Concrete Works A Qac PLN 000 30051 3

Ain Tsila Development
Main EPC Contract
A-CNT-CON-000-00282
INSPECTION & TEST PLAN FOR CONCRETE WORKS

A-QAC-PLN-000-30051
Sitaram Digitally signed by Sitaram
Gundasi
Gundasi
Date: 2021.09.23 20:24:52
+04'00' G.H C.K
3 Issued For Use 23.09.2021 M. Leo Sitaram G. Hegde Chawki Khalil
2 Issued For Use 19.09.2021 M. Leo Sitaram G. Hegde Chawki Khalil
1 Issued For Use 10.10.2020 M. Leo Prakash. K G. Hegde V. Gupta
0 Issued For Use 09/09/2019 M. Leo V. Geddam G. Hegde V. Gupta
A Issued For Review & Comments 22/08/2019 M. Leo V. Geddam G. Hegde V. Gupta
Rev Purpose Date Prepared Checked Approved Approved

ITP for Concrete Works
Document No: A-QAC-PLN-000-30051
Revision 3
Revision History
Revision Changes
A Issued For Review & Comments
0 Issued For Use
1 Issued for Use
2 Issued for Use
3 Issued for Use – Isarene logo replaced with Sonatrach logo
This revision checked and signed off by:

(This table is only required for multi-discipline documents that are checked and signed off by several groups)
Name Function or Job Title
Miguel Leo Petrofac Quality Inspector
Vikranth Geddam Petrofac Senior Quality Engineer
Sitaram Gundasi Petrofac Deputy Quality Manager
Gireesh Hegde Petrofac Project Quality Manager
Ved Prakash Gupta Petrofac Project Director
Holds
Hold No. Location Description
Page 2 of 30
Revision 3
TABLE OF CONTENTS
1. INTRODUCTION………………………………………………………………………………………………………………4
2. PURPOSE…………………………………………………………………………………………………………………………4
3. SCOPE OF DOCUMENT...…………………………………………………………….…………………………….….4
4. DEFINITIONS AND ABBREVATIONS……….………………………………………….…….………….…………5
5. REFERENCE .........................……….………………………………….…………………………….………6
5.1 PROJECT SPECIFICATIONS..................................................................6

5.2 INTERNATIONAL STANDARDS.............................................................. 6
6. LIST OF VERIFYING DOCUMENTS ………………………………….…………………………………………... 8
7. INSPECTION AND TEST PLAN………………………………………………….……………………...……………9
8. APPENDICES................................................................................. ......30
8.1 ATTACHMENT 1- JI-2045-C-0102X – SURVEY INSPECTION RECORD…………………….....31

8.2 ATTACHMENT 2- JI-2045-C-0201X – REINFORCED CONCRETE PRE-POUR/POST-POUR
INSPECTION RECORD....................................................................... 32
8.3 ATTACHMENT 3- JI-2045-C-0204X – CONCRETE POURING INSPECTION RECORD.....33
8.4 ATTACHMENT 4- JI-2045-C-0207A – FOUNDATION COMPLETION CERTIFICATE….....34
8.5 ATTACHMENT 5- JI-2045-C-0208X – CONCRETE PRE-CAST UNITS INSTALLATION
CHECK SHEET………………………………………………………………………………………………………….35
8.6 ATTACHMENT 6- JI-2045-C-0209X – CONCRETE BATCHING PLANT INSPECTION
CHECK SHEET…………………………………………………………………………………………..……….....36
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Revision 3
1. INTRODUCTION:
PETROFAC hereafter referred as CONTRACTOR will execute the (Ain Tsila Development Project)
Contract on behalf of Sonatrach referred hereafter as COMPANY. The Contract is for the
Engineering, Procurement, Construction and Commissioning services (Incl. Performance Testing) of
the above-mentioned Contract on a lump sum basis.
2. PURPOSE:
The purpose of this document is to describe in detail the practice that will be implemented by
Contractor/Sub-contractor to manage, verify and control overall Inspections, sampling and testing
for activities such as Concrete, reinforcement, curing and materials conforms to the specified
requirements of the Company specifications, documents and drawings on Ain Tsila Development
Project.
3. SCOPE OF DOCUMENT:
The scope of this Inspection and Test Plan including the referenced ITRs applies to the execution of
Inspection and Test activities as per the Quality Control Procedure (QCP) for performing of
Concrete Works by assigned Qualified personnel during the Project Construction/Inspection
activities.
The Inspection will be carried out by the SUBCONTRACTOR in their respective areas as per this
procedure under the guidance of the CONTRACTOR’s Construction and Quality Management team to
ensure that Quality requirements are fulfilled within the scope of this document.
In case of any conflict between Project specification, drawings and applicable code, Project
specifications shall take precedence over this ITP and applicable ITRs.
This ITP serves primarily as a plan and it shall NOT be used to obtain signatures. Acceptance
signatures shall be obtained on the referenced Inspection and Test Record, which shall form part of
generic records to be handed over to the Client. Company signature is optional for Review and
Surveillance points.
The referenced Inspection and Test Records (ITRs) are controlled independently. Therefore, the
latest revision of these ITRs, at the time of initiation, shall be utilized.
ITR number suffixed with letter “X” are classified as in-process Site/Field Quality Records and will
not be part of the Turnover System Process where as ITR number suffixed with letter “A” are part
of the Turnover Process and Turnover Records.
When filling ITRs do not leave any blanks. If an item/activity is not applicable, denote as N/A.
Use of Blanco, Tipp-ex etc. on ITR is forbidden.
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Revision 3
4. DEFINITIONS/ABBREVIATIONS:
An inspection where PIUL/Company plans to audit, monitor or witness the

RI-Random
: activity in process on random or periodic basis. No formal notification (RFI)
Inspection
required to inspection parties.
R- Review An activity that requires the review and acceptance of the Subcontractor’s
:
Point documentation. No formal notification (RFI) required to inspection parties.
Monitoring or observation to verify whether or not materials, items, or
installation conform to specified requirements. Surveillance activity may
S-
: include audit, inspection, witness of testing, review of quality
Surveillance
documentation and personnel qualification, and evaluation of personnel
performance. No formal notification (RFI) required to inspection parties.
An activity that requires witnessing by inspection parties as indicated in this
ITP. The Subcontractor shall notify PIUL QC/Company: for onsite 24hrs and
W-Witness offsite 48hrs in advance respectively. After proper notification has been
:
Point provided, the PIUL is not obliged to hold further processing if the company
Inspector is not available to attend or to witness the activity on the date &
time notified. Formal notification (RFI) required to inspection parties.
An activity that requires inspection/verification and acceptance by
inspection parties as indicated in this ITP before any further processing is
permitted. Subcontractor shall notify PUIL QC/Company: for onsite 24hrs
H-Hold Point : and offsite 48hrs in advance respectively. The Subcontractor shall not
proceed with further activities beyond the HOLD point unless the
responsible inspector’s acceptance has been obtained. Formal notification
(RFI) required to inspection parties.
COMPANY : Sonatrach (the operator of the Ain Tsila Development)
Petrofac International UAE Limited, who is in charge for the execution of
CONTRACTOR :
EPC project.
PROJECT : Ain Tsila Development Project
C : Company
Subcontractor, the party that contracts to provide services or materials
SC :
necessary for the performance of the contract
PIUL : Petrofac International (UAE) LLC
ARA : Algerian Regulatory Authorities. For Civil inspections (CTC) is involved.
QA/QC : Quality Assurance/ Quality Control
RFI : Request for Inspection.
ITR : Inspection & Test Record
IM&TE : Inspection, Measuring & Test Equipment
AFC : Approved for Construction
LTPS : Laboratories des Travaux Publics du Sud
NA : Not Applicable
Petro PCS : Petrofac’s Project Completion System
ITP : Inspection and Test Plan
QCP : Quality Control Procedure
BS : British Standard
Page 5 of 30
Revision 3
ASTM : American Society for Testing Materials

MAR : Material Approval Request
AFC : Approved for Construction
IFC : Issued for Construction
N/A : Not Applicable
MRIR : Material Receiving Inspection Report
UG : Under Ground
AG : Above Ground
BM : Benchmark
QC : Quality Control
NCR : Non-Conformance Report
TPL : Third Party Laboratory
SHALL : Indicates a requirement
SHOULD : Indicates a recommendation
5. REFERENCES:
Document Number Description

A-QAC-PRO-000-30051 QCP for Concrete Works
A-QAC-PLN-000-30000 Project Quality Plan
A-QAC-PRO-000-30009 Non-Conforming Item Control Procedure
A-QAC-PRO-000-30000 Material Control and Traceability Procedure
A-QAC-PRO-000-30012 Quality Requirements for Subcontractors
A-QAC-PRO-000-30014 Procedure for Coordination with Algerian Regulatory Authorities.
A-QAC-PRO-000-30004 Quality Record Control Procedure.
5.1 PROJECT SPECIFICATIONS:

A-CIV-SPE-000-30006 Specification for Concrete formwork and Falsework
A-CIV-BOD-000-30001 Civil and Structural Design Basis.
A-CIV-SPE-000-30003 Specification for Cast-in-Place Concrete
A-CIV-SPE-000-30004 Specification for Precast Concrete
A -CIV-SPE-000-30005 Specification for steel reinforcement for concrete
A-CIV-SPE-000-30012 Specification for Underground system Fabrication and Installation
A-PMT-SPE-000-00001 Specification – General Information
A-ENG-LST-000-00001 List of Codes and Standards
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5.2 INTERNATIONAL STANDARDS:

D.T.R. BC – 2.4.10 Conception et dimensionnement des structures en beton acier-beton
D.T.R. BC – 2.41 Règles de conception et de calcul des structures en beton arme
“CBA93”
D.T.R. BC – 2.42 Règles de conception et de calcul des parois et murs en beton Banche
BE- 1.31 Règles d’exécution des travaux de fondations superficielles
Règles d’exécution des travaux de construction d’ouvrage en béton
BE- 2.1
armé
BE- 2.1a Règles d’exécution des chapes et dalles à base de liants hydrauliques
Règles d’exécution des travaux de construction des parois et murs en
BE- 2.2
béton banché
Règles générales pour la fabrication, le transport et la mise en oeuvre
E- 2.3
des murs extérieurs en panneaux préfabriqués
D.T.R. C – 2.47 Règlement neige et vent “R.N.V. 1999”
D.T.R. BC - 2.48 Règles parasismiques algériennes “R.P.A. 99” version 2003
D.T.R. BC – 2.44 Règles de conception et de calcul des structures en acier “CCM 97”
Concrete - Part 1 : specification, performance, production and
BS EN 206
conformity
BS EN 12350 Testing fresh concrete
Cement Part 1: Composition, specifications and conformity criteria for
BS EN 197-1
common cements
BS EN 197-2 Cement - Part 2: Conformity Evaluation
BS EN 934 Admixtures for Concrete, Mortar and Grout
BS EN 12620 Aggregates for concrete
BS EN 13670 Execution of concrete structures
BS EN 12390 Testing hardened concrete
Mixing Water for Concrete - Specification for Sampling, Testing and
BS EN 1008 Assessing the Suitability of Water, Including Water Recovered from
Processes in the Concrete Industry, as Mixing Water for Concrete.
BS EN 1881 Methods of testing concrete
BS EN 196 Methods of testing cement
BS EN ISO 10684 Fasteners- Hot dip galvanized coating
BS EN 12812 Falsework Performance requirements and general design
BS 4449 Steel for the reinforcement of concrete
BS 4483 Steel Fabric for the reinforcement of Concrete
Bending dimensions and scheduling of bars for reinforcement in
BS 8666
concrete.
Welding -Welding of reinforcing steel. Part-1: Load-bearing welded
BS EN ISO 17660-1
joints.
Welding -Welding of reinforcing steel. Part-2: Non Load-bearing
BS EN ISO 17660-2
welded joints.
EN 10080 Steel for the reinforcement of concrete. Weldable reinforcing steel
Page 7 of 30
Revision 3
Standard Test method for Time of Setting of Hydraulic Cement By

ASTM C191
Vicat Needle
ASTM C33 Standard Specification for Concrete Aggregates
Standard Test Method for Compressive Strength of Cylindrical
ASTM C39
Concrete Specimens
ASTM C94 Standard Specification for Ready-Mixed Concrete
ASTM C143 Standard Test Method for Slump of Portland Cement Concrete
ASTM C150 Standard Specification for Portland Cement
ASTM C260 Standard Specification for Air-Entraining Admixtures for Concrete
ASTM C494 Standard Specification for Chemical Admixtures for Concrete
Standard Specification for Concrete Made by Volumetric Batching and
ASTM C685
Continuous Mixing
Specification for Chemical Admixtures for use in Producing Flowing
ASTM C1017
Concrete
Standard Test Method for Change in Height at Early Ages of Cylindrical
ASTM C827
Specimens from Cementitious Mixtures.
Standard Test method Compressive Strength of Hydraulic Cement
ASTM C109/C109M
Mortars (using 2 inch or 50 mm cube Specimens)
ACI 304R Guide for Measuring, Mixing, Transportation, and Placing Concrete
ACI 305R Guide to hot Weather Concreting
ACI 308 Standard Practice for Curing Concrete
ACI 318 Building Code Requirements for Reinforced Concrete
ACI 315 Details and Detailing of Concrete Reinforcement
6. LIST OF VERIFYING DOCUMENTS:
No. ITR Number Project ITR Number Description

1 ITR-C-0102X JI-2045-C-0102X Survey Inspection Record
2 Reinforced Concrete Pre-Pour /Post-Pour Inspection
ITR-C-0201X JI-2045-C-0201X
Record
3 ITR-C-0204X JI-2045-C-0204X Concrete Pouring Inspection Record
4 ITR-C-0207A JI-2045-C-0207A Foundation Completion Certificate
5 ITR-C-0208X JI-2045-C-0208X Concrete Precast Units Installation Check Sheet
6 ITR-C-0209X JI-2045-C-0209X Concrete Batching Plant Inspection Check Sheet
Note: It must be noted that in case of conflict, Project specification is governing document.
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Revision 3
7. INSPECTION AND TEST PLAN

Note: * CTC will be notified based on their involvement.
Control Action to be Reference Responsible Verifying Intervention Points
Item Acceptance Criteria
Activity verified Document Party Document SC PIUL C* TPL
▪ Project requirements
according to the order of
precedence.
▪ Testing equipment shall be
in good working condition
▪ Calibration with valid calibration
▪ Laboratory test
certificates and certificates
equipment list and Calibration
validity ▪ The calibration certificates
Civil maintenance register certificates /
▪ Testing procedures of the testing equipment’s
Equipment’s ▪ Applicable
and formats shall be issued by an SC/PIUL QC Approved
1.0 Testing specifications/ H H R H
▪ Applicable accredited certification Civil Inspector document
Laboratory standards/
International organization. from
approval Procedures (Please
standards ▪ Testing Company
refer - Reference
▪ Company approval equipment/procedures
documents)
(AVL) shall be in accordance with
relevant test standards
▪ Evidence of
company/client approval of
proposed testing
Laboratory.
precedence.
Control of ▪ Agreed disposition action SC/PIUL QC Non-
Non- ▪ Non-conformance ▪ Non-Conforming taken. Civil Inspector Conformance
2.0 Item Control H H W N/A
Conforming report ▪ All non-conforming supplies / SQM Report
Procedure (A-QAC-
Products PRO-000-30009) shall be segregated
'quarantined' until non-
conformity has been
resolved".
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Revision 3

▪ Manufacturer’s data
sheet
▪ Specification for
▪ Review & verify Cast in place according to the order of
validity of concrete (A-CIV-SPE- precedence.
calibration 000-30003) ▪ The calibration certificates
SC/PIUL Site
Control of certificates, ▪ Specification for of the testing equipment’s
Identification shall be issued by an Construction Calibration
Inspection Concrete formwork
Number/Sticker accredited certification Representative Certificate/
3.0 Test & and falsework(A-CIV- H RI/R RI/R N/A
before each use. organization. and IM & TE
Measuring ▪ Verify the SPE-000-30006) ▪ Good mechanical and SC/PIUL QC Register
Equipment condition of test ▪ Specification for electrical condition Civil Inspector
equipment before steel reinforcement ▪ Valid calibration certificate
each use. for concrete(A-CIV- ▪ Conforms to Material &
SPE-000-30005) Equipment Management
▪ Specification for Procedure.
precast concrete(A-
CIV-SPE-000-30004)
▪ Review of according to the order of
▪ List of latest precedence.
applicable revision of applicable
drawings/documen ▪ Complies with AFC
drawings document register
ts and ensure that
▪ AFC drawings SC/PIUL Site
latest revision is ▪ Complies with AFC
▪ Drawings available at site ▪ Specification for steel Construction
drawings, applicable
and ▪ Review of work reinforcement for Representative Drawing
4.0 standards H H W N/A
Documents procedures, concrete(A-CIV-SPE- and Register
▪ Specification for steel
status Method 000-30005) SC/PIUL QC
Statements, QC reinforcement for
▪ Specification for Civil Inspector
Procedures, and concrete(A-CIV-SPE-000-
Concrete formwork
other related 30005)
documents etc. and falsework(A-CIV-
▪ Specification for Concrete
SPE-000-30006)
formwork and falsework(A-
CIV-SPE-000-30006)
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▪ Specification for Cast ▪ Specification for Cast in
in place concrete (A- place concrete (A-CIV-SPE-
CIV-SPE-000-30003) 000-30003)
▪ Specification for ▪ Specification for precast
precast concrete(A- concrete(A-CIV-SPE-000-
CIV-SPE-000-30004) 30004)
▪ AFC drawings according to the order of
precedence
▪ Batching plant type and
reinforcement for condition to suit project
concrete(A-CIV-SPE- requirements
▪ Batching plant type 000-30005) ▪ Per hours’ production
and condition ▪ Specification for ▪ Batching Plant production SC/PIUL Site
▪ calibration shall suit highest single pour Construction
Concrete formwork
certificates of the project Representative
▪ Batching ▪ Aggregates storage and falsework(A-CIV- ITR-C-0209X
5.0 ▪ Valid calibration certificates and
Plant ▪ Chiller/ Ice plant SPE-000-30006) H H W H
▪ Chiller/Ice plant facility to
Approval facility ▪ Specification for Cast compile the peak summer
▪ Laboratory facility in place concrete (A- requirements SC/PIUL QC
▪ company approval CIV-SPE-000-30003) ▪ Laboratory facility to suit Civil Inspector
letter ▪ Specification for daily routine tests of raw
precast concrete(A- materials.
CIV-SPE-000-30004) ▪ Concrete shall be produced
▪ Applicable Codes and in a central batching and
Standard mixing plant that conforms
to BS 1305.
▪ Cement/ ▪ Verification of mill ▪ AFC drawings according to the order of Daily
test certificates for ▪ Specification for steel SC/PIUL QC
Aggregates/ precedence surveillance
6.0 cement and Civil Inspector
Water/ reinforcement for ▪ Cement used in all concrete Report H H W N/A
cement
Admixture concrete(A-CIV-SPE- shall be Sulphate resistant
replacements (if
approval 000-30005) Cement complying Algerian
applicable)
standard or ASTM C150 type
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▪ Collection of ▪ Specification for V cement shall be used.
samples Concrete formwork Cement type shall be
▪ Verification of verified with final
and falsework(A-CIV-
Manufacturer/labor geotechnical report
atory test reports SPE-000-30006) performed during detail
for Aggregates, ▪ Specification for Cast design
water and in place concrete (A- ▪ Cement shall be in
admixture CIV-SPE-000-30003) accordance with
▪ Specification for Specification for Cast in
precast concrete(A- place concrete (A-CIV-SPE-
000-30003)
CIV-SPE-000-30004)
▪ Aggregates, Water and
▪ Applicable Codes and
admixtures test reports
Standard
shall meet the requirements
of A-CIV-SPE-000-30003) &
(A-CIV-SPE-000-30004)
▪ Aggregates- gradation shall
be run on each size fraction
of aggregate for each 750m3
of concrete produced or one
test per month per size
fraction or otherwise agreed
with COMPANY.
▪ Water- the chloride content
of water should not exceed
500 milligrams of chloride
per litre, the sulphate
content should not exceed
1000 milligrams of Sulphur
trioxide per litre and the
total of carbonates and
bicarbonates should not
exceed 1000 milligrams per
litre. The pH value of the
water should be between
5.0 and 8.5.
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▪ Specification for Cast according to the order of
in place concrete (A- precedence
▪ Daily inspection of CIV-SPE-000-30003) ▪ Cement storage shall be as
cement storage and per manufacturer
quantity of cement recommendations.
precast concrete(A- ▪ Cement at batching plant
in batching plant
▪ Inspection findings CIV-SPE-000-30004) shall be stored in weather Daily
▪ Cement ▪ Material Control and tight silos SC/PIUL QC
7.0 to be documented surveillance W S/RI S/RI N/A
Storage in Daily Traceability ▪ Cement bags containing Civil Inspector Report
Surveillance report Procedure(A-QAC- lumps, traces of Humidity or
Daily inspection of damaged bags will be
▪ PRO-000-30000)
rejected.
cement storage at ▪ Applicable local and ▪ Cement storage shall
site international comply with Material
standard. Control and Traceability
Procedure(A-QAC-PRO-000-
30000)
▪ Specification for Cast according to the order of
in place concrete (A- precedence
CIV-SPE-000-30003) ▪ Aggregates shall be
▪ Daily inspection of
▪ Specification for protected against wet
aggregates storage
precast concrete(A- weather and from
and quantity of
CIV-SPE-000-30004) windblown dust. Daily
aggregate in SC/PIUL QC
8.0 ▪ Aggregates ▪ Aggregates should be surveillance S/RI N/A
batching plant ▪ Material Control and W S/RI
storage stored under shade and Civil Inspector
▪ Inspection findings Traceability Report
Storage should prevent
to be documented Procedure(A-QAC- contamination of
in Daily
PRO-000-30000) aggregates by foreign
Surveillance Report
▪ Applicable local and material.
international ▪ Fine and coarse aggregate
shall be separated by
standard.
permanent substantially
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high partitions in the
storage area
▪ Regular cleaning of
aggregate bins shall be
carried out to remove
accumulated dust.
precedence
▪ Laboratory mix design shall
be tested to ensure the
proposed design complies
▪ Specification for Cast with all properties specified SC/PIUL Site
▪ Concrete ▪ Witness laboratory in place concrete (A- in project specification “A- Concrete mix
Construction
Mix Design- mix design activity CIV-SPE-000-30003) CIV-SPE-000-30003” & “A-
Representative design
Laboratory in laboratory ▪ Specification for CIV-SPE-000-30004” & and
9.0 general notes for concrete (or) laboratory H W R H
mix design ▪ Compile concrete precast concrete(A-
works PIUL/SC Civil test dossier
(Optional) laboratory mix CIV-SPE-000-30004) ▪ 28 days Compressive Inspector
design dossier ▪ AFC Drawings strength of concrete shall
be as per table 5-1 of A-CIV-
SPE-000-30003
▪ Water-Cement ratio(WCR)
shall be as per table 5-2 of
A-CIV-SPE-000-30003
▪ Slump shall be as per table
5-3 of A-CIV-SPE-000-30003
▪ Specification for Cast ▪ Project requirements Concrete mix
Concrete Mix ▪ Witness field/Plant in place concrete (A- according to the order of
trial activity in SC/PIUL design field
Design- CIV-SPE-000-30003) precedence
10.0 construction site at ▪ Proposed mix design shall QC Civil trial test H H W H
Field/Plant ▪ Specification for dossier
specific concrete be tested in field batching Inspector
trial mix batching plant precast concrete(A- plant to ensure the
CIV-SPE-000-00031) proposed design complies
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▪ Compile concrete ▪ AFC Drawings with all properties specified
Field/Plant mix ▪ Applicable codes and in project specification for
design dossier Concrete Works“A-CIV-SPE-
standard.
000-30003” & “A-CIV-SPE-
000-30004” & and general
notes for concrete works.
▪ 28 days Compressive
strength of concrete shall
be as per table 5-1 of “A-
CIV-SPE-000-30003”
▪ Water-Cement ratio (WCR)
shall be as per table 5-2 of
“A-CIV-SPE-000-30003”
▪ Slump shall be as per table
5-3 of “A-CIV-SPE-000-
30003”
▪ Samples for testing shall be
collected as specified in
clause 7.2.5 of “A-CIV-SPE-
000-30003”
▪ Complete dossier shall be
submitted to Company for
approval
▪ Specification for steel ▪ Project requirements Mill test
▪ Ensure the batches reinforcement for according to the order of certificates
of all received concrete(A-CIV-SPE- precedence SC/PIUL Site
material on site 000-30005) ▪ Reinforcement shall comply Construction
Reinforcement (or)
matches the batch ▪ Specification for with Specification for steel Representative
, Anchor bolts number on the reinforcement for concrete
11.0 Concrete formwork and Laboratory H W R N/A
& Embedded vendor certificates. (A-CIV-SPE-000-30005)
Review of rebar and falsework(A-CIV- ▪ The grade of reinforcement, SC/PIUL QC
Items approval ▪ test reports
mill certificates SPE-000-30006) including welded wire Civil Inspector
▪ Vendor approval ▪ Specification for Cast fabric, shall be hot rolled
▪ Material approval deformed steel with a MTC for
in place concrete (A-
minimum characteristic anchor bolts
CIV-SPE-000-30003)
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▪ MTC of Anchor ▪ Specification for yield strength of fy = 500 & Embedded
bolts & Embedded precast concrete(A- MPa in accordance with items
items BS4449 or approved
CIV-SPE-000-30004)
equivalent.
▪ AFC Drawings
▪ Bolts and nuts shall be hot
dip galvanized as per BS EN
ISO 10684. Washers shall be
hot dip galvanized as per BS
EN ISO 10684 or BS EN ISO
1461.
▪ Anchor bolts, nuts &
embedded items shall
comply with clause 5.6 of
“A-CIV-SPE-000-30003”
▪ Daily inspection of
▪ Specification for steel according to the order of
reinforcement
reinforcement for precedence
storage area Daily
Storage of ▪ Reinforcement shall be off SC/PIUL QC
12.0 ▪ Inspection findings concrete(A-CIV-SPE-
the ground. surveillance W S/RI S N/A
reinforcement 000-30005) Civil Inspector
to be documented ▪ Stacking of reinforcement Report
in Daily ▪ AFC Drawings shall be by grade and
Surveillance Report diameter and shall have
clear identification.
▪ Inspection of ▪ Specification for ▪ Project requirements
formation surface Concrete formwork according to the order of
for compaction precedence
Blinding of ▪ Verification of ▪ Formation surface shall be ITR-C-0102X
SPE-000-30006) compacted to required
concrete for compaction test SC/PIUL QC &
13.0 report ▪ Specification for Cast degree of compaction in
formation Civil Inspector H W W N/A
▪ Dimensions and in place concrete (A- accordance with ITR-C-0201X
surface elevation CIV-SPE-000-30003) Specification for Earth
▪ Blinding level & co- ▪ Specification for Works (A-CIV-SPE-000-
ordinates 30002) & AFC Drawings
precast concrete(A-
▪ A minimum thickness of
CIV-SPE-000-30004) 50mm of blinding concrete
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▪ Specification for shall be installed under all
Earth Works (A-CIV- foundations or as specified
in AFC drawing
SPE-000-30002)
▪ Level & co-ordinates for
▪ AFC Drawings
blinding shall be as per AFC
drawing
▪ Polythene sheet shall be
provided, as specified in
AFC Drawings.
▪ Blinding concrete shall not
be laid until existing ground
to receive blinding has been
approved by the Company.
▪ Inspection of
surface of form
work that faces
precedence
concrete surface
▪ Formwork installation shall
▪ Inspection of form ▪ Specification for comply with Specification
work design and,
Concrete formwork for Concrete formwork and
supports
and falsework(A-CIV- falsework (A-CIV-SPE-000-
▪ Inspection of form
SPE-000-30006) 30006) & AFC drawings
work dimension in
▪ 25mm x 25mm wood or rigid ITR-C-0102X
plan for ▪ Specification for Cast SC/PIUL Site
Assembly of plastic chamfer strips in &
14.0 compliance against in place concrete (A- Construction
maximum possible lengths. H S S N/A
Formwork AFC drawing CIV-SPE-000-30003) ITR-C-0201X
Chamfer strips shall be Representative
▪ The position, level
▪ Specification for placed on all external
and alignment of
precast concrete(A- corners of columns, piers,
form work shall be
CIV-SPE-000-30004) plinths and foundation
as per AFC
▪ AFC Drawings above ground.
drawings
▪ Tolerance for form work
▪ Removal of form
shall be as per clause 6.2 of
work shall not
“A-CIV-SPE-000-30006”.
disturb or damage
▪ Provide at least 75mm of
the concrete
concrete cover for
Page 17 of 30
Revision 3

reinforcing where concrete
is cast against earth.
▪ Before placing rebar,
internal surfaces of form
work shall be clean &
release agent shall be
applied to the faces of form
work to prevent adherence
of concrete
▪ Forms Shall be constructed
such as to permit easy
removal, shall be tight
enough to prevent grout
loss.
▪ Release agents shall be
applied evenly and shall not
be allowed to come in
contact with reinforcement.
▪ Form work removal shall
comply with clause 6.7 of
“A-CIV-SPE-000-30006”.
▪ Elevation & Co-ordinates of
the form work shall be as
per AFC drawings
▪ Specification for steel ▪ Project requirements
reinforcement for according to the order of
precedence ITR-C-0102X
concrete(A-CIV-SPE- SC/PIUL Site
Installation of ▪ Installation of ▪ All reinforcement shall be &
15.0 000-30005) Construction S N/A
reinforcement reinforcement as installed as per AFC H W
▪ Specification for Representative ITR-C-0201X
per AFC Drawings drawings.
Concrete formwork
▪ All reinforcement shall be
free from loose rust, mill
SPE-000-30006) scale, oil, and any other
Page 18 of 30
Revision 3

▪ Specification for Cast ▪ substance likely to reduce
in place concrete (A- the strength or durability of
CIV-SPE-000-30003) the bond between the steel
▪ Specification for and concrete.
precast concrete(A- ▪ Reinforcement installation
CIV-SPE-000-30004) shall comply with clause 6.3
▪ AFC Drawings of “A-CIV-SPE-000-30005” &
AFC drawings.
▪ Reinforcement shall be
secured with tie wire at a
minimum of 50 percent of
the bar intersections.
Welding of reinforcement
bars shall not be permitted.
▪ Binding wire shall be of 1.5
mm diameter soft iron wire
and shall be subject to
approval by Company.
▪ Lap splices shall be in
accordance with approved
drawings.
▪ Where reinforcement is
installed on soft formwork;
concrete, plastic or other
approved bar chairs and
spacers shall be used.
▪ Verification of ▪ Project requirements ITR-C-0102X
Anchor anchor according to the order of SC/PIUL Site &
reinforcement for
Bolts/Embedd bolt/embeds test precedence Construction ITR-C-0201X
16.0 concrete(A-CIV-SPE-
certificates ▪ Anchor bolts and embeds H W S N/A
ed Items 000-30005) Representative &
▪ Inspection of shall comply with
installation ▪ Specification for
anchor bolts and requirements of relevant Material Test
Concrete formwork certificate
embeds installation AFC and standard drawing
Page 19 of 30
Revision 3

for position in plan and falsework(A-CIV- for anchor bolts and
and elevation SPE-000-30006) Specification for Cast in
▪ Inspection of ▪ Specification for Cast place concrete (A-CIV-SPE-
provision of grout in place concrete (A- 000-30003)
pocket CIV-SPE-000-30003) ▪ Anchor bolts/Embedded
▪ Specification for items shall be securely
fixed, if required templates
precast concrete(A-
or other supports shall be
CIV-SPE-000-30004) provided.
▪ AFC Drawings
▪ Unless indicated otherwise
on drawings bolts shall be
located with a tolerance in
relation to the local site
coordinate system of ± 2
mm for bolts up to 25 mm
diameter and ± 4 mm for
anchor bolts larger than 25
mm diameter.
▪ Unless specified otherwise
on drawings the alignment
tolerance of anchor bolts
within a given group, e.g.
for connection of steelwork
or for an equipment base,
shall be ± 1.5 mm in all
directions. The alignment
tolerance of an anchor bolt
group in relation to another
group shall not exceed ± 1.5
mm in all directions.
Vertical variation shall be
within 1 degree and
Page 20 of 30
Revision 3

tolerance for projection
shall be +5mm and -2mm for
bolts up to M24; +8mm and
-4mm for bolts over M24 as
per A-CIV-STD-000-30025.
▪ All embedded steel items
shall be painted on both
sides as per project
specification (A-MTL-
SPE-000-30003 –
Specification for painting),
except if noted otherwise
on the design drawings.
▪ All inserted and embedded
items shall be accurately
placed or templated in and
be securely anchored prior
to placing concrete.
▪ Formwork ▪ Project requirements

Installation according to the order of
reinforcement for
▪ Rebar installation precedence SC/PIUL Site
concrete(A-CIV-SPE-
▪ Anchor bolts ▪ Installation of form work, Construction
000-30005) ITR-C-0102X
Installation rebar and embed items shall Representative
Pre-pour ▪ Specification for &
17.0 ▪ Insert plates be in accordance with latest (or)
Concrete formwork H H W N/A
Inspection installation revision of AFC Drawing ITR-C-0201X
and falsework(A-CIV- SC/PIUL
▪ Pipe sleeves ▪ Form work shall be clean QC Civil
SPE-000-30006)
Installation and free of foreign particles Inspector
▪ Specification for Cast
▪ Provision for joints ▪ Construction joints,
▪ Level & co- Contraction joints and
CIV-SPE-000-30003)
ordinates expansion joints shall be in
Page 21 of 30
Revision 3

verification for ▪ Specification for accordance with the AFC
respective concrete precast concrete(A- drawings
member. CIV-SPE-000-30004) ▪ Level & co-ordinates shall
▪ ▪ AFC Drawings be as per AFC drawing
▪ Construction joints shall be
provided with water bars
where shown on the AFC
drawings and whenever
construction joints occur in
liquid retaining or water-
tight structures.
▪ Pre-pour inspection shall
comply with AFC drawings,
A-CIV-SPE-000-30005, A-CIV-
SPE-000-30006 & A-CIV-SPE-
000-30003.
▪ Inspection of reinforcement for according to the order of
moisture content in concrete(A-CIV-SPE- precedence
aggregates at 000-30005) ▪ Ready mix concrete shall be
batching plant ▪ Specification for supplied only from approved
Concrete ▪ Verification of mix Concrete formwork batching plant. SC/PIUL Site Concrete
production design used at the and falsework(A-CIV- ▪ Correction for Moisture Construction Delivery
18.0 batching plant SPE-000-30006) content in aggregate shall H S S N/A
and Representative ticket
▪ Inspection of fresh ▪ Specification for Cast be calculated prior to
transportation
concrete slump and in place concrete (A- mixing of concrete
temperature for CIV-SPE-000-30003) ▪ During hot weather truck
first load in the ▪ Specification for mixers drum shall be
morning and in the precast concrete(A- protected from ambient
afternoon CIV-SPE-000-30004) temperature, with
▪ AFC Drawings necessary means.
Page 22 of 30
Revision 3

▪ Precautions during ▪ ▪ Every truck load delivered
Hot weather to site shall have a delivery
concreting ticket
• Hot weather concreting
shall be as per ACI 305R
precedence
▪ Slump shall be as per
approved mix design
▪ Slump tests shall be carried
reinforcement for
out on fresh concrete, at
concrete(A-CIV-SPE-
the time of placement, Each
000-30005)
▪ Inspection of fresh batch of concrete delivered
concrete prior to shall be subjected to a SC/PIUL Site
Concrete formwork
Fresh pouring slump test. Construction
Concrete ▪ Slump ▪ Slump shall not vary +25mm Representative ITR-C-0204X
19.0 SPE-000-30006)
sampling and ▪ Temperature of the target slump. and H H W H
▪ Specification for Cast
▪ Cylinder/Cube ▪ The maximum temperature
testing in place concrete (A- SC/PIUL QC
Sample collection of fresh concrete at time of
CIV-SPE-000-30003) Civil Inspector
for compressive placement shall be 30ºC.
strength testing ▪ The temperature of fresh
precast concrete(A-
concrete at time of
CIV-SPE-000-30004)
▪ AFC Drawings placement must be at least
▪ ASTM C143 5°C.
▪ Concrete temperature shall
be taken for each set of test
cylinders taken.
▪ Samples for concrete
Cylinder/Cube strength
Page 23 of 30
Revision 3

tests shall be taken as per
the frequency specified in
clause 7.2.5 of “A-CIV-SPE-
000-30003”.
▪ Details of each truck arrived
at site shall be recorded in
pour card
▪ Test specimen cast shall be
protected from sun, wind
and contamination and
transported to curing tank
early next morning to the
laboratory for curing
▪ Clear identification of
cylinder/cube samples shall
be provided.
concrete(A-CIV-SPE- precedence
000-30005) ▪ Concrete placement shall be
▪ Specification for as per clause 6.4 of “A-CIV- SC/PIUL Site
▪ Inspection of Concrete formwork Construction
SPE-000-30003”
concrete placement and falsework(A-CIV- Representative
Concrete ▪ Care shall be taken at all
and vibration SPE-000-30006) and ITR-C-0204X
20.0 placement and times to ensure that water
▪ Precautions during ▪ Specification for Cast H W S N/A
stops/Water bars are not SC/PIUL QC
vibration Hot weather in place concrete (A- perforated or damaged in Civil Inspector
concreting CIV-SPE-000-30003) any way and concrete
▪ ▪ Specification for shall be carefully placed
precast concrete(A- and compacted to ensure
CIV-SPE-000-30004) dense impervious concrete.
▪ AFC Drawings
▪ At all joints concrete shall
▪ ACI 305R
▪ ACI 318M be placed up to the centre
Page 24 of 30
Revision 3

▪ ACI 304 2R line of Water
stop/waterbar.
▪ Under no circumstances
shall water be added
between the mixer and the
time of concrete
placement.
▪ Concrete shall not be
allowed to free fall for a
distance greater than 1.0 m.
▪ All concrete shall be fully
compacted throughout the
full depth to a dense
homogeneous mass
thoroughly worked against
formwork and around
reinforcement and other
embedded items without
displacing those.
▪ Immersion vibrators shall
penetrate full depth of
concrete layer. These shall
re-vibrate upper sections of
the layer to ensure a full
intermix between concrete
layers. No formwork leakage
shall be permitted.
▪ Vibration shall be carried
out in a manner which does
not promote segregation of
the
concrete.
Page 25 of 30
Revision 3

▪ Hot weather concreting
shall be as per ACI 305R.
precedence
▪ Specification for steel ▪ All pre-cast concrete work
reinforcement for shall be of concrete Grade
concrete(A-CIV-SPE- specified in AFC drawings.
000-30005) ▪ Surfaces of pre-cast
▪ Specification for concrete required to make
▪ Inspection of Concrete formwork structural connections with
blinding surface and falsework(A-CIV- in-situ concrete shall be
prior to SPE-000-30006) prepared in accordance with SC/PIUL Site
Precast- installation. ▪ Specification for Cast ACI 318M. Construction
Concrete ▪ Review of survey in place concrete (A- ▪ Moulds shall be purpose- Representative ITR-C-0208X
21.0 report prior to CIV-SPE-000-30003) made to produce required H W W N/A
Elements and
installation. ▪ Specification for finishes as described in AFC SC/PIUL QC
installation
▪ Lifting of Pre- cast precast concrete(A- drawings.
Civil Inspector
elements. CIV-SPE-000-30004) ▪ The moulds shall be strongly
▪ MH/CB/Sump leak ▪ Specification for constructed, closely jointed
test Underground system and true to the required
Fabrication and shape. Moulds shall be so
Installation(A-CIV- designed that they can be
SPE-000-30012) taken apart and
▪ AFC Drawings reassembled with ease.
▪ ACI 318M ▪ Pre-cast elements shall be
stored/ stacked in such a
manner which eliminates
the possibility of damage.
Page 26 of 30
Revision 3

▪ Precast elements shall be
marked with cast date and
foundation identification on
a face which will not be
exposed in the permanent
Works.
▪ Slinging, transporting,
stacking and installation
may take place when
concrete strengths designed
for these purposes have
been attained.
▪ Leak test for MH, CB and
sumps shall be complied
with clause 8.4.3.2 of A-CIV-
SPE-000-30012
▪ Specification for steel • Project requirements
concrete(A-CIV-SPE- precedence
000-30005) • Before each concrete pour
▪ Inspection of ▪ Specification for the Contractor/Sub- SC/PIUL Site
Finished protection of contractor shall ensure that Construction
Concrete formwork
Concrete concrete surface and falsework(A-CIV- there is sufficient water and Representative
ITR-C-0201X
22 surface soon after finishing SPE-000-30006) covering materials for and H S S N/A
protection and and after setting ▪ Specification for Cast continuous and satisfactory SC/PIUL QC
curing the next day early in place concrete (A- curing. Civil Inspector
morning. CIV-SPE-000-30003) • Curing of concrete shall be
▪ Specification for achieved by continuously
precast concrete(A- keeping exposed surfaces of
CIV-SPE-000-30004) freshly laid concrete
▪ AFC Drawings thoroughly damp for 7 days.
Page 27 of 30
Revision 3

▪ ACI 308 • The concrete may be kept
▪ ACI 305 wet either by flooding or by
▪ BS EN 1008
constant spraying/sprinkling
with water, or by covering
with well saturated layers
of hessian sacking or wet
sand.
• Finishes shall be as stated in
AFC drawings.
▪ Specification for steel according to the order of
reinforcement for precedence
concrete(A-CIV-SPE- ▪ Defects if any shall be
000-30005) documented in the relevant
▪ Inspect the ITR
▪ Specification for ▪ Repair of defects if any shall
concrete finished
Hardened Concrete formwork be in accordance with
surface and
concrete post and falsework(A-CIV- approved method SC/PIUL QC ITR-C-0201X
23 document any W N/A
SPE-000-30006) statement. H H
pour defect Civil Inspector
▪ Specification for Cast ▪ All concrete surfaces shall
inspection ▪ Concrete protective be free from honeycombing
coating or other blemishes.
CIV-SPE-000-30003)
▪ • All concrete surfaces in
direct contact with soil shall
precast concrete(A-
be protected with a suitable
CIV-SPE-000-30004)
▪ AFC Drawings bituminous coating
approved by Company.
Hardened Compression
▪ Project requirements SC/PIUL Site
Concrete ▪ Witness/Review of ▪ Specification for Cast according to the order of test report
Construction
24 Strength test hardened concrete in place concrete (A- precedence issued by H W/R W/R H
Representative
(Cylinder/Cub strength test CIV-SPE-000-30003) ▪ Concrete Cylinder/Cube testing
testing shall be carried out and
e Test) laboratory
Page 28 of 30
Revision 3

▪ Specification for at laboratory, approved by SC/PIUL QC
precast concrete(A- the Company. Civil Inspector &
▪ Compressive strength of
CIV-SPE-000-30004)
Cylinder/Cube specimen
▪ AFC Drawings Concrete test
shall meet the requirements
▪ ASTM C39 register
of each Grade of concrete
▪ BS 1881
specified.
▪ BS EN 196-2
• Samples shall be tested for
Compressive strength as
specified in clause 7.2.5 of
“A-CIV-SPE-000-30003”
• The strength level of the
concrete will be considered
satisfactory if (a) & (b) are
satisfied.
a) Every arithmetic average
of any three consecutive
strength tests equals or
exceeds fc’.
b) No strength test falls
below fc’ by more than 3.5
MPa if fc’ is 35 MPa or less;
or by more than 0.10 fc’ if
fc’ exceeds 35 MPa
▪ Specification for steel • Project requirements
reinforcement for according to the order of SC/PIUL Site
Foundation ▪ Civil completion concrete(A-CIV-SPE- precedence Construction
dossier for relevant 000-30005) • All inspection relevant Representative ITR-C-0207A
25 completion H H H N/A
foundation or sub- ▪ Specification for check sheets/ITR’s and test and
Record
system Concrete formwork reports for each foundation SC/PIUL QC
and falsework(A-CIV- or sub system shall be Civil Inspector
SPE-000-30006) compiled, signed off and
Page 29 of 30
Revision 3

▪ Specification for Cast foundation handed over to
in place concrete (A- next construction discipline.
CIV-SPE-000-30003)
precast concrete(A-
CIV-SPE-000-30004)
▪ AFC Drawings
8. APPENDICES:
ATTACHMENT 1 – JI-2045-C-0102X – SURVEY INSPECTION RECORD
ATTACHMENT 2 – JI-2045-C-0201X – REINFORCED CONCRETE PRE-POUR /POST-POUR INSPECTION RECORD
ATTACHMENT 3 – JI-2045-C-0204X – CONCRETE POURING INSPECTION RECORD
ATTACHMENT 4 – JI-2045-C-0207A – FOUNDATION COMPLETION CERTIFICATE
ATTACHMENT 5 – JI-2045-C-0208X – CONCRETE PRE-CAST UNITS INSTALLATION CHECK SHEET
ATTACHMENT 6 – JI-2045-C-0209X – CONCRETE BATCHING PLANT INSPECTION CHECK SHEET
Page 30 of 30
AIN TSILA DEVELOPMENT – MAIN EPC CONTRACT
INSPECTION & TEST RECORD-CIVIL
SURVEY INSPECTION RECORD Sub Contractor Code
ITR No: JI-2045-C-0102X Rev. 1
Project:JI-2045 AIN TSILA DEVELOPMENT

Sub-Contractor:
PROJECT
Sub System No # Tag No #:
Description:
Drawing No: Rev:
RFI #: Date:
Structure/ Member:
Area:
Bench Mark reference:
Northing Easting Elevation

Sl. No Description Remarks
As per As per As per
Actual Difference Actual Difference Actual Difference
Drawing Drawing Drawing
Notes:
*If RFI has 2 ITR numbers, record number for those ITRs shall be “RFI number/1” and “RFI number/2”. Test reports will have test house identification numbers.
Company Signature: Applicable Not Applicable
Record Acceptance Sub-Contractor Surveyor/QC PIUL Surveyor/ QC Company
Name:
Signature:
Date:
Page 1 of 1 Ref. ITP No: A-QAC-PLN-000-30051
AIN TSILA DEVELOPMENT – MAIN EPC
CONTRACT
REINFORCED CONCRETE PRE-POUR/POST
POUR INSPECTION RECORD Sub Contractor Code
Project No: JI-2045 Record No*:

Tag No:
Sub-System No:
Drawing No: Rev:
RFI #: Date:
Structure/Member:
Area:
PRE-POUR INSPECTION
Sl. No. Description of Inspection Activity Status
1 Formation level inspection (survey report attached)
2 Blinding concrete thickness is as per AFC drawing
3 Formwork dimensions are as per AFC drawing
All setting out verified by Surveyor including anchor bolts and blinding concreting level and all
4 dimensions checked and correct within tolerances (Survey Report attached)
5 Form surface cleanliness verified
6 Reinforcement number, size, spacing and binding inspection. Binding wire shall be tucked inside.
7 Reinforcement is free of loose rust, grease, oil, paint or any other deleterious material
8 Reinforcement cover shall be in accordance with IFC drawing
9 Anchor bolts or any other embeds dimension in plan and elevation verification
10 Form work cleaned to remove dust and binding wire cut pieces. Form work cleaning pocket closed
11 Verification of compaction test report for formation level
POST-POUR INSPECTION
1 Inspection of concrete top surface finishing
2 Inspection of top surface curing and protection method
3 Inspection of vertical surface finishing after striking form work
4 Inspection of vertical surface curing and protection method
5 Curing compound application verified (if any)
6 Anchor bolts in plan and elevation verified
7 Defects like cracks, honeycomb or damage to concrete noticed
8 Protective coating application is satisfactory and recorded
9 As built survey for the foundation and embeds
Remarks:
*If an RFI has 2 # ITRs, record number for those ITRs shall be “RFI number/1” and “RFI number/2” Test reports will have test
house identification numbers.
Record Acceptance Sub-Contractor QC PIUL Construction/QC Company
Name
Signature
Date
CONCRETE POURING INSPECTION RECORD
ITR No: JI-2045-C-0204X Rev. 1 Sub Contractor Code

Tag No.:
Sub-System No:
Drawing No: Rev:
RFI #: Date:
Structure/Member:
Area:
1 Check concrete pouring arrangements made at site and ensure it is satisfactory
2 Ensure the fresh concrete is not poured from height more than 1.0 m or as per project specification.
3 Ensure the formwork is clean prior to pouring concrete
4 Check ambient temperature is within specification limits

In case of new concrete is placed over the old concrete, ensure the old concrete surface is clean, saturated
4
and bonding agent is applied (if applicable).
5 Ensure the concrete is placed in layers in accordance with project specification
6 Ensure the concrete poured is vibrated using right size of vibrator needle.
7 Ensure the concrete finishing is in accordance with IFC drawing or project specification requirements.
8 Ensure the finished concrete is covered with polythene sheet

*If an RFI has 2 # ITRs, record number for those ITRs shall be “RFI number/1” and “RFI number/2” Test reports will have test house identification numbers.
Name
Signature
Date
CONCRETE POURING INSPECTION RECORD
ITR No: JI-2045-C-0204X Rev. 1 Sub Contractor Code

Tag No.:
Sub-System No:
Drawing No: Rev:
RFI #: Date:
Structure/Member:
Area:
Concrete Cumulative Number of
Truck Pouring Pouring Slump Temperature
Sl. No. Ticket No. Volume Volume Batch time Cubes made Remarks
No. Start time Finish time (mm) (oC)
supplied supplied & Cube ID
*If an RFI has 2 # ITRs, record number for those ITRs shall be “RFI number/1” and “RFI number/2” Test reports will have test house identification numbers.
Name
Signature
Date
FOUNDATION COMPLETION CERTIFICATE
ITR No: JI2045-C-0207A Rev. 1
Sub Contractor Code
«BarcodeItem»
Project No: Record No*:
Tag No.:
Sub-System No:
Drawing No: Rev: SCE: YES / NO
RFI #: Date:
Structure/member:
Area:
Next construction discipline (Tick as Structural steel / equipment installation / underground piping / piping / E&I/ Painting and
applicable) coating
Sl. No. Description of Check Status
Confirm the plan and concrete finished elevation of the foundation is as per IFC
1
drawing (attached survey report)
Confirm that position of Anchor Bolts in plan and elevation is as per IFC drawing
2
(attached survey report)
3 Confirm that the anchor bolt and threads are protected in satisfactory condition.
4 Confirm that the Anchor Bolt pockets to receive grout are cleaned
5 Confirm that post-pour Survey Report of the foundation is accepted
Confirm that surrounding area has been back filled and compacted to correct
6
elevation
7 Confirm that concrete protection reports are available and accepted
8 Confirm that all X-ITR’s have been completed and accepted
Confirm that all construction debris have been removed prior to release to next
9
discipline
10 Confirm that concrete 7 days and 28 days test reports are available and accepted
Remarks:
*If an RFI has 2 # ITRs, record number for those ITRs shall be “RFI number/1” and “RFI number/2” Test reports will have test house
identification numbers.
PIUL QC/ SCE

Record Acceptance Sub-Contractor QC Company
Authorized Person
Name
Signature
Date
Page 1 of 1 Ref. ITP NO: A-QAC-PLN-000-30051
CONCRETE PRECAST UNITS’ INSTALLATION
CHECK SHEET Sub Contractor Code

Tag No.:
Sub-System No:
Drawing No.: Rev:
RFI #: Date:
Structure/Member:
Area:
Check and ensure the excavation is carried out to the required dimension and bottom
1 of foundation is compacted to required degree of compaction. Check survey report and
compaction test report.
Check and ensure the blinding concrete curing period is complete and ensure
2 protective coating on top surface is complete and is acceptable (If applicable).
Check and ensure the pre-pour inspection check sheet is acceptable for the precast
3 member
Check and ensure the concrete pouring inspection check sheet and field concrete
4 pouring check sheet are acceptable for the precast member
Check and ensure concrete post pour inspection check sheet is acceptable and
5 protective coating application is complete.
6 Check cast date and foundation type is legibly marked on the precast member.
Check as installed coordinates in plan and elevation for the anchor bolts and top of
7 concrete of installed precast members.
Check all anchor bolts exposed threaded portion is covered with a film of grease to
8 avoid corrosion (If applicable).
Check and ensure back filling around installed foundations is carried out in layers as
9 per project specification and compacted to required degree of compaction (verify
compaction test report).
Concrete strength test results are satisfactory and available prior to start installing
10 precast units.
Leak test for MH, CB & Sump has performed as per specification and found
11 satisfactory
Remarks:
*If an RFI has 2 # ITRs, record number for those ITRs shall be “RFI number/1” and “RFI number/2” Test reports will have test house
identification numbers.
Name
Signature
Date
CONTRACT
CONCRETE BATCHING PLANT INSPECTION
Sub Contractor Code
CHECK SHEET
Tag No: Project No: JI-2045 Record No*:

Contractor/Supplier’s Name:
Survey Date:
Location:
Assessor/Job Title:
Plant Phone No:
Plant Fax No:
Proposed for:
Contact No:
Project Title:
Location:
GENERAL INFORMATION
Structural Non-structural
What is the approximate volume (cubic meters) of concrete required for (m3) (m3)
A this project?
What is the approximate distance (in kilometers) from the proposed batch
B plant to the jobsite?
What is the approximate travel time (in minutes) of transit mixer from the
C proposed batch plant to the jobsite?
D Is the batch plant central mixing or dry batching?
E Is the batch plant equipped with on-site quality control laboratory?
F Approximate completion date of the project.
1. GENERAL
1.1 Plant Type/ Model
1.2 Capacity (m3/batch,m3/hour)
1.3 Plant Manager
1.4 QC Engineer
2. MATERIALS TESTING AND LABORATORY

YES NO
2.1 Complete quality tests on raw materials available?
2.2 Date of latest test results.
2.3 Plant Quality Control Laboratory test results on raw materials available?
2.4 Independent Testing Laboratory test results on raw materials available? Attach raw
materials test reports from approved civil testing laboratory.
2.5 Name of Independent Testing Laboratory.
*If an RFI has 2 # ITRs, record number for those ITRs shall be “RFI number/1” and “RFI number/2” Test reports will
have test house identification numbers.
3. PLANT SCALES CALIBRATION (Attach valid calibration certificates from approved calibration
agency.
Name
Signature
Date
CONTRACT
Sub Contractor Code
CHECK SHEET
Scales Current Calibration Date Next Calibration Date Calibration Agency
4. AGGREGATES HOPPER
No. of Identified Properly Separated Equippep with
Size Capacity(m3)
bins (Y/N) (Y/N) Vibrator (Y/N)
5. QUALITY ASSURANCE/QUALITY CONTROL MANUAL

Does the vendor have a QA/QC manual? Yes / No
Are the Manuals being implemented? Yes / No

Are there evidences that the QA/QC manual is implemented?
Yes / No
(Site examples)
1.
2.
6. AGGREGATES SOURCE
Coarse and Fine Aggregate Stock Bays
Size No. Quantity(m3) Source (Name and Location of Crusher)
Stockpiling Methods YES NO
a Are the aggregates of different sizes properly separated?
Name
Signature
Date
CONTRACT
Sub Contractor Code
CHECK SHEET
b Are coarse and fine aggregates identified?
c Are coarse and fine aggregates placed on hard, properly compacted and well
drained surface?
d Is there any evidence of contamination?
e Are there sufficient bulkheads between stockbays?
7. MIXING WATER AND ICE
Mixing Water Washing Water Ice Water
TDS
pH
Source
8. CEMENT STORAGE
Capacity Identification at Inlet
Type Source No. of Silos Condition
(tons) Pipe (Y/N)
9. CENTRAL MIXER
Mixer Type Capacity Condition of Drum Condition of Blades
10. PLANT CONTROL SYSTEM
Manufacturer Automatic System Manual System Semi-Automatic System
11. CHEMICAL ADMIXTURE DISPENSERS (Attach valid calibration certificates from approved
calibration agency).
Name
Signature
Date
CONTRACT
Sub Contractor Code
CHECK SHEET

Current Next
No. of
Admixtures Identification Calibration Calibration Calibration Agency
Dispensers
date Date
12. WATER CHILLER and ICE PLANT
Facility Manufacturer Capacity Temp. Gauge Temp. Reading Condition
13. DELIVERY TRUCKS
Water Meter
Truck No. Capacity (m3) Condition of Blades Condition of Drum
(Y/N)
TRIAL BATCH RESULTS

Mix design Identification DESIGN CRITERIA TRIAL RESULTS
Name
Signature
Date
CONTRACT
Sub Contractor Code
CHECK SHEET
Based on our actual plant survey, we confirm that the subject batch plant meets the requirements of project
specification. In addition, we will perform the required QA/QC tests in the batch plant during concrete production
and on-site during placement, per our contract requirements.
Print Name and Signature

(Sub-Contractor’s Representative)
---------------------------------
(Petrofac QC)
---------------------------------
(Client representative in charge)
Name
Signature
Date

Concrete Works A Qac PLN 000 30051 3

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Ain Tsila Development

Main EPC Contract

INSPECTION & TEST PLAN FOR CONCRETE WORKS

Sitaram Digitally signed by Sitaram

2 Issued For Use 19.09.2021 M. Leo Sitaram G. Hegde Chawki Khalil

1 Issued For Use 10.10.2020 M. Leo Prakash. K G. Hegde V. Gupta

0 Issued For Use 09/09/2019 M. Leo V. Geddam G. Hegde V. Gupta

Rev Purpose Date Prepared Checked Approved Approved

A Issued For Review & Comments

0 Issued For Use

1 Issued for Use

2 Issued for Use

3 Issued for Use – Isarene logo replaced with Sonatrach logo

This revision checked and signed off by:

Name Function or Job Title

Miguel Leo Petrofac Quality Inspector

Vikranth Geddam Petrofac Senior Quality Engineer

Sitaram Gundasi Petrofac Deputy Quality Manager

Gireesh Hegde Petrofac Project Quality Manager

Ved Prakash Gupta Petrofac Project Director

4. DEFINITIONS AND ABBREVATIONS……….………………………………………….…….………….…………5

5.1 PROJECT SPECIFICATIONS..................................................................6

6. LIST OF VERIFYING DOCUMENTS ………………………………….…………………………………………... 8

7. INSPECTION AND TEST PLAN………………………………………………….……………………...……………9

8.1 ATTACHMENT 1- JI-2045-C-0102X – SURVEY INSPECTION RECORD…………………….....31

An inspection where PIUL/Company plans to audit, monitor or witness the

ASTM : American Society for Testing Materials

Document Number Description

5.1 PROJECT SPECIFICATIONS:

Document Number Description

5.2 INTERNATIONAL STANDARDS:

Document Number Description

Standard Test method for Time of Setting of Hydraulic Cement By

6. LIST OF VERIFYING DOCUMENTS:

No. ITR Number Project ITR Number Description

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

▪ Formwork ▪ Project requirements

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

7. INSPECTION AND TEST PLAN

Project:JI-2045 AIN TSILA DEVELOPMENT