Contractor’s Document No.

Inspection & Test Plan for DCM

(Deep Cement Mixing)
Rev. 0 Page 1 of 5

EMPLOYER’S REPRESENTATIVE:

CONTRACTOR:

WORK / DRAWING / DOCUMENT TITLE

INSPECTION & TEST PLAN FOR DCM (DEEP CEMENT MIXING)

NOTE :

0 Oct 25, 2016 FOR CONSTRUCTION

REV DATE ISSUE PURPOSE PREPARED CHECKED REVIEWED APPROVED

 Contractor’s Document No.
Inspection & Test Planfor DCM
(Deep Cement Mixing)
Rev. 0 Page 2 of 5

REVISION LOG

Rev. No. Rev. Date Revision Description

A May 26, 2016

B June 16, 2016

C June 23, 2016

0 Oct 25, 2016
 Contractor’s Document No.
Inspection & Test Plan for DCM (Deep Cement Mixing)
Rev. 0 Page 3 of 5

Reference Document Inspection Point

NO. Description Report Form Remarks
(Acceptable Criteria) Sub-con. Employer

1 Preparation of work

DCM mix design, determination of Vendor specification or Method Mix design

1.1 H R R
Specific Gravity of material Statement Report

Inspection of Equipment and Material and Equipment receiving Inspection

1.2 H W W
Material inspection Procedure Report

Preliminary DCM and Visual

2
Check, Core Test

Applicable Drawing or Method

2.1 Location of Trial DCM CV-002-F01 H H W
Statement

Measuring specific gravity of Applicable Drawing or Method

2.2 CV-002-F01 H W W
material Statement

Applicable Drawing or Method

2.3 Visual Inspection CV-002-F01 H W W
Statement
 Rev. 0 Page 4 of 5

Inspection Point
Reference Document
NO. Description Report Form Remarks
(Acceptable Criteria) Sub-con. DPI Employer

Applicable Drawing or Method

2.4 Coring of DCM column CV-002-F02 H H W
Statement

Applicable Drawing or Method

2.6 Evaluation of trial DCM CV-002-F02 H H W
Statement

3 Drilling and DCM

Applicable Drawing or Method

3.1 Location of DCM CV-002-F01 H H W
Statement

Applicable Drawing or Method

3.2 Record of drilling depth CV-002-F01 H W SW
Statement

Applicable Drawing or Method

3.3 Recording pressure and volume Report H W SW
Statement

Applicable Drawing or Method

3.4 Reporting of DCM Report H H R
Statement

4 Test
 Contractor’s Document No.

Inspection & Test Plan for DCM (Deep Cement Mixing)

Rev. 0 Page 5 of 5

Inspection Point
Reference Document
NO. Description Report Form Remarks
(Acceptable Criteria) Sub-con. DPI Employer

Applicable Drawing or Method

4.1 Coring of DCM columns CV-002-F02 H W SW
Statement

Unconfined compression Tests for Applicable Drawing or Method

4.2 core CV-002-F02 H W SW
Statement

Applicable Drawing or Method

4.3 Reporting for test results CV-002-F02 H R R
Statement

5 Completion of Grouting

As built survey (Location and Applicable Drawing or Method

5.1 elevation) CV-002-F01 H W R
Statement

Applicable Drawing or Method CV-002-F01

5.2 Finalizing documents H H R
Statement CV-002-F02

Legend; H : Hold W : Witness SW : Spot Witness S : Surveillance R : Review

Attachment 01. Sample of Inspection Report

 SURVEY INSPECTION REPORT
INSPECTION REPORT NUMBER INSPECTION DATE & TIME DISCIPLINE SHEET NO

ITEM / TAG NUMBER AREA DESCRIPTION

ENGINEERING DOCUMENT NUMBER CODES & STANDARDS NUMBER SUBCONTRACTOR/SUPPLIER

Coordination Levelling
Result Result
Designated(A) As Built(B) Deviation C
Item No. Designed Actual Difference
Coord.(mm) Coord.(mm) A-B=
N: N: N:

E: E: E:

N: N: N:

E: E: E:

N: N: N:

E: E: E:

N: N: N:

E: E: E:

N: N: N:

E: E: E:

N: N: N:

E: E: E:

N: N: N:

E: E: E:

N: N: N:

E: E: E:
REMARKS (Comments for measuring specific gravity of material and visual Inspection, if any)

SUBCONTRACTOR QC CONTRACTOR QC CONTRACTOR SUPERVISOR EMPLOYER

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

DATE DATE DATE DATE

CV-002-F01
 COMPRESSIVE TEST REPORT
INSPECTION REPORT NUMBER INSPECTION DATE & TIME DISCIPLINE SHEET NO

ITEM / TAG NUMBER AREA DESCRIPTION

ENGINEERING DOCUMENT NUMBER CODES & STANDARDS NUMBER SUBCONTRACTOR/SUPPLIER

1) Design Strength : Mpa

2) Casting Date :

3) Strength Result :

7 Days crushing Result Cylinder #1 Cylinder #2 Cylinder #3 Average Remarks

Testing Date

Cylinder No.

Comp. Strength (N/mm2)

28 Days crushing Result Cylinder #1 Cylinder #2 Cylinder #3 Average Remarks

Testing Date

Cylinder No.

Comp. Strength (N/mm2)

Note (if any)

SUBCONTRACTOR QC CONTRACTOR QC CONTRACTOR SUPERVISOR EMPLOYER

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

DATE DATE DATE DATE

CV-002-F02