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INSPECTION AND TEST PLAN
Revision: Date:
Activity Description
21.05.2019
Description: Installation of HDPE pipes for underground service
ITP NO: ACO-9-3004-013-T7-4-B
Item No.
00
Acceptance Criteria
Frequency
As per Project Specification
Once
As per MAS
Reference Document
Inspection Authority and Codes
Quality Record
Remarks
MC
Consultant
Project Specification
H/R
R
Approved MS
Each Delivery
Project Specification / Approved MS
H/R
R
MAR Approval/s
As per Project Specification
Each Delivery
Project / Approved MS
H/R
R
MAR Approval/s
1.0
MS/Material Approvals
1.1
MS for Installation of HDPE pipes for underground service
1.2
HDPE Pipes & Fittings
1.3
Supports
2.0
Installation
2.1
HDPE Pipe Welding
As per Approved Drawing
Each Section
Project Specification / Approved MS
W/R
W/R
Checklist
2.2
HDPE Pipe Laying
As per Approved Drawing
Each Section
Project Specification / Approved MS
W/R
W/R
Checklist
Page 1 of 2 Legend: S – Surveillance Inspection
W- Witness Inspection Point
H- Mandatory Hold Point for Inspection
R- Record Review
INSPECTION AND TEST PLAN
Revision: Date:
ITP NO: ACO-9-3004-013-T7-4-B
Item No.
Activity Description
2.2
Supports
3.0
Testing
3.1
Pressure Testing
4.0
Quality Record
Prepared By:
Frequency
As per specification
Each Section
As per Approved Drawing
Each Section
Reviewed by:
21.05.2019
Description: Installation of HDPE pipes for underground service
Acceptance Criteria
Complete Record
00
Reference Document
Inspection Authority and Codes
Quality Record
MC
Consultant
Project Specification / Approved MS
W/R
W/R
Checklist
Project Specification / Approved MS
W/R
W/R
Checklist
R
R
All Reports
After Complete Activities Reviewed and Approved By:
Remarks
Reviewed and Accepted by Engineer’s Representative:
Sign:
Sign& Position:
Date:
Date:
Page 2 of 2 Legend: S – Surveillance Inspection
W- Witness Inspection Point
H- Mandatory Hold Point for Inspection
R- Record Review