Template: Inspection and Test Plan

Customer: INSPECTION AND TEST PLAN for: (Insert work activity) Insert Contractor Identification and/or Logo
Contract Number: Work area: (Insert work area)
Contract/Project Name:
Ref Operation or stage of work Stage/ Records Requirement/ standard/ Acceptance criteria Inspection/ test Inspection *what/who
Description Characteristics frequency specification procedure Employee Service provider Customer

*W = Witness Point; H = Hold Point; H(A) = Inspection/Test by Authority; U(C) = Inspection/Test by Consultant; S = Surveillance or monitoring; X = Self inspection by performer of work.
Checklist

INSPECTION AND TEST PLAN CHECKLIST for:

(To be completed by the person(s) directly responsible for the work)
Contract Number: Work area: Checklist Number:
Contract/Project Name:
Contractor:
Subcontractor
Work Items/activities to be verified Reference Initialled/OK Comments

I have carried out all necessary inspections and verify that the above items/activities conform to the contract Name:
specification/documents
Signature:

Date:

I have carried out all necessary inspections and verify that the above items/activities conform to the contract Name:
specification/documents
Signature:

Date: