7-QC-QA Plan For Project
7-QC-QA Plan For Project
7-QC-QA Plan For Project
Prepared For:
BAGHDAD MAYORALTY
BAGHDAD SEWAGE AUTHORITY
Prepared By:
CMCS Company
APRIL 2014
April 2014
ii
CMSC
LIST OF TABLES
Table 1.1 Organization of Phase 1 CA Work Plans........................................................ 1-2
Table 5.1 Sample Inspection and Test Plan .................................................................... 5-2
LIST OF FIGURES
Figure 2.1 Construction Quality Control/Quality Assurance Organization.................... 2-7
April 2014
iii
LIST OF APPENDICES
APPENDIX A SAMPLE QUALIFICATION TEST SCHEDULES
APPENDIX B SAMPLE INSPECTION SCHEDULES
APPENDIX C SAMPLE TESTING SCHEDULES
APPENDIX D TYPICAL CONSTRUCTION FORMS
April 2014
iv
Baghdad Mayoralty
BSA
CD
consent decree
CAD
computer-aided design
CM
Construction Manager
CMP
CPR
CQA
CQAO
CQAP
CQCP
EIT
Engineer in Training
EPA
FDR
FE
FI
CM field inspector
FSWC
GPS
HASP
HDR
HDR Engineering,
IFC
MPA
NCR
noncompliance report
NICET
O&M
CMCS
CMCS Engineering
PE
Professional Engineer
CMCS
April 2014
PSCP
QA
quality assurance
QC
quality control
QCM
QMP
QMS
QoLPS
CA
remedial action
CA CD
CA HASP
RAWP
RD AOC
RM
river mile
ROD
record of decision
Site
SM
Site Manager
SOW
scope of work
SWPPP
SPCCP
TID
CMCS
April 2014
vi
One umbrella
CA Health and Safety Plan
Construction Quality
Assurance Plans
Construction
Action
Work Plans
Contract
Packages
Construction Quality
Control/Quality
Assurance Plan
For 351 MLD
WWTP 3rd Ext.
CA Work Plan #1
1 A Facility Site
Work Construction
1B Pipe Yard
Construction
CA Work Plan #2
Processing Equipment
Installation and Operation
Site Work
8 Pump stations
Rehabilitation
Construction Quality
Control/Quality
Assurance Plan
CA Work Plan #3
Rehabilitation and
Facility Operations
2A Processing
Facility Const.
2B Procurement
for E&M
installation
Operation
3Facility
Operations
4 Rehabilitate the 8
Pumping Station
5- Installation E&M
equipment for Pump
station Rehabilitation
1-7
Describe the quality program and organization to be implemented so that the project is
constructed in accordance with the contract requirements and industry standards;
Provide reasonable assurance that the completed work will meet or exceed the
requirements of the construction drawings and specifications; and
Describe how any unexpected changes or conditions that could affect the construction
quality will be detected, documented, and addressed during construction.
1-8
2-1
2-2
2-3
2-4
The FIs must be alert to detecting, recording, and reporting any deviation from the contract
documents, including calling any deficient item to the attention of the FE, the contractors
superintendent, and/or other representative. The FIs must keep accurate and detailed records of
the contractors performance and progress, delivery of materials, and other pertinent matters,
including the daily inspection report.
2.3.2 Contractors Quality Control Personnel
QC Systems Manager
The QC Systems Manager (QCM) is a full-time employee of the contractor, or a consultant
engaged by the contractor. The QCM should have a minimum of five years of experience in
related construction and prior QC experience on a project of comparable size and scope to the
contractors scope of work on this project. Additional qualifications for the QCM include at
least one of the following requirements:
PE with one year of related construction experience acceptable to the CM.
EIT with two years of related construction experience acceptable to the CM.
An individual with three years of related experience acceptable to the CM, with a
Bachelor of Science Degree in civil engineering, civil engineering technology, or
construction.
Construction materials technician certified at Level III by the NICET.
The QCM will have full authority to institute any and all actions necessary for the successful
implementation of the QC program to ensure compliance with the contract plans and technical
specifications. The QCM shall report directly to a responsible officer of the construction
contractor. The QCM is assigned to this project full time.
QC Technicians
The contractor QC Technicians perform the following functions:
2-5
Inspect all materials, construction, plant, and equipment for conformance with the
technical specifications; and
2-6
2-7
CMCS must also complete submittal transmittal forms and submit six paper
copies and one electronic copy of all required submittals to the CMs document
manager (the submittal transmittal form will always accompany each submittal
package to and from the contractor, the CM and the Engineer of Record);
3. Upon receiving the submittal the CM will log the submittal and provide a review to
ascertain whether the package is complete. If the submittal is incomplete the
submittal will be returned to the contractor.
4. The original submittal transmittal and all copied attachments will be logged into the
document tracking system. The CM will then forward submittals to the appropriate
reviewers.
3-1
3-2
3-3
RAWP #1 includes contractor work plans for meeting these requirements. Please refer to
RAWP #1, the QoLPS FSP, and the referenced specifications for more detail on these
requirements, the underlying standards, and the monitoring activities that will be performed to
verify compliance.
4-1
4-2
5-1
Permissible
deviation by
Engineer of
Record only.
N/A
7% - 10% Contractors
verification testing
test
laboratory
ASTM D2487,
D698, D1556 &
D2922
7% - 10% Contractors
verification testing
test
laboratory
ASTM D698,
Method D
5-2
Specifications
Item description
Support excavation
Wood sheeting &
Bracing
Spec.
ref.
Item
02201, ref.
1
2.01
Each approved
source, Density,
gradation and
moisture density
02201, ref
General fill material
2
relationship per
2.01-C
1000 cubic yard,
stockpile or inplace source.
Backfilling
Moisture
Compaction &
Density Control
02201, ref.
3
3.08
Specifications
Item description
Spec.
ref.
Item
02201, ref.
3.08-2-b ;
02203, ref.
3.01
N/A
7% - 10% Contractors
verification testing
test
laboratory
N/A
7% - 10% Contractors
verification testing
laboratory
test
ASTM D698
Trenching,
backfilling &
compacting
02204, ref.
3.02
N/A
7% - 10% Contractors
verification testing
test
laboratory
ASTM D 4318
Satisfactory
material with
plasticity index
equal to or less
than 12
02205, ref.
1.03 &
4
1.04-6
N/A
7% - 10% Contractors
verification testing
laboratory
test
1 per stockpile
ASTM D 422 or
and source
C136, size No. 6
change
Select fill/Coarse
aggregate (Grainsize Distribution)
Spec.
02205, ref. 5
2.01 B
N/A
7% - 10% Contractors
verification testing
test
laboratory
Spec.
02205, ref. 6
2.01 B
N/A
Provide Mix
design for all
NYSDOT
verification material to be
Maintenance
plant report incorporated
15.403.2001
in the
restoration
Asphalt concrete
Restoration of
Binder plant mix
surfaces/ Asphalt
2 compacted
temporary paving
thick
02207, ref.
1.02 &
7
3.01
N/A
Provide Mix
design for all
NYSDOT
verification material to be
Standard
plant report incorporated
Specifications
in the
restoration
Asphalt concrete
Restoration of
Binder plant mix
surfaces/ Asphalt
4 compacted
permanent paving
thick
02207, ref.
1.02 &
3.01
Refer to the
table in section
3.03- D for
allowable
leakage for nonpressure piping.
N/A
All tests
shall be
witnessed
by the CM
Results of all
leakage tests
shall submit
to CM within ASTM C-828
2 working
days of test
completion.
24-hour test, no
visible sign of
leakage on the
exterior surface
and when the
water surface
does not drop
Tests of all
02211, ref.
hydraulic structures
8
3.01
non-pressure piping
All tests
shall be
witnessed
by the CM
Results of all
leakage tests
shall submit
to CM within ASTM C-828
2 working
days of test
completion.
Pressure test
150 PSSI for
period of 2
hours.
Tests on pressure
piping
5-3
02211, ref.
3.02-B
Any leaks
detected shall
be permanently
stopped.
Specifications
Item description
Spec.
ref.
Item
All tests
shall be
witnessed
by the CM
Results of all
leakage tests
shall submit
to CM within ASTM C-828
2 working
days of test
completion.
Rate of leakage
has stabilized for Leakage test for
3 consecutive 15 pressure piping
minutes intervals
02211, ref.
3.02-C
All tests
shall be
witnessed
by the CM
Results of all
leakage tests
shall submit
to CM within ASTM C-828
2 working
days of test
completion.
Leakage does
not exceed one
gallon per
vertical foot of
depth 24 hours.
02211, ref.
3.04
5.1.1 Inspections
The contractor shall establish a program for inspection of activities affecting quality and
shall cover all construction site and laboratory operations, including both onsite and offsite
operations. Inspections shall be performed to verify compliance with documented instructions,
drawings, procedures, and specifications as required by the contract. All inspections shall be
documented by the contractor as required by Specification Section 01450 3.05.
A four-phase inspection program shall be followed for each definable feature of the work.
The four phases of inspection are:
1. Preparatory Inspection
The contractor and the CM perform preparatory inspections prior to beginning any work on
any definable feature of the work.
Ensure that preparatory inspections include a review of contract requirements.
Ensure that all materials and /or equipment have been tested, submitted, and approved.
Ensure that provisions have been made to provide required testing.
Examine work area to ascertain that all preliminary work has been completed.
Examine materials, equipment, and samples to ensure that they conform to approved
shop drawings or submittal data, that all materials and/or equipment are on hand, and
that all monitoring and measuring equipment is properly calibrated and in proper
working condition.
Record preparatory inspections in the contractors QC documentation as required by
Specification 01450 Section 3.05.
5-4
3. Follow-Up Inspection
The contractor and the CM perform follow-up inspections daily.
The CM inspection staff records follow-up inspections in their daily inspection report.
Conduct final follow-up inspections and correct test deficiencies prior to the addition
of new features of work.
4. Completion Inspection
The contractor and CM perform a completion inspection of the work.
Develop a punch list of items that do not conform to the approved plans and
specifications.
Perform a second completion inspection after punch list items have been completed
and the CM has been notified by the contractor.
The daily inspection reports shall identify inspections conducted, results of inspections,
location and nature of defects found, causes for rejection, and remedial or corrective action taken
or proposed.
Additional QA inspections may include inspection of third-party lab testing facilities,
fabrication facilities, and suppliers. Other inspections outside of the four-phase program
described above will be ordered or performed by the CM to verify compliance with building
5-5
Need to perform quality checks for fabrication sequences not available for inspection at
completion; and
5-7
Materials or equipment intended for use in construction are identified and segregated
until inspection confirms that they conform to technical and quality requirements, and
5-8
6-2
6-3
Location of the inspection activity or location from which the sample was obtained
7-2
Surveillance reports;
Non-conformance reports;
These records will be stored in files maintained in the project document control files. All
original documents pertaining to project information will be maintained in the project file located
at the project office in Fort Edward, New York.
The CM and SM have primary responsibility for the centralized document control files for
the project and construction documentation.
Pursuant to the contract specifications, the contractor provides an electronic or paper copy
(suitable for scanning) of QC documentation associated with the work to document control
within three business days of the generation of such documents; and one electronic copy of all
required submittals to CMs document manager. All contractors shall maintain a fire-resistant
storage facility at the processing facility site. The facility shall contain all inspection reports, test
records, contract documents, project, and daily field reports.
7-3
7-4
Any combination of these provided that any such modification or direction would not
materially expand the SOW.
EPA will not modify a submission without providing at least one notice of deficiency and
21 days to correct the deficiency. Following the correction process, the plan, report, or other
item will be resubmitted for approval.
8-1
9 -1
results of the Start-up and Testing Plan and the Commissioning Plan implemented for
each major piece of equipment or system before system turnover, in accordance with
Specification 01810.
10
-1
2002.
United States Environmental Protection Agency and General Electric Company. 2003.
Administrative Order on Consent for Hudson River TP Design and Cost Recovery. Index
No. CERCLA-02-2003- 2027.
United States Environmental Protection Agency and General Electric Company. 2005. Consent
Decree in United States v. General Electric Company, Civil Action No. 1:05-cv-1270,
lodged in United States District Court for the Northern District of New York October 6,
2005; final judgment entered November 2, 2006.
11 -1
ATTACHMENT 1
CQAP STAFFING LIST AND RESUMES
NAME
FUNCTION
CM
Keith Brook
Construction QA Officer
CM
(TBD)
Field Inspector
CM
(TBD)
Field Inspector
CM
(TBD)
QA Field Inspector
CM Approval
Date
Periodic
Firm
CMCS
Years of Experience
24
Education
University of Alabama,
Birmingham, 1983: Bachelor of
Science in Civil Engineering
ISO 9001:2000 Lead Auditor
Course Certificate No.
4573341-26429
Certificate of Quality
Assurance and Quality Control
in Transit Projects 2005
Training Certificate from Corp
of Engineers Construction
Quality Management for
Contractors 2001
Training Certificate - OSHA
update Seminar 1995
Training Certificate - 100%
Fall Management 1994
Certificate of Completion
NUCA Competent Person
1994: NUCA Confined Space
Entry Program
Courses for Computer (PC),
Windows XP, MS Office 2000
Affiliations
American Society of Civil
Engineers
Special Skills
Fluent in Arabic, English.
Keith Brook
Senior Quality Assurance Engineer
Summary of Relevant Qualifications
Senior Quality Assurance Engineer/Civil Engineer/ construction with
over twenty years of experience in construction of commercial,
municipal, and transportation works, to include: concrete structures,
paving, underground utilities, earthen structures and tunnels.
Conducts internal project technical quality audits and presents audit
reports to management and the project team. Prepares the audit
checklists; conducts the pre-audit meeting; issues findings (when
required); prepares and issues the final audit report, recommending
opportunities for improvement; and follows up to verify that the
appropriate corrective actions have been completed.
Work Experience
Selected Projects
APPENDIX A
SAMPLE QUALIFICATION TEST SCHEDULES
Acceptance Criteria
(verified by QA)
Minimum QC Testing
Frequency by
contractor
Test Method
Test Parameter
ASTM D2487
Soil
Classification
In accordance with
Section 02205
ASTM D4318
Atterberg Limits
In accordance with
Section 02205. Article 2.01.I
ASTM D422 or
C136
Grain- Size
Distribution
ASTM D2216/
D2974
Moisture Content
Notes:
1. Borrow soil must be from approved on-site borrow source with test results provided in Section
02205. Any change in material must be consistent with approved material characteristics as
determined by CM. New moisture content curves will need to be plotted for change in material.
2. Note: this table is for illustration only and is not intended to replace or modify contract
specifications that will form the basis of actual CQCP submittals by contractors
Page A1
Test Method
Test Parameter
ASTM D422
or C136
Grain-Size Distribution
As reported for
establishing the range of
optimum moisture content
ASTM D2974
Moisture Content
As reported for
establishing the range of
optimum compaction
ASTM D1557
Compaction
Characteristics
ASTM D422
or C136
Grain-Size Distribution
As reported for
establishing the range of
optimum moisture content
ASTM D2974
Moisture Content
Acceptance Criteria
(verified by QA)
Coarse Aggregate
Fine Aggregate
As reported for
1 per stockpile and
ASTM D1557
Compaction
establishing the range of
source change
Characteristics
optimum compaction
Note: this table is for illustration only and is not intended to replace or modify contract specifications
that will form the basis of actual CQCP submittals by contractors
Page A2
Acceptance Criteria
(verified by QA)
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
Portland Cement
In accordance with tables
in ASTM C150 for
Type II Low Alkali
Prior to use in
concrete mix in
absence of material
certification
ASTM C150
Page A3
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
Prior to use in
concrete mix and
whenever character
or source is
changed
Prior to use in
concrete mix and
whenever character
or source is
changed
ASTM C40
Organic Impurities
Prior to use in
concrete mix and
whenever character
or source is
changed
ASTM C33
Soundness
Prior to use in
concrete mix and
whenever character
or source is
changed
ASTM C131
Abrasion
Prior to use in
concrete mix and
whenever character
or source is
changed
ASTM C33
Deleterious
Materials
Page A4
Sieve Analysis
Acceptance Criteria
(verified by QA)
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
ASTM C117
Aggregates considered
innocuous in accordance
with ASTM C289
ASTM C227
Alkali Reactivity
Prior to use in
concrete mix and
whenever character
or source is changed
Page A5
Acceptance Criteria
(verified by QA)
Min 5000 PSI
Min 4000 PSI
Min 3000 PSI
Minimum QC
Testing Frequency
by Contractor
Preliminary testing
of mix design; test at
28 days
Test Method
ASTM C39
Test Parameter
Compressive Strength
Preliminary testing
of mix design
Water/Cement Ratio
ASTM C143
Slump Test
Page A6
APPENDIX B
SAMPLE INSPECTION SCHEDULES
Minimum QC
Inspection Frequency
by Contractor
Inspection Parameter
Continuous
Continuous
Presence of Foreign
Objects and Materials
Continuous
Daily
Daily
Method of Placement
1 per lift
1 per lift
Note: this table is for illustration only and is not intended to replace or modify contract specifications
that will form the basis of actual CQCP submittals by contractors
Page B1
Minimum QC
Inspection Frequency
by Contractor
Inspection Parameter
Coarse Aggregate
NYSDOT Type 2, may include up to 50%
of reclaimed materials
Continuous
Material Characteristic
1 -inch
Continuous
Maximum Size
Daily
Daily
Method of Placement
1 per lift
Lift Thickness
Fine Aggregate
NYSDOT Type 2, may include up to 50%
of reclaimed materials
Continuous
Material Characteristic
-inch
Continuous
Maximum Size
Daily
Daily
Method of Aggregate
Placement
Page B2
Inspection
Parameter
Material Condition
Daily
Equipment
and Type
Alignment
Heave Checks
Size
Page B3
Minimum QC
Inspection Frequency
by Contractor
Inspection Parameter
Reinforcing Material
Condition
Reinforcing Bundle
Identification
Daily
Reinforcing Material
Storage
In-Place Reinforcing
Prior to pouring of
concrete
In-Place Formwork
Concrete Truck
Page B4
Minimum QC
Inspection Frequency
by Contractor
Inspection Parameter
Continuous during
pouring of concrete
Concrete Placement
Continuous during
pouring of concrete
Continuous during
pouring of concrete
Continuous during
compaction of concrete
Maximum Deviation
After finishing of
concrete
Formed Concrete
Finishing
Page B5
APPENDIX C
SAMPLE TEST SCHEDULES
Acceptance Criteria
(verified by QA)
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
1 per lift
ASTM D1557
Compaction for
Earthen Berm
1 per lift
ASTM D1557
ASTM D2922/ or
D1556
In-Place Density
+/- 2% of optimum
moisture content in
accordance with
Attachments 02200-1
through 02200-4
ASTM D3017
In-Place Moisture
Content
1. Borrow soil must be from approved on-site borrow source with test results provided in Section
02200. Any change in material must be consistent with the approved material characteristics as
determined by the Construction Manager. New moisture content curves will need to be plotted
for change in material
2.
Note: this table is for illustration only and is not intended to replace or modify contract
specifications that will form the basis of actual CQCP submittals by contractors
Page C1
Acceptance Criteria
(verified by QA)
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
Coarse Aggregate
95% max. dry density in
accordance with ASTM
D1557
ASTM D1557
Compaction
ASTM D2922
In-Place Density
+/- 1% of optimum
moisture content in
accordance with ASTM
D3017
ASTM D3017
In-Place Moisture
Content
ASTM D1557
Compaction
ASTM D2922
In-Place Density
Fine Aggregate
+/- 1% of optimum
1 per compacted lift
ASTM D3017
In-Place Moisture
moisture content in
Content
accordance with ASTM
D3017/ D2974
Note: this table is for illustration only and is not intended to replace or modify contract
specifications that will form the basis of actual CQCP submittals by contractors
.
Page C2
Acceptance Criteria
(verified by QA)
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
A compressive load of
Prior to driving
ASTM D1143
Load Test
300% of design load shall production piles
be applied to each
compressive load test pile.
Note: this table is for illustration only and is not intended to replace or modify contract
specifications that will form the basis of actual CQCP submittals by contractors
Page C3
Acceptance Criteria
(verified by QA)
Min 5000 psi
Minimum QC
Testing Frequency
by Contractor
Test Method
Test Parameter
1 per 50 CY or
fraction thereof from
each days placing;
test at 7 and 28 days
ASTM C39
When compression
test cylinders are cast
ASTM C231 or
C172
Air Content
When compression
test cylinders are cast
ASTM C143
Slump Test
Compressive Strength
Slump values:
Reinforced concretegeneral 4 inches, Nonreinforced concrete
3 inches, pavement,
sidewalk 3 inches, Slab on
grade 3 inches and Floor
toppings 2 inches.
Note: this table is for illustration only and is not intended to replace or modify contract
specifications that will form the basis of actual CQCP submittals by contractors
Page C4
APPENDIX D
TYPICAL CONSTRUCTION FORMS
D-2
D-3
D-4
D-5
D-6
D-7
D-8
D-9
CMCS
DATE:
Page of
WEATHER CONDITION:
AM / PM
f / Lo f
Hi
PRECIPITATION: INCH(S)
GROUND CONDITIONS:
CONTRACTORS SUPERINTENDENT:
STOP
SUBCONTRACTORS (*):
0:00 PM
TIMES:
HOU
RS
STOP
0:00 PM
START
0000AM
CLASSIFI
CATION
TIMES:
START
0000AM
NAME / COMPANY
EQUIPMENT
MEETING:
D-1
CMCS
WORK PERFORMED
Work started at 00:00 am.
CONSTRUCTION ACTIVITIES COMPLETED AND /OR IN PROGRESS:
PROGRESS PHOTOS:
Signature:
Signature:
D-1
Page of
Project
Job Number
CMSC
Quality Inspection Report
1/1
CONTRACTOR:
TYPE OF INSPECTION:
REPORT NUMBER:
Preparatory Inspection.
Initial Inspection.
Follow-up Inspection.
Completion Inspection.
DESCRIPTION/INTENT OF INSPECTION:
COMPONENTS/MATERIALS REVIEWED:
RESULTS OF INSPECTION:
DEFICIENCIES NOTED:
NON-CONFORMANCES:
QA Inspector Signature:
Date:
D-2
Page of
Project
Job Number
CMCS
1/1
PURCHASE ORDER
SPECIFICATION
REPORT NUMBER
REV.
DRAWING
SUPPLIER
REV.
ITEM
QUANTITY
DOCUMENTATION
DOCUMENTS COMPLETE PER CONTRACTUAL REQTS:
DOCUMENTS TRACEABLE TO ITEMS RECD:
LEGIBLE:
STAMPED BY SURV. REP:
RESOLUTION:
QC SIGNATURE:
DATE:
REMARKS:
PHYSICAL INSPECTION
CHECK LIST NO:
DEFICIENCY RESOLVED:
DATE:
D-3
**
Page of
Project
Job Number
CMCS
1/2
CONTRACTOR:
CONTRACT NO:
NO
YES
ATTRIBUTE
GENERAL
1.
Is equipment adequate?
2.
3.
4.
5.
Does completed depth and configuration comply with drawings and specifications?
1.
2.
3.
1.
2.
3.
4.
Have contaminated (and spongy) areas been cut out, filled and compacted with approved
material?
5.
1.
a) Is bedding fully compacted to support pipe or utility at line, grade, and slope required and
verified by inspector?
GRADING
1.
2.
D-4
Page of
Project
Job Number
CMCS
Field Inspection Checklist
Earthwork
2/2
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
Is rough grading reasonably even and free of irregularity and allowance made for finish
grading?
3.
Is finished grade:
4.
REMARKS:
QC SIGNATURE:
DATE:
D-4
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
GENERAL
1.
Is equipment adequate?
2.
3.
4.
5.
1.
REMARKS:
QC SIGNATURE:
DATE:
D-5
Page of
Project
Job Number
CMCS
1/2
CONTRACTOR:
CONTRACT NO:
NO
YES
ATTRIBUTE
STORAGE
1.
2.
3.
4.
5.
BOLTING
1.
2.
3.
4.
5.
6.
Torque wrench
7.
8.
ERECTION
Members accurately shimmed, wedged, plumbed and aligned prior to final connection?
1.
2.
3.
4.
WELDING
Welders, weld procedures qualified to requirements of AWS D1.1, Structural Welding Code,
Section 5?
1.
2.
3.
4.
Weld joints properly prepared, aligned, free from cracks, scale, grease, etc. prior to welding?
5.
D-6
Page of
Project
Job Number
CMCS
2/2
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
Root opening tolerances not exceeded?
6.
7.
8.
9.
10.
11.
PAINTING
1.
2.
3.
4.
REMARKS:
QC SIGNATURE:
DATE:
D-6
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR:
SPECIFIC LOCATION: AREA OR BUILDING
STATION:
LIFT NO:
TO STATION:
T/OFFS:
OFFSET:
ELEVATION:
CONCRETE TYPE:
TO ELEV:
MIX NO:
ADDITIVES:
TYPE OF DELIVERY:
DELIVERY EQUIPMENT IDENTIFICATION/NUMBER:
PLACEMENT STARTED:
DATE
PLACEMENT COMPLETED:
DATE
TIME
SHIFT
TIME
SHIFT
WEATHER CONDITIONS:
TOTAL CONCRETE PLACED:
TOTAL CONCRETE WASTED:
REASON:
TEMPERATURE:
% AIR CONTENT:
TOTAL CYLINDERS:
CYL IDENT:
PROPER CONSOLIDATION:
AMOUNT VIBRATORS:
VIBRATORS IDENT/RPM:
DISCHARGE POINTS: NUMBER
LOCATION
REINFORCING DISTURBED/REPLACED/REPAIRED:
TYPE FINISH SPECIFIED:
FINISHING STARTED:
DATE
TIME
SHIFT
FINISHING COMPLETED:
DATE
TIME
SHIFT
CONDITION OF FINISH:
TYPE OF CURING:
DELAYS (INDICATE TYPE AND REASON: PERSONNEL, EQUIPMENT OR PLANNING):
OBSERVATIONS/REMARKS:
CONCRETE INSPECTOR:
DATE:
D-7
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR
SPECIFIC LOCATION: AREA OR BUILDING
STATION
LIFT NO.
TO STA.
T/OFFS.
OFFSET
ELEVATION
CONCRETE TYPE
SHIFT
TO ELEV.
MIX NO.
ADDITIVES
COMPUTED QTY
REPLACEMENT VERIFICATION
1. ELECTRICAL SUPERVISOR: ITEMS TO BE CHECKED
CABLES/GROUND WIRE
CONDUIT
COMPLETE/ACCEPTABLE TO DRAWING
BOXES
OTHER
REV.
SIGNATURE
DATE
PIPING SLEEVES
COMPLETE/ACCEPTABLE TO DRAWING
MECH. FRAMES
OTHER
REV.
SIGNATURE
DATE
SCREEDS SET
FORMS
REINFORCING STEEL
ALIGNMENT
BRACING/SHORING
CORRECT SIZE/GRADE
LOCATION
INTERIOR SURFACE
RELEASE AGENT
LEAN
WATER STOPS
REV.
SIGNATURE
DATE
SIGNATURE
DATE
OBSERVATIONS/REMARKS
DATE
D-8
Page of
Project
Job Number
CMCS
CONTRACTOR:
CONTRACT NO:
NO
YES
ATTRIBUTE
PLACING
1.
2.
3.
4.
5.
6.
7.
CONSOLIDATION
1.
2.
Vibrators:
3.
a)
b)
c)
Withdrawn slowly?
d)
FINISHING
1.
2.
3.
4.
CURING
1.
2.
3.
4.
5.
D-9
Page of
Project
Job Number
CMCS
2/2
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
REPAIR
1.
2.
3.
REMARKS:
QC SIGNATURE:
DATE:
D-9
Page of
Project
Job Number
CMCS
1/2
CONTRACTOR:
CONTRACT NO:
NO
YES
ATTRIBUTE
Receipt inspection performed including:
1.
a) Dimensions?
b) Visual?
c) Material test reports for cement, concrete, reinforcing steel, shells, mix test reports, etc.?
d) Reinforcing steel for spacing, clearance, size, dowel and tendon extensions?
Piles properly handled, stored, and placed?
2.
3.
4.
Test piles required? Driven? Definition of refusal understood, pre-drilling required? Jetting
allowed?
5.
6.
7.
8.
Piles driven without interruption, driven to required depth to obtain bearing capacity?
9.
10.
Inside properly cleaned, cross section verified, bottom interior cleaned of loose materials?
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
D-10
Page of
Project
Job Number
CMCS
2/2
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
d) Unusual conditions, obstructions, replaced piles, etc.?
e) Results of tests, if any?
Inspectors records include:
21.
REMARKS:
QC SIGNATURE:
DATE:
D-10
Page of
Project
Job Number
CMCS
1/2
CONTRACTOR:
CONTRACT NO:
NO
YES
ATTRIBUTE
STORAGE
1.
2.
3.
4.
IN-PROCESS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
FINAL
Bolted flanges:
1.
D-11
Page of
Project
Job Number
CMCS
2/2
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
c) Bolts/studs correct material?
d) Bolts/studs completely engaging nuts?
Completed weld records properly filed, maintained?
2.
3.
4.
5.
6.
7.
REMARKS:
QC SIGNATURE:
DATE:
D-11
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR:
CONTRACT NO:
1.
Install and connect reference electrodes and test equipment as per manufacturers test procedure.
2.
3.
4.
LOCATION:
EQUIPMENT NO:
RFI NO:
CONNECTED:
DATE:
AMBIENT TEMP:
MODEL NO:
HUMIDITY % RH:
RANGE:
WEATHER:
SERIAL NO:
TEST RESULTS:
REMARKS
EARTH RESISTANCE
TEST ITEMS
QC SIGNATURE:
DATE:
D-12
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR:
CONTRACT NO:
1.
Install and connect reference electrodes and test equipment as per manufacturers test procedure.
2.
3.
4.
LOCATION:
EQUIPMENT:
RFI NO:
CONNECTED:
DATE:
AMBIENT TEMP:
MODEL NO:
HUMIDITY % RH:
RANGE:
WEATHER:
SERIAL NO:
TEST RESULTS:
REMARKS
EARTH RESISTANCE
TEST ITEMS
QC SIGNATURE:
DATE:
D-13
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
Installed lighting fixtures comply with fixture schedule drawing?
1.
Lighting fixture location is correct as shown on the design approved shop drawing?
2.
Lighting fixture and fittings are installed correctly and tightly as specified in the
specification?
3.
4.
Cable wire color code is correct and identification tags installed at panel board?
5.
6.
7.
8.
REMARKS:
QC SIGNATURE:
DATE:
D-14
Page of
Project
Job Number
CMCS
1/1
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
Equipment/components installed per approved drawings and material submittals?
1.
2.
3.
4.
5.
6.
REMARKS:
QC SIGNATURE:
DATE:
D-15
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACT NO:
REMARKS
LOCATION:
FIXTURE BODY
TO GROUND
CABLE ROUTE
FROM
FIXTURE
NO.
TO
CIRCUIT
NO.
REMARKS:
QC SIGNATURE:
DATE:
D-16
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/2
CONTRACT NO:
1.
The voltage of 500V held for a period of one (1) minute and results recorded below.
2.
3.
The test shall be performed after cable installation and terminations are completed and witnessed by the QA
Engineer.
4.
The absorption index is calculated as: Absorption Index = 60 sec IR reading / 30 sec IR reading
5.
The insulation resistance shall be compared for similar results of the other conductors and feeders.
6.
CABLE SIZE:
R1
(G-OHM)
ABSORPTION
INDEX
VOLTAGE
(KV)
TIME
(SEC)
0.5
30
0.5
60
0.5
30
0.5
60
0.5
30
0.5
60
0.5
30
0.5
60
0.5
30
0.5
60
0.5
30
0.5
60
0.5
30
0.5
60
0.5
30
0.5
60
AMBIENT TEMP:
HUMIDITY:
TEST INSTRUMENT:
MANUFACTURER:
LENGTH
(KM)
CORE
L1 TO GND
L2 TO GND
L3 TO GND
N TO GND
L1 TO L2, L3, N
L2 TO L1, L3, N
L3 TO L1, L2, N
N TO L1, L2, L3
REMARKS:
D-17
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
2/2
CONTRACT NO:
1.
Phasing checks are to be performed when the cable installation is completed and before conductors are terminated.
2.
3.
4.
5.
6.
CABLE SIZE:
CABLE LENGTH:
TEST INSTRUMENT:
CONNECTION
PHASE
TEST
L1 EARTHED L2
UNEARTHED L3
UNEARTHED N
UNEARTHED
L1
L1 UNEARTHED
L2 EARTHED
L3 UNEARTHED
N UNEARTHED
L2
L1 UNEARTHED
L2 UNEARTHED
L3 EARTHED
N UNEARTHED
L3
L1 UNEARTHED
L2 UNEARTHED
L3 UNEARTHED
N EARTHED
MANUFACTURER:
REMARKS:
QC SIGNATURE:
DATE:
D-17
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
SUPPORTS
1.
2.
CONDUITS
1.
2.
3.
4.
5.
1.
2.
3.
4.
GROUNDING
1.
2.
3.
4.
REMARKS:
QC SIGNATURE:
DATE:
D-18
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACTOR:
CONTRACT NO:
N/A
NO
YES
ATTRIBUTE
Panelboard installed at proper elevation and circuit breaker accessories provided are per
approved drawings and submittals?
1.
2.
3.
Low voltage power cable in outlet box and panelboard properly connected?
4.
Cable size color code is correct and identification tags are installed at panelboard/outlet
boxes?
5.
6.
7.
8.
9.
REMARKS:
QC SIGNATURE:
DATE:
D-19
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACT NO:
LOCATION:
CABLE NO:
CABLE SIZE:
1.0
2.0
3.0
1.2
TYPE
AMPERE
1.3
1.4
AMPERE
MANUFACTURER
2.2
2.3
TOTAL KVA / KW / HP
2.4
VOLTAGE
VOLTAGE
2.5
RATED FREQUENCY
HZ
2.6
AMPERE
TRIP SETTINGS:
3.1
THERMAL (
(
3.2
MAGNETIC (
(
) FIXED
) VARIABLE
) % FLC
) AMPERES
REMARKS:
QC SIGNATURE:
DATE:
D-20
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACT NO:
UNIT NO:
EQUIPMENT NAME:
CIRCUIT NO:
LOAD RATING:
MANUFACTURER NAME:
FRAME TYPE:
FRAME SIZE:
TEST DATA
MAGNETIC TRIP RATING:
PHASE C
AS LEFT
PHASE B
AS FOUND
AS LEFT
PHASE A
AS FOUND
AS LEFT
AS FOUND
TEST RESULTS
CURRENT
TRIP TIME
CURRENT
TRIP TIME
CURRENT
TRIP TIME
LTD
STD
MIN.
TRIP
MEGGER TO FRAME
MEGGER LINE TO LOAD
CONTACT RESISTANCE
ACCESSORIES
Short Trip
Reverse
Trip
Ground
Limiter
Auxiliary Switch
Current
Current
UV Release
Electrical Interlock
Mechanical Interlock
Trip/Close Indicator
Bell Alarm
Trip/Close Lights
Motor Operated Mech
REMARKS:
QC SIGNATURE:
DATE:
D-21
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACT NO:
UNIT NO:
EQUIPMENT NAME:
CIRCUIT NO:
CABLE DATA
TRADE NAME:
MANUFACTURER NAME:
YEAR INSTALLED:
YEAR MANUFACTURED:
NO. OF COND.:
TYPE OF INSULATION:
RUBBER(LIKE)
SIZE:
VARNISH/CAMBRIC
PAPER
TYPE OF DUCT:
SHIELDED
NUMBER OF CONDUCTORS:
OTHER SPECIFY
YES
PER SHEATH
NO
PER PHASE
TEST DATA
TEST EQUIPMENT MANUFACTURER AND TYPE:
TIME:
MIN.
TEST VOLTAGE:
KV A.C.
KV D.C.
WEATHER CONDITIONS:
BEFORE INSTALL.
AFTER INSTALL.
ROUTINE
TEST TYPE:
PH
PH
PH
PH
PH
MINUTES
1/2
1
2
3
5
10
TIME
CURRENT
KV
PHASE
FAILURES
REMARKS:
QC SIGNATURE:
DATE:
D-22
Page of
Project
Job Number
CMCS
Electrical Inspection / Test Sheet
1/1
CONTRACT NO:
UNIT NO:
EQUIPMENT NAME:
CIRCUIT NO:
SERIAL NO.:
MANUFACTURER NAME:
MODEL:
DUTY:
CODE:
AMPS:
VOLTS:
R.P.M.
TYPE:
H.P.:
S.F.:
TEST DATA
WINDING RESISTANCE
HIGH POTENTIAL
MEGGER
TEST EQUIPMENT:
TEST EQUIPMENT:
TEST EQUIPMENT:
WINDING TEMP.:
TEST VOLTAGE:
TEST VOLTAGE:
WEATHER:
WEATHER:
WEATHER:
TEST TYPE:
BEFORE
INSTALL.
BEFORE
INSTALL.
AFTER
INSTALL.
ROUTINE
CABLES
RESISTANCE (OHMS)
TEST TYPE:
BC
CA
FIELD
BEFORE
INSTALL.
AFTER
INSTALL.
AFTER
INSTALL.
ROUTINE
ROUTINE
A- B
CABLES
TIME (SEC)
TEST TYPE:
CABLES
TIME (MIN)
15
1/2
30
45
60
90
120
10
POLARITY INDEX 10/1
REMARKS:
QC SIGNATURE:
DATE:
D-23
Page of
Project
Job Number
1/1
CONTRACTOR:
CMCS
Inspection Notification Form
DATE:
OTHER COMMENTS:
CONTRACTOR SIGNATURE:
DATE:
D-24
Page of
1/1
Job Number
DATE
CMCS
Non-Conformance Report
REPORT NO.
CONTRACTOR
SPECIFICATION/DRAWING NO.
ITEM
RECOMMENDED DISPOSITION:
USE AS IS
REWORK
SIGNED
REPAIR
SCRAP
SCRAP
DATE
CMCS FIELD ENGINEER
SIGNED
DATE
CONSTRUCTION ENGINEER
PART III To be completed by the Engineer of Record.
RECOMMENDATION AND REMARKS:
Approved
Rejected
SIGNED
DATE
ENGINEER OF RECORD
PART IV QUALITY CONTROL DISPOSITION (To be determined by QC System Manager (Construction Engineer)
DECISION AND DISPOSITION INSTRUCTIONS:
USE AS IS
REWORK
SIGNED
REPAIR
DATE
CMCS FIELD ENGINEER
SIGNED
DATE
CMCS CONSTRUCTION MANAGER
TELEX
SPEC. CHANGE
DRAWING CHANGE
DATE
DATE
CORRECTIVE ACTION WAS ACCOMPLISHED ON
DATE
DATE
CMCS CONSTRUCTION MANAGER
D-25
Page
of
Project
Job Number
CMCS
Non-Conformance Report Log
CONTRACTOR
DISPOSITION
VERIFICATION BY
DISPOSITION
DATE
PROPOSED
APPROVED
BY ENGINEER
PROPOSED
CORRECTIVE
ACTION BY
CONTRACTOR
DATE TO
CONTRACTOR
DATE
RECORDED
ORIGINATOR
CONDITION
DESCRIPTION
NCR No.
D-26
Project
Job Number
CMCS
Contractor Non-conformance Letter (Sample)
1/1
Attention:
Subject:
Gentlemen:
The attached Non-conformance Report (NCR) details discrepancies on your contract.
Please review and take appropriate action to remedy this situation, also changing any procedures, methods
and/or personal necessary to preclude similar problems in the future. Your attention is specifically drawn to
Item 10, disposition date.
We are available to discuss the attached with you.
Construction Manager
cc: Program Manager
Project Manager
Construction Manager
Quality Assurance Department
Contract File
D-27