ITP No.

: CGS-CE-ITP-005

INSPECTION AND TEST PLAN

[PROJECT NAME]

Issue No.:Reference
Date :

ITP TITLE: BORE PILE

Approved By:
Inspection Key:

Item
No

Approval Date:

Activity
(Including the Necessary
Inspections)

Location/Lot:

Responsibility (Resp.) Key:

Reference
Documents

Acceptance
Standard

Drilling Equipment

Specification

visual inspection

Soil boring

Spec. & drawing

Bottom area > 96% of pier area

and 98% < shaft dia. < 110%

free from loose material

visual inspection (< 4.2% of

pier diameter or 3")

Material

Drawing & Spec.:

- ITP for concrete
mixing
- ITP for Steel Bar

Pile Test

Specification (ASTM
D 1143-81)

Distribution: PM, CM, CE, File

Contractors Name:

W - Witness, H - Hold, S - Surveillance

Page 1 of 1

Documentation Ref:

- PIT (Pile Integrity Test)

- Static Loading Test

Attach Dockets, Certificates, QA Documents to ITP

PE- Project/Site Engineer, FM- Foreman/Supervisor, SV- Surveyor, QE- PQAMR/QAE, etc.

Contractor
Key
Sign/
Date

Key

Verify or Test By
JH
Resp.
Sign/
Date

Key

Client
Sign/
Date

Remark/Records
(eg. Test frequency, reports,
certificates, checklist, etc)