FOR APPROVAL

A 14.Feb.2022 Jongpyo, Kim Choulho, Hwang Soowon, Lee FOR APPROVAL

REV DATE PREPARED CHECKED APPROVED STATUS
Owner

Owner’s Engineer

Contractor

Sub-Supplier

Project

JAWA 9 & 10 COAL FIRED STEAM POWER PLANT

Document Title

FIELD ITP FOR CONCRETE WORK

Document Type
□ Basic Engineering Document □ Detail Engineering Document □ Vendor Document ■ Other

Document No.

J910-DH02-P0ZEN-041013
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013

RECORD OF REVISION
Rev. Date Page Affected Description of Revision

A 14.FEB.2022 All Pages First Issue

Rev.A 2 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
CONTENTS

1. INTRODUCTION .......................................................................................................................4
1.1 Inspection and Test Plan (ITP) ..................................................................................................................... 4
1.2 Acceptance Conditions ................................................................................................................................. 4
1.3 Request for Inspection and Test (RFI) .......................................................................................................... 5
1.4 Documentation ............................................................................................................................................. 5

2. FLOW CHART OF THE INSPECTION ..................................................................................6

2.1 General Inspection Flow Chart ..................................................................................................................... 6
2.2 Flow Chart for Field Inspection of Concreting Works ................................................................................. 6

3. DETAIL ITP FOR CONCRETE WORK .................................................................................7

4. APPENDICES ............................................................................................................................10
APPENDIX 1 ............................................................................................................................................. 10
Form No. ITP-C-0002-01 MATERIAL RECEIVING INSPECTION RECORD ...................................... 10
APPENDIX 2 ............................................................................................................................................. 11
Form No. ITP-C-0002-02 INSPECTION FOR LEAN CONCRETE RECORD ....................................... 11
APPENDIX 3 ............................................................................................................................................. 12
Form No. ITP-C-0002-03 INSPECTION FOR REBAR ARRANGEMENT RECORD............................ 12
APPENDIX 4 ............................................................................................................................................. 13
Form No. ITP-C-0002-04 CONCRETE PLACEMENT CHECKLIST ..................................................... 13
APPENDIX 5 ............................................................................................................................................. 14
Form No. ITP-C-0002-05 EMBEDDED PARTS CLEARANCE CHECKLIST ....................................... 14
APPENDIX 6 ............................................................................................................................................. 15
Form No. ITP-C-0002-06 INSPECTION FOR FIELD CONCRETE TEST REPORT ............................. 15
APPENDIX 7 ............................................................................................................................................. 16
Form No. ITP-C-0002-07 INSPECTION FOR POST-POURING REPORT ............................................. 16
APPENDIX 8 ............................................................................................................................................. 17
Form No. ITP-C-0002-08 INSPECTION FOR CONCRETE DEFECT REPAIR ..................................... 17
APPENDIX 9 ............................................................................................................................................. 18
Form No. ITP-C-0002-09 INSPECTION FOR CONCRETE WATERPROOFING .................................. 18

Rev.A 3 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013

1. INTRODUCTION
1.1 Inspection and Test Plan (ITP)

a. Scope
The Inspection and Test Plan (ITP) is an engineering document, which described the inspection
and tests to be performed. The inspection is performed in accordance with Owner specification
requirements and specified codes & standards.
b. Composition
This ITP is composed as belows:
- Cover Sheet with project name, Owner name, application and related personnel's name.
- Introduction with general notes
- ITP with Inspection and test activities

1.2 Acceptance Conditions

a. The equipments, materials are inspected and tested at Site in confirmation of the conditions
specified in the ITP. Each operation refers to the whole or part of a standard, a technical
specification and a regulation.
b. Detailed Legend
Detailed Legend for Inspection activity points shall be designated on the ITP by the related
parties as follows;
P : Performance Point. Responsible to perform or execute the actual works.
R : Record/review Point. Responsible for Generating record/review.
W : Witness Point. Consortium shall send a notification to the Owner prior to perform
the related test or inspection. If the Owner fails to be present, the test or inspection
may be carried out by Consortium without witness of the Owner.
SW : Spot Witness Point. The spot witness point that is handled like as a sample witness
point, it will be witnessed by related parties only for several activities/ item to be
inspected. But, if inadequate working procedures are detected by related parties,
this point will be treated as witness points after the proper action.
S : Surveillance Point. Random attendance at site, no signature required on the
Inspection Request ( IR ) or its accompanying documentation.
H : Hold Point. Consortium shall also send a notification to the Owner prior to perform
the related test or inspection. If the Owner fails to be present, any construction
activities shall not be proceeded by Consortium without attendence or any written
approval of the Owner.

Rev.A 4 of 18
 FIELD ITP FOR CONCRETE WORK
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1.3 Request for Inspection and Test (RFI)

a. RFI will be issued by Consortium through Aconex at least three (3) days in advance for
site/field inspection and 7 days for outside inspection. For overseas inspection, RFI shall be
issued 35 days in advance prior to the inspection and test in accordance with the Contract.
b. RFI is required for all action points excluding Surveillance Point.
c. RFI will contain as a minimum of the following details:
- ITP No./Drawing No./Equiment name/System Name
- Inspection tem/activities on the ITP to be inspected
- Inspection date and time
- Unit No./Area/Building/Location/Elevation
- Any comments to be considered

1.4 Documentation

a. The results of inspections and tests shall be documented in writing and signed by the related
parties as a token of approval
b. Signed documents shall be controlled as a QA records in accordance with the related procedure.
c. Photos related to the work. Minimum captured: before test/inspect, on progress, after.

Rev.A 5 of 18
 FIELD ITP FOR CONCRETE WORK
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2. FLOW CHART OF THE INSPECTION

2.1 General Inspection Flow Chart

SHOP / MANUFACTURER

Engineering Purchase Order Fabrication Owner Witness Transport,

Design Issue to and Inspection as Shipping &
Information as Supplier (PO) Manufacturing per approved Pass Customs
per Contract in shop ITP

Move to Material &

Warehouse Inspection at Warehouse as per Accept Laydown area Equipment to
Receiving Packing list. or Warehouse be released to
point at Site as per Storage Site
Receiving Inspection report Issue. Levels Construction

Package damaged Re-packing Reject

Inspection
Open box Issue HOLD activity as per
Inspection to Tag & NCR approved ITP
check package
inside

SITE

2.2 Flow Chart for Field Inspection of Concreting Works

Repair Repair

Coordinate Survey Concrete pouring

Rebar and
and lean concrete Accepted? Accepted? inspection
formwork check
level check (Slump, sample, etc.)

Post-pouring inspection
Finish Accepted?
(Honeycomb, crack, etc.)

Repair

Rev.A 6 of 18
 FIELD ITP FOR CONCRETE WORK
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3. DETAIL ITP FOR CONCRETE WORK

Verification Inspection and Test Activities by

Inspection / Test Items Applied Procedure, Frequency of
No. Document (QC Acceptance Criteria
Description Code, DWG, etc. Inspection / Test
Record)
Sub-Con EPC IRT/OE Auth.

1 Material Verification
Applicable DWG for
Test result meets Once per design
1.1 Design mix each works & Trial Mix Report P W SW -
targeted grade mix
specification
Applicable DWG for One approval per
Manufactured materials Material
1.2 each works & Approved by IRT/OE material per P R R -
(waterstop, joint filler, etc.) Approval
specification brand
Material receiving inspection Material Approval As per approved Each delivery
1.3 ITP-C-0002-01 P W R -
for manufactured materials (AFC) material batch

2 Lean Concrete
Applicable DWG for
2.1 Location check each works & Survey Report As per ACI 117 – 10 Each Area P SW R -
specification
Applicable DWG for
2.2 Levelling check each works & ITP-C-0002-02 As per ACI 117 – 10 Each Area P SW R -
specification
3 Concrete Pre-Pouring
Applicable DWG for
As per Clause 2.1 and Each Pouring
3.1 Rebar arrangement each works & ITP-C-0002-03 P W SW -
2.2 of ACI 117 – 10 Area
specification
Contract Book – Each Pouring
3.2 Formwork ITP-C-0002-04 As per ACI 117 – 10 P W SW -
4.8.4.3.4 Form Work Area
Contract Book – Each Pouring
3.3 Curing type ITP-C-0002-04 As per Casting Plan P W SW -
4.8.4.3.9 Curing Area
Contract Book –
4.8.4.3.8 Mixing, Each Pouring
3.4 Cleaning ITP-C-0002-04 As per Casting Plan P W SW -
Conveying, and Area
Placing Concrete

Rev.A 7 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013

Verification Inspection and Test Activities by

Inspection / Test Items Applied Procedure, Frequency of
No. Document (QC Acceptance Criteria
Description Code, DWG, etc. Inspection / Test
Record)
Sub-Con EPC IRT/OE Auth.
Contract Book –
As per applicable Each Pouring
3.5 Embedded parts clearance 4.8.4.3.5 Embedded ITP-C-0002-05 P W SW -
drawing Area
Parts
4 Field Control Testing
Applicable DWG for
As per applicable Each Pouring
4.1 Concrete grade each works & ITP-C-0002-06 P W SW -
drawing Area
specification
Clause 2.5.1 of ACI
4.2 Slump check ACI 301M – 10 ITP-C-0002-06 Every 5 M3 P W SW -
117 – 10
Less than 32°C for
4.3 Temperature check ACI 301M – 10 ITP-C-0002-06 Every 50 M3 P W SW -
mass concrete
Monthly Testing Clause 2.5.2 of ACI
4.4 Air content check ACI 301M – 10 Every 50 M3 P W SW -
Report 117 – 10

5 Concrete Post-Pouring

Contract Book – As per table 4-14 of Each Pouring

5.1 Formwork removal ITP-C-0002-07 P W SW -
4.8.4.3.4 Form Work the Contract Book Area
As per clause 5.3.3
Visual inspection of concrete After formwork
5.2 ACI 301M – 10 ITP-C-0002-07 and 5.3.4 of ACI 301M P W SW -
surface removal
– 10
Average of 28-day test
Applicable DWG for
Monthly Testing results equal to or 3 sets of 3 each
5.3 Compressive strength test each works & P W SW -
Report greater to specified at Every 50 M3
specification
strength
6 Defect Repair, if any*

Procedure of Clause 5.3.7 of ACI Each grouting

6.1 Pre-repair check ITP-C-0002-08 P W SW -
Concrete Repair 301M – 10 area
Procedure of Clause 5.3.7 of ACI Each grouting
6.2 After repair check ITP-C-0002-08 P W SW -
Concrete Repair 301M – 10 area
Applicable DWG for
Before and after
7 Concrete Waterproofing each works & ITP-C-0002-09 As per AFC Drawing P W SW -
works
specification

Rev.A 8 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013

Verification Inspection and Test Activities by

Inspection / Test Items Applied Procedure, Frequency of
No. Document (QC Acceptance Criteria
Description Code, DWG, etc. Inspection / Test
Record)
Sub-Con EPC IRT/OE Auth.

8 Final Conformity / Final Walkdown Inspection

- AFC Drawings Completion of work as
- Approved MS per AFC drawing and 100% (after work
8.1 Check Completeness of Works Punchlist P H H -
- Inspection Records approved method completion)
- Internal Punch List statement
- AFC Drawings - Completion of works
Punch List Registration & - Approved MS - Satisfactory 100% (after work
8.2 Punchlist P H H -
Clearance - Inspection Records clearance of punch completion)
Internal Punch List list.
Site Work
Final Review of All Inspection and Reviewed & signed-of 100 % (All
9 Conformance R R R -
Documentation Test Records f by all parties records)
File (SWCF)
Note:
*) For major defect only
Legend Definition: P Perform R Record Review
H Hold Point Sub-Con Subcontractor (SIB / SBB)
W Witness EPC Contractor (Consortium of DHI and HK)
SW Spot Witness IRT/OE Owner (Indo Raya Tenaga) / Owner Engineer
S Surveillance Auth. Authorized third party for the specific item as applicable

Rev.A 9 of 18
 FIELD ITP FOR CONCRETE WORK
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4. APPENDICES
APPENDIX 1
Form No. ITP-C-0002-01 MATERIAL RECEIVING INSPECTION RECORD

MATERIALS RECEVING INSPECTION RECORD

Vendor/Supp : _____________________ RFI No. : _________________

Unit/Area : _____________________ Date : _________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Ref. Dwg. : _________________
Material Description

Source of materials

Quantity

MTC for materials

Lab Test Report No. (IF ANY)

Inspection Result
No Check Items Acceptance Criteria Remarks
Accept Reject
1 Size

2 Type

3 Dimension

4 Color

5 Packing – class of storage

6 Others, if any

The material stated above has been inspected and Approved / Not Approved to take up the works

Note:

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 10 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 2
Form No. ITP-C-0002-02 INSPECTION FOR LEAN CONCRETE RECORD

INSPECTION FOR LEAN CONCRETE RECORD

Structure : _____________________ RFI No. : _____________________

Area/Unit : _____________________ Date : _____________________
Location : _____________________ Subcon : _____________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Ref.Dwg. : _____________________

Inspection Result
No Check Items Acceptance Criteria Remarks
Accept Reject
1 Preparation
As per field
a. Cleaning/dewatering
inspection/condition
b. Pouring Concrete fc strength As per drawings
c. Climate factor prior to pouring
As per ACI 306R/305R
lean concrete
As per field
2 Visual check
inspection/condition
3 Dimentional Check As per drawings
Please refer survey
4 Survey Report (If Necessary)
reports
Loading time at BP & arrival time As per batch slip
5
at Site
6 Field Test :
a. Slump test ASTM C143
As per field
b. Surface finish
inspection/condition
As per field
c. Thickness, slope and elevation
inspection/condition
7 Underground facilities As per AFC drawing

Note:

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 11 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 3
Form No. ITP-C-0002-03 INSPECTION FOR REBAR ARRANGEMENT RECORD

REBAR ARRANGEMENT CHECKLIST

Structure : _____________________ Report No. : _____________________

Area/Unit : _____________________ Date : _____________________
Location : _____________________ Subcon : _____________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Ref. Dwg. : _____________________
Ref. Std. : _____________________
Inspection Result
No. Check items Acceptance Criteria Remarks
Accept Reject
1 Rebar bending
a. Mainbar As per drawing
b. Stirrups As per drawing

2 Rebar dimension
a. Mainbar As per drawing
b. Stirrups As per drawing
As per drawing
3 Reinforcement location
a. Mainbar distance As per drawing
b. Stirrups distance As per drawing
c. Splicing As per drawing

4 Concrete Spacer As per drawing

Rebar condition (rust,

5
cleanliness, etc.)

Note:

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 12 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 4
Form No. ITP-C-0002-04 CONCRETE PLACEMENT CHECKLIST

CONCRETE PLACEMENT CHCEKLIST

Project Title Sub-Contractor

Job No RFI No.
Project Owner Name Date
Owner Engineer Name
Page of
EPC Company Name
Equipment / Location : Revision :
Drawing no : Sheet :

RESULT
NO DESCRIPTION REMARK
Accept Reject

Location
1 Surveying Elevation
Plumbness
Dimension Alignment
Form Oil Coating
2 Formwork Stability
Top Elevation
Chamfer Spacer
Cleaning Pouring Place
Slump Test
3 Concrete Availability Concrete Vibrators (Qty)
Removal Laitance
Appearance of Surface
Size Type Number
Anchor Bolt or Box Location Orientation Level
4
Embedded Steel, water stop Stability
Protection of Anchor Bolt Screw
5 Misc, Opening, Sleeve, etc. Dimension, Location, Orientation, Material
Note:

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 13 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 5
Form No. ITP-C-0002-05 EMBEDDED PARTS CLEARANCE CHECKLIST
EMBEDDED PARTS CLEARANCE FROM ALL
DISCIPLINES

Project Title Sub-Contractor

Job No RFI No.
Project Owner Name Date
Owner Engineer Name
Page of
EPC Company Name
Equipment / Location : Revision :
Drawing no : Sheet :

SIGNATURES FOR CLEARANCE

NO DISCIPLINES REMARKS
DHI HK

1 Steel Structure
Name : Name :
Position : Position :

2 Mechanical
Name : Name :
Position : Position :

3 Electrical
Name : Name :
Position : Position :

4 Instrument
Name : Name :
Position : Position :
Note: All related parties shall check the embedded parts of each respective discipline.
All related parties shall sign even when the embedded part is not applicable for the mentioned concreting area.

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 14 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 6
Form No. ITP-C-0002-06 INSPECTION FOR FIELD CONCRETE TEST REPORT

INSPECTION FOR CONCRETE TEST REPORT

Structure : _____________________ RFI No. : _____________________

Area/Unit : _____________________ Date : _____________________
Location : _____________________ Concrete Supplier : _____________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Concrete Grade : Fc’____ / Slump ______ / Type ____
Page : __________of________
Qty Accumulated Qty Slump Temp. Cylinder code
No. Truck No. Loading time Arrival time
(m3) (m3) (cm) (oC) (every 50 m3)

Note:

Performed By Check and Verify By

Involvement Party IRT
Sub-Contractor EPC
Signature
Name
Sign Date
Job Title

Rev.A 15 of 18
 FIELD ITP FOR CONCRETE WORK
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APPENDIX 7
Form No. ITP-C-0002-07 INSPECTION FOR POST-POURING REPORT

INSPECTION FOR POST-POURING REPORT

Structure : _____________________ Report No. : _____________________

Area/Unit : _____________________ Date : _____________________
Location : _____________________ Subcon : _____________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Reff.Dwg. : _____________________
Ref. Std. : _____________________
Inspection Result
No. Check tems Acceptance Criteria Remarks
Accept Reject
1 Finishing & Curing
a. Concrete finish acceptable As per ITP
b. Protection of surfaces from cracking
As per Actual
due to rapid drying
c. Form removal As per Actual
2 Test of Hardened Concrete
a. Curing of speciments Cylinder curing yard

Note:

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 16 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 8
Form No. ITP-C-0002-08 INSPECTION FOR CONCRETE DEFECT REPAIR

DEFECT REPAIR ACCEPTANCE CHECKLIST

Structure : _____________________ Report No. : _____________________

Area/Unit : _____________________ Date : _____________________
Location : _____________________ Subcon : _____________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Ref.Dwg. : _____________________
Ref. Std. : _____________________
Inspection Result
No. Check tems Acceptance Criteria Remarks
Accept Reject
As per Procedure of
1 Defect Category
Concrete Repair
Repair Material (fill based on defect As per Procedure of
2 Concrete Repair
category)

- ………………………………

- ………………………………

- ………………………………

Reparation Tools (fill based on defect As per Procedure of

3 Concrete Repair
category)

- ………………………………

- ………………………………

- ………………………………
As per Procedure of
4 Preparation prior to reparation
Concrete Repair
Clause 5.3.7 of ACI
5 Final acceptance after repair
301M – 10

Note:

Involvement Performed By Check and Verify By

Party IRT
Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 17 of 18
 FIELD ITP FOR CONCRETE WORK
J910-DH02-P0ZEN-041013
APPENDIX 9
Form No. ITP-C-0002-09 INSPECTION FOR CONCRETE WATERPROOFING

INSPECTION FOR CONCRETE

WATERPROOFING

Structure : _____________________ Report No. : _____________________

Area/Unit : _____________________ Date : _____________________
Location : _____________________ Subcon : _____________________
Project : Jawa 9 & 10 (2x1000 M) CFSPP Ref.Dwg. : _____________________
Ref. Std. : _____________________
Inspection Result
No. Check tems Acceptance Criteria Remarks
Accept Reject

1 Surface preparation

2 Cleaning

3 Moisture barrier

4 First coat

5 Final coat

6 Thickness check (WFT/DFT)

7 Surface finish condition

8 Leak test, if required

10

11

12

13

14
Note:

Involvement Performed By Check and Verify By

IRT
Party Sub-Contractor EPC

Signature

Name
Sign Date
Job Title

Rev.A 18 of 18