SINGLE WELL FLOW LINE AND

ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION AND TEST PLAN FOR CIVIL WORKS

A ISSUED FOR APPROVAL Noor Q Mohammed SH

Rev. DESCRIPTION DATE PREP’D CH’D REV’D APP’D

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

Revision Summary

Rev# Date of Issue. Transmittal No. Status Description. Author. Authorizer.

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

TABLE OF CONTENT
1. PROJECT DESCRIPTION ......................................................................................... ERROR! BOOKMARK NOT DEFINED.
2. OBJECTIVE ............................................................................................................ ERROR! BOOKMARK NOT DEFINED.
3. PURPOSE AND SCOPE ........................................................................................... ERROR! BOOKMARK NOT DEFINED.
4. DEFINITION & ABBREVIATIONS: ........................................................................... ERROR! BOOKMARK NOT DEFINED.
5. NORMATIVE REFERENCES .................................................................................... ERROR! BOOKMARK NOT DEFINED.
6. PROJECT REFERENCES .......................................................................................... ERROR! BOOKMARK NOT DEFINED.
7. QUALITY POLICY ................................................................................................... ERROR! BOOKMARK NOT DEFINED.
8. QAULITY OBJECTIVES ........................................................................................... ERROR! BOOKMARK NOT DEFINED.
9. QAQC ORGANIZATION ......................................................................................... ERROR! BOOKMARK NOT DEFINED.
10. PROJECT QUALITY PLANNING .......................................................................... ERROR! BOOKMARK NOT DEFINED.
11. MANAGEMENT RESPONSIBLITIES .................................................................... ERROR! BOOKMARK NOT DEFINED.
12. CONTROL OF DOCUMENTS AND DATA ............................................................ ERROR! BOOKMARK NOT DEFINED.
13. CONTROL OF RECORDS .................................................................................... ERROR! BOOKMARK NOT DEFINED.
14. RESOURCES ...................................................................................................... ERROR! BOOKMARK NOT DEFINED.
15. COMMUNICATION ........................................................................................... ERROR! BOOKMARK NOT DEFINED.
16. PURCHASING.................................................................................................... ERROR! BOOKMARK NOT DEFINED.
17. PRODUCT AND SERVICE PROVISION ................................................................ ERROR! BOOKMARK NOT DEFINED.
18. IDENTIFICATION AND TRACEABILITY ................................................................ ERROR! BOOKMARK NOT DEFINED.
19. CUSTOMER PROPERTY ..................................................................................... ERROR! BOOKMARK NOT DEFINED.
20. CONSTRUCTION ............................................................................................... ERROR! BOOKMARK NOT DEFINED.
21. CONTROL OF NONCONFORMINGS ................................................................... ERROR! BOOKMARK NOT DEFINED.
22. MONITORING AND MEASUREMENT ................................................................ ERROR! BOOKMARK NOT DEFINED.
23. AUDITS ............................................................................................................. ERROR! BOOKMARK NOT DEFINED.
24. IMPROVEMENT ................................................................................................ ERROR! BOOKMARK NOT DEFINED.

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

Responsible Inspection
Activity Verifying
Description of QC Activity References Acceptance Criteria Party Level Remarks
No. Document
RH/CN RH CN
1. Approval of the documents
Approved Approved
Verify & ensure that
Drawing, Approved Drawing, Drawing,
construction drawings
Approved ITP, Approved ITP, Approved ITP,
1.1 and controlling RH H R
Approved Approved procedure and Approved
procedures are the
procedure and deliverable procedure and
correct revision
deliverable deliverable
Material test
Ensure material received certificate and Inspection
Material meet the
is correct, free from Approved Material Report for
1.2 specification, and no RH H R
damage and stored Drawing Receiving Material
damage found.
appropriately Inspection Receiving
Report.

2. Surveying Works
Inspection of Company Inspection
2.1 Given Bench Mark , New Report for
Control Points Bench Marks
Site Surveying Works. Inspection
2.2 Check coordinate , Report -
Elevations , Etc Surveying

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

Responsible Inspection
Activity Verifying
Description of QC Activity References Acceptance Criteria Party Level Remarks
No. Document
RH/CN RH CN

3. EARTH WORKS (Clearing , Grabbing ,Levelling , Excavation , Trenhcing , BackFilling ,Compaction)

Suitability of fill material
(Borrow Pit Material,
Aggregate, Etc.)
Check and verify
Grubbing; Cleaning; and
Inspection
Site preparation
Report – Earth
according to project
Works
drawings and Project
Specifications, etc.
Check Earth Works
Dimensions for Pipeline Inspection
/Foundation/Road / Etc. Report – Earth
is achieved as per the Works
design drawing
In-situ density of
compacted Material
(Compaction Test)

4. CONCRETE WORKS (Precast , IN-Situ)

Verify third party
laboratory test for
material (sand, aggregate,

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

Responsible Inspection
Activity Verifying
Description of QC Activity References Acceptance Criteria Party Level Remarks
No. Document
RH/CN RH CN
Cement, Water and
steel),
Inspection of Concrete
Structure before
Concreting
Main Concrete Works :
Concrete Compressive
Strength (7 days and 28
Days)
Inspection of Completed
Concrete Works

5. Pavement Works
Verify third party
laboratory test for Paving
material
Inspection
Asphalt Base Course -
Report –
Laying, compaction with
Pavement
Rolling & Sampling
Works
Asphalt Surface Course -
Laying, compaction with
Rolling & Sampling

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

Responsible Inspection
Activity Verifying
Description of QC Activity References Acceptance Criteria Party Level Remarks
No. Document
RH/CN RH CN
Inspection
Core Test for the Report –
completed paved road Pavement
Works

6. Miscellaneous ,Fence And Gates

Check and verify Inspection
materials according to Report for
project drawings and Material
Project Specifications, etc. Receiving
Check and verify
Inspection
Completion of
Report –
Miscellaneous , Fence
Miscellaneous
Installation

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT FOR MATERIAL RECEIVING

DRAWING/SPECIFICATION NO .FORM
.RFI No
Date
: MATERIAL :UOM :QTY

DESCRIPTION COMPLIANCE REMARKS

Preparation for Relevant Document (Product Data Sheet/
Cataloged, Approved Design Drawings, Material test, etc)

Quantity

Packing Condition

Damage for Contents

Good Protection

Condition of Preservation Area(Indoor)

Condition of Preservation Area(Outdoor)

Others :

NOTES :

REPRESENTATIVE CONTRACTOR COMPANY

Name

Signature

Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT FOR ESTABLISHED PROJECT BENCH MARKS

: .DRAWING/SPECIFICATION NO .Form No
.RFI No
Date
DISCIPLINE : SURVEYING /CIVIL PAGE OF
COORDINATES
BENCH MARK ELEVATION COMPLIANCE REMARKS
.No NORTH EAST

NOTES :

REPRESENTATIVE CONTRACTOR COMPANY

Name
Signature
Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT : SURVEYING

DRAWING/SPECIFICATION NO. : Form

.No
RFI
.No
Date
Discipline : PAGE OF

Location Design Checked

Structure Coordinates Coordinated Design Checked
# Compliance Remarks
/Support Elevation Elevation
#/Pipe/etc North East North East

NOTES :

REPRESENTATIVE CONTRACTOR COMPANY

Name

Signature

Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT : EARTH WORKS

DRAWING/SPECIFICATION NO. : Form No.
RFI No.
Date
DISCIPLINE : PAGE OF

ELEMENT /STUCTURE :

FROM TO Dimension
Distan COMPLIAN
REMARKS
Width Depth ce CE
NORTH EAST NORTH EAST
(m) (m)

NOTES :

REPRESENTATIVE CONTRACTOR COMPANY

Name

Signature

Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT : INSPECTION OF STRUCURE BEFORE CONCRETE POURING

DRAWING/SPECIFICATION NO. : Form No.
RFI No.
Date
DISCIPLINE : SURVEY/CIVIL PAGE OF
Structure /Element :
Structure Type :
Concrete Compressive Strength :
Result
Description of Inspection Remarks
Accepted Rejected Not Applicable
1 LEVELS AND COORDINATES
Check the structure location/coordination as
1.1
per the design drawing
Check the structure vertical and horizontal
1.2
level in accordance with design specification
2 FORMWORKS
Check formwork position ,concrete cover
2.1
space as per design drawing
2.2 Check formwork tightening , stability
Check formwork dimension as per design
2.3
drawing
3 REINFORCEMENT
3.1 Check diameters , lengths and position
3.2 Check reinforcement connection and bonds
4 ANCHOR BOLTS / EMBEDMENT / POCKETS
4.1 Check position
4.2 Check level
4.3 Check diameter
4.4 Quantity
4.5 Coating
Notes

REPRESENTATIVE CONTRACTOR COMPANY

Name
Signature
Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT : COMPELTION INSPECTION OF CONCRETE STRUCTURE

DRAWING/SPECIFICATION NO. : Form No.
RFI No.
Date
DISCIPLINE : SURVEY/CIVIL PAGE OF
Structure /Element :
Structure Type :
Station Dimensions :

Result
Description of Inspection Remarks
Not
Accepted Rejected
Applicable
1 FINISHING INSPECTION
Check Concrete finish surface clear from nails,
1.1
or any obstacles
Check the cleanness of the Station from all dirt
1.2
and objects
Confirm the pipe, Valve is adequately
1.3
supported.
Confirm backfilling around the station is
1.4
completed and well compacted
Check the cover installation (if required) as per
1.5
the design drawing
Check compressive test is completed for the
1.6
structure

Check treatment of walls, bolts as per

1.7
specification

Check the structure is complete and ready for

1.8
Mechanical /Electrical installation
Notes

REPRESENTATIVE CONTRACTOR COMPANY

Name
Signature
Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT : PAVEMENT WORKS

DRAWING/SPECIFICATION NO. : Form No.
RFI No.
Date

DISCIPLINE : PAGE OF
Road Type :
Design Pavement Thickness :

Pavement Layer : Base Surface

Result
Description of Inspection Remarks
Not
Accepted Rejected
Applicable
1 Preparation of Surface
2 Line /Garde per drawing
3 Pavement equipment
4 Layer thickness check
5 Compaction
6 Smoothness
7 Weather condition
8 Mix tempreture
9 Overlap/ Joints
10 Track Coat
11 Prime Coat
12 Repair
13 Finish surface smoothness
Notes

REPRESENTATIVE CONTRACTOR COMPANY

Name

Signature

Date

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 SINGLE WELL FLOW LINE AND
ACCESSORY FACILITY
CONSTRUCTION
Contract No. Document No.
ITP For Civil Works
CMIT-PRT-10.53-180104-1-2

INSPECTION REPORT : Miscellaneous INSTALLATION COMPLETION

DRAWING/SPECIFICATION NO. : Form No. QC-CV-09
RFI No.
Date
DISCIPLINE : PAGE OF
Structure /Element :
Structure Type. :

Installation
Item Alignment Bracing Tightening Accessories Grouting
Details

NOTE :

REPRESENTATIVE CONTRACTOR COMPANY

Name

Signature

Date

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