned per the Non-Conformance Reporting General H M N/A
Reporting (SOP) Nonconformance completed.
Procedure. Foreman
Report
Non-Conforming items dispositioned as “Repair or
Replace”.
BMZ Craft General Foreman to ensure required
corrective action is taken.
50-QAAR-00002
4.2 Non-Conforming items are to be identified, documented, Craft
50-QAPR-00001 Nonconformance Construction
and dispositioned per the Non-Conformance Reporting General H H N/A BMZ Quality to verify corrective action has been
Reporting (SOP) Nonconformance
Procedure. Foreman completed.
Report
Non-Conforming items dispositioned as “Use-As-IS”.
5.0 This Section Reserved for Future Use:
5.1 This Section Reserved for Future Use This Section Reserved for Future Use ------ ------ ------ ------ This Section Reserved for Future Use
Note 1 This Inspection & Test Plan is only to be used as a guideline for establishing the “HOLD” and “WITNESS” points for inspection and testing, supplementing the construction activities of the project. This ITP is not
intended to replace any contractual engineering documents such as specifications, drawings, or Owner/Manufacturer installation instructions. Always review the contract documents in their entirety before executing
the installation of any construction activity.
Note 2 If frequencies are prescribed or are previously agreed to by the individual activity items, the Inspection & Test Record (ITR) shall be completed by installation work package (IWP).

50-QAIP-00030 Page 7 of 8 Revision 2

 Burns & McDonnell Engineering Company, Inc./Zachry Industrial, Inc.
9201 State Line
Kansas City, MO 64114
O 816-333-9400
F 816-823-7028

50-QAIP-00030 Page 8 of 8 Revision 2