Inspection Test Plan Template

7 Mar 2023 / Chris Norwood / Masco Industries /

01132 / 0001 Complete

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Client Masco Industries

Installation for Excavation

Title/Description
Works

Contract Number 01132

Name of Project ITP for Excavation Works

Main Contractor Michael Lesinski

Subcontractor Jordan Wesley

Unit Area Foundation and boundary wall

Discipline Civil

ITP Number 0001

Conducted on 07.03.2023 08:00 PST

Prepared by Chris Norwood

Gotts Rd, Lower Portland NSW

Location
2756, Australia

1/5
Activity

Approval/Preliminaries

Approval/Preliminaries 1

Activity/Description ITP

Inspection Test Requirement

Test or Inspection Performed Approval

Stage/Frequency Prior to start of work

Reference Document

Specification section 01 Clause

Code/Spec
0000

Acceptance Criteria Status A/B

Inspection/Verification

Subcon E - Execution

Main Con W - Witness Point

Employer R - Document Review

Verifying Documents Report Checklist Approved Submittals

Approval/Preliminaries 2

Activity/Description Method Statement

Inspection Test Requirement

Test or Inspection Performed Approval

Stage/Frequency Prior to start of work

Reference Document

Specification Section 01 Clause

Code/Spec
0000

Acceptance Criteria Status A/B

Inspection/Verification

2/5
Subcon E - Execution

Main Con W - Witness Point

Employer R - Document Review

Verifying Documents Report Checklist Approved Submittals

Approval/Preliminaries 3

Activity/Description Material Submittals

Inspection Test Requirement

Test or Inspection Performed Approval

Stage/Frequency Prior to start of work

Reference Document

Specification section 01 clause

Code/Spec
000

Acceptance Criteria Status A/B

Inspection/Verification

Subcon E - Execution

Main Con W - Witness Point

Employer R - Document Review

Verifying Documents Report Checklist Approved Submittals

Approval/Preliminaries 4

Activity/Description Drawings

Inspection Test Requirement

Test or Inspection Performed Approval

Stage/Frequency Prior to starts of work

Reference Document

Specification Section 01 Clause

Code/Spec
0000

3/5
Acceptance Criteria Status A/B

Inspection/Verification

Subcon E - Execution

Main Con W - Witness Point

Employer R - Document Review

Verifying Documents Report Checklist Approved Submittals

Work Process

Work Process 1

Activity/Description Preparation

Inspection Test Requirement

Test or Inspection Performed Visual

Stage/Frequency Every completed area

Reference Document

Specification Section 02 Clause

Code/Spec
0000

1) Level of excavation as per

approved drawings. 2)
Irregularities encountered
during the excavation, the
Acceptance Criteria
contractor shall reinstate the
area and meet the appropriate
levels and compacted to the
engineers satisfaction

Inspection/Verification

Subcon E - Execution

Main Con W - Witness Point

Employer R - Document Review

Approved drawing and method

Verifying Documents Report Checklist
statement DRF-D-0001

Work Process 2

4/5
Activity/Description Testing (Compaction)

Inspection Test Requirement

Test or Inspection Performed Actual test

Three test every 500 square

Stage/Frequency
meter

Reference Document

Specification Section 02 Clause

Code/Spec
0000

The engineer shall check the

results for the adequacy of
Acceptance Criteria degree of compaction by
comparison with the degree of
compaction achieved

Inspection/Verification

Subcon E - Execution

Main Con W - Witness Point

Employer R - Document Review

ITP Checklist & Compaction

Verifying Documents Report Checklist
Test Reports

Sign Off

Name and Signature

Chris Norwood
07.03.2023 08:27 PST

5/5