INSPECTION AND TEST PLAN

KOTA KASABLANKA 3 PROJECT

LOTTE E&C - TOTALINDO
INSPECTION AND TEST PLAN Title: LIGHT WEIGHT CONCRETE BLOCK
Contract No : A020 STRUCTURE AND ARCHITEC PROJECT KOTA KASABLANKA 3 ITP Sequence No. : KK3-PR-01-00001B
Discipline : Architecture Reference Procedure/Method Statement/Specs.: Project Specifications
Activity Controlling Inspection Codes
Activity Description Characteristics to verify Frequency of testing/reporting Acceptance Criteria Verifying Documents
No Document LT JO EPH
1.0 Preliminary Works
1.1. Material Supply by Suplier Supplier approved by EPH or on project Prior to approval and use of Aproved Supplier Letter of approval R R
prefered supplier list contractor

1.2. Data Sheet material

1.2.1. Prepare and submit for approval data Check Data Sheet Prior to use Approval Project specification S-04210 - 2 Material Transmital R H
sheet material Material

1.2.2. Carry out field test By mock up Flatnes and thicknes monitoring Methode Flatness surface Check list and punch list H W
application

2.0. Methode statement / Procedures

2.1. Methode statement/Procedures Approval Material, Data Sheet and Sub Prior to start activity Data sheet and By supplier Matrial Transmital R R
preparation Contractor Methode Shop drawing
3.0. Material
3.1 Source of materials By data sheet, Project specification Prior to use Approved by engineer Material data sheet
3.2 Verification of material Dimention, dry dencity, compresive Every 20 m3 brick and 160 bags Delivery Order Manufacture thecnical data, Project Manufactures Thecnical H R
strenght, water asorption, dry shrinkage, plastering material Spesification S-A420-2-21A Data Sheet, Material
and fire resistance. Transmital

3.3 Offloading, stockpiling and handling, and Block shall be dry, delivered with the Every delivered material, weekly Delivery Order, Material physical properties remain Thecnical spesification S- W W
cutting pallets. And use the suitable lifting tools stockpile inspections MDS within specification. ± 2mm 04210-2 1.8 C, MDS
not allow to cut by hammer shal by dimention tolerance
hand saw

3.4 Accessories
3.4.1 Light weight block anchors -For the horizontal anchors in every 3
layer block vertical.
-For the vertical anchors in every 3
layer block horizontal
In every one area with connected with Cheklist Use the rebar. D10 anchors deep Thecnical spesification S- H H
structural work. 100mm(10D) and length 1/2 length 04210-3 2.2 B
of block

3.4.2 Mortars Thin Bed dry mortars system. 2-3 mm -Prior to work Checklist Thecnical spesification S-04210-3 Thecnical spesification S- H H
thickness. -In proses to work 2.3 A 04210-3 2.3 A

3.4.3 Lintels and Stiffeners concrete and In every 12 m² or based on lay out. Use Start to end of work Checklist Thecnical spesification S-04210-5 Thecnical spesification S- W S
concrete dike 200mm hight the K-175 concrete, and concrete dike 3.5 C 04210-5 3.5 C
at wet area.

3.5 Mock Up In 10 m² at one location End of work Client Approved Thecnical spesification S-04210-2 Thecnical spesification S- H H
1.6 04210-2 1.6

3.6 Repair, Pointing and cleaning Clean from drop mortar, efflorescence, Prior to work Client Approved Thecnical spesification S-04210-5 Thecnical spesification S-
acid, and oil. 3.6 04210-5 3.6

4.0. EXECUTION

1
 INSPECTION AND TEST PLAN
KOTA KASABLANKA 3 PROJECT
LOTTE E&C - TOTALINDO
INSPECTION AND TEST PLAN Title: LIGHT WEIGHT CONCRETE BLOCK
Contract No : A020 STRUCTURE AND ARCHITEC PROJECT KOTA KASABLANKA 3 ITP Sequence No. : KK3-PR-01-00001B
Discipline : Architecture Reference Procedure/Method Statement/Specs.: Project Specifications
Activity Controlling Inspection Codes
Activity Description Characteristics to verify Frequency of testing/reporting Acceptance Criteria Verifying Documents
No Document LT JO EPH
4.1 General Requirement
4.1.1 Survey to provide marking Level, aligtment of marking of every Prior to start work Checklist, Shop Thecnical spesification S-04210- Thecnical spesification S- H H
area room. Drawing 3.1B, Methods 04210-3 3.1 B

4.1.2 Lay all lightweight block Reveals plumb and true, marking the Start to end of work Checklist, Shop Thecnical spesification S-04210-3 Thecnical spesification S- W S
line, with level, accurately spaced Drawing 3.1 B, and Methods 04210-3 3.1 B
courses.

4.1.3 Joining with new work Clean. Remove any loose block and Star to work Checklist, Shop Thecnical spesification S-04210-3 Thecnical spesification S- W W
mortar, and wet in lighty to obtain good Drawing 3.1 D and Methods 04210-3 3.1 D
bond

4.1.4 Protect sills, water stop, and filler strips. Protect from dropping of mortar, if any Star to work Checklist, Shop Thecnical spesification S-04210-4 Thecnical spesification S- W W
expantion joint shall free from mortar. Drawing 3.1 E, 3.3 A-G 04210-4 3.1 E

4.1.5 Lightweigth material and concrete dike Autoclaved Aerated Concrete blocks Every delivery Delivery Order Material Approved and Methods Thecnical spesification S- H W
200mm Hight 04210-4 3.1 I

4.2 Mixing Mortar Manufacture recommendation Thin bed Prior to use Checklist Material Approved and Methods Thecnical spesification S- H W
(±2-3mm) 04210-4 3.2

4.2.1 Jointing between structural If location of control joints are not Start to work Checklist, Shop Shop drawing and Methods Thecnical spesification S- W W
shown, place vertical joints spaced Drawing 04210 - 5 3.4B
not to exceed 1000 mm

5.0 INSPECTION
5.1. Inspection for surface preparation Methode statement Prior to start activity RFIT Approved by Client Visual Confirmation W W
5.2. In Process Inspection for light weight Shop drawing and methode statement Start to end of work RFIT Approved by Client Shop drawing and H W
block work. Level, staggered joints, methode statement
reinforcement, mixing mortar.

5.3. Inspection for fixing lintels and opening Methode statement, Project Prior to start activity Shop Drawing Approved by Client Shop drawing and W W
for doors and windows specification methode statement

5.4. Inspection for MEP instalation Shop drawing and methode statement. -Prior to work Shop drawing Shop drawing Shop drawing and H H
Refer to MEP drawing and methode -In proses to work methode statement

5.5. Curring periode finished and released for Methode statement and Approval Prior to start activity Shop drawing Approved by Client Shop drawing and H H
next activity to plastering. material methode statement

5.6. In Process Inspection for plastering or Methode statement and Approval Prior to start activity Shop drawing Visual confirmation Shop drawing and W W
rendering work material methode statement

5.7. Final checking inspection Project spesification End of work Shop Drawing Meassuring Check list and punch list W H

H Hold Point work not to proceed beyond this point without all previous inspections completed
W 100% Witness of activity

2
 INSPECTION AND TEST PLAN
KOTA KASABLANKA 3 PROJECT
LOTTE E&C - TOTALINDO
INSPECTION AND TEST PLAN Title: LIGHT WEIGHT CONCRETE BLOCK
Contract No : A020 STRUCTURE AND ARCHITEC PROJECT KOTA KASABLANKA 3 ITP Sequence No. : KK3-PR-01-00001B
Discipline : Architecture Reference Procedure/Method Statement/Specs.: Project Specifications
Activity Controlling Inspection Codes
Activity Description Characteristics to verify Frequency of testing/reporting Acceptance Criteria Verifying Documents
No Document LT JO EPH
W (%) % (Agreed percentage) Witness of activity
S Surveillance
R Document Review
N/A Not Applicable

3
 PT. ELITE PRIMA HUTAMA
Location: Contract No. Document No.
KOTA KASABLANKA 3 A020 KK3-PR-01-00001C
Title: Page Rev No.
0 1 2
INSPECTION AND TEST PLAN FOR BRICK WALL 1 of 3
X

1.0 SCOPE
This Project Procedure will apply to all the permanent works to be implemented during the
Design and Construction of the Kota Kasablanka 3 Project.

2.0 PURPOSE
This Procedure defines the method to be implemented for the Inspection and Testing of construction activities and
their status so as to ensure conformance with specified requirements on the Design and Construction
of the Kota Kasablanka 3 Project.

3.0 REFERENCES
Project Quality Plan
Project HSE Plan
Document Control Procedure
Material Control Procedure Construction Control Procedure
Control of Non Conformance Procedure
Corrective and Preventive Actions
Technical Specification
Material Specification
Standard and code

4.0 DEVINITION LIST / ABREVATION

Project Identification : Kota Kasablanka 3 Project
Contract Number : 020/KK-III/VIII/15/LOA-A020
Client : PT. Elite Prima Hutama
Main Contractor : Lotte E&C – Totalindo J.O

H : Hold Point work not to proceed beyond this point without all previous inspections completed
W : 100% Witness of activity
W (%) : % (Agreed percentage) Witness of activity
S : Surveillance
R : Document Review
N/A : Not Applicable

5.0 RESPONSIBILITIES
It is the responsibility of the Project Quality Manager to review and approve all ITP’s prior to implementation,
and to ensure that adequate resources are provided to enable all inspections and tests to be carried out.
It is the responsibility of the Project Quality Manager to ensure all personnel assigned to QC activities are competent
and familiar with applicable procedures, codes, standards, statutory and project requirements.
It is the responsibility of the Project Quality Manager to identify all required ITP's and to ensure they are
prepared and submitted in accordance with an approved document submittal plan.
To ensure that all necessary inspections and tests are carried out and correctly documented.
It is the responsibility of the Project Quality Manager to ensure that all defects or
non- conformances are investigated and appropriate remedial and corrective action is agreed.
It is the responsibility of the Construction Manager to ensure that all remedial and corrective
action arising from reported defects or non- conformances is
implemented effectively and the correct material/product has been inducted to the permanent works.

6.0 INSPECTION AND TEST PLAN FOR LIGHT WEIGHT CONCRETE BLOCK

7.0 ATTACHMENT

7.1 FLOW CHART INSTALATION

7.2 APPROVAL MATERIAL FORM
7.3 COMPARATION SHEET FORM
7.4 MATERIAL DELIVERY TO SITE FORM
7.5 CHECKLIST FORM
 FLOW CHART
LIGHT WEIGHT CONCRETE BLOCK INSTALATION

Note 1 START
Methode, Shop Drawing Material
Approval has been approved prior to
start work
Note 3
SURVEY TO PROVIDE At wet area if any sink and water heater
MARKING AT DRY should put little beam
AREA/LEVER/ROOM

NOT OK
CHECK

OK
Note 2
Note 4 PREPARATION FOR Installation depend on finishing material
At kitchen area for hanging the kiitcen MATERIAL/ EQUIPMENT/ MAN using HT or Marble
set shoult put the lintle beam POWER

DRY AREA WET AREA

INSTALLATION LWCB STAGE INSTALLATION OF

1. HEIGHT UP TO 120cm CONCRETE DIFE H 200mm
USING MORTAR THIN BED 2- F'c15
3mm THICKNESS

INSTALLATION LWCB STAGE

NOT OK 1. HEIGHT UP TO 120cm
CHECK USING MORTAR THIN BED 2-
3mm THICKNESS
OK

INSTALLATION OF COLUMN NOT OK

STIFFENER (JOINT TO SLAB OK
AND BOTTOM SLAB) BY
GROUTING CHECK

Note 5
Installation depend on finishing material
CONTINUE INSTALLATION OF LWCB STAGE 2 UP TO using HT or Marble
HEIGHT PROPERLY TO INSTALL INTERMEDIATE
LINTLE BEAM AS PER SD/SPEK (EVERY 12m²)

NOT OK
CHECK
Note 6
OK All LWCB wall which connected to
concrete structure vertical should put
dowel at bottom,middle and upper wall
as per SD approved
INSTALLATION OF LWCB STAGE 3 FINISH HEIGHT AS
PER SD AND IF UNDER SOFFIT STRUCTURE SHOULD
PART SEALENT AS PER AS SD APPROVED. IF FREE
STANDING SHOULD PUT COVER BY LINTLE BEAM AS
PER SD
Note 7
All the LWCB wall has been installed
the thin bed mortar should not have
NOT OK honeycomb or any hole to other side
CHECK

CONTINUE TO NEXT STEP

MATERIALS – ITEM DETAILS COMMENTS
1. CLAY MASONRY UNITS: a. Type, Size, Shapes, Tolerances
b. Specified Colour & Texture
c. Site Storage
2. CMU'S: a. Strength, Sizes, Profiles, Shapes, Tolerances
b. Fire Rating
c. Specified Colour & Texture
d. Site Storage
3. PRECAST & STONE - Specified Type
4. MORTAR & GROUT-Site Mixed:
a. Specified Type, Colour
b. Sand & Gravel to CSA A179 ??
c. Water Potable, Site Storage
5. MORTAR – Premixed: a. Specified Mortar Type
b. Batch Time for Wet Mix, Lot Number for Dry Mix ??
c. Site Storage
6. GROUT-Premixed: a. Strength & Slump for Ready-mix
b. Specified Type & Lot Number for Dry Mix ??
7. CONNECTORS – Specified Types, Corrosion Resistance
8. REINFORCING: a. Rebar Grade & Size
b. Joint Reinforcing Type, Width, Corrosion Resistance
9. FLASHING & / WEEP HOLE DEVICES: a. Specified Type
b. Fastening, Priming & Sealing Material
10. STEEL LINTELS - Specified Size, Corrosion Resistance
11. MovementEXP., CONTR. & FIRE JOINT MATERIALS Spec.
12. WATER REPELLANT (If in masonry work) Spec. Type
13. AIR BARRIER (If in masonry work) Specified Type
14. CORE & CAVITY INSULATION (If in masonry work)
Specified Type, Specified Size, Specified Attachment
15. CLEANER - Specified Type
Masonry Inspection
Checklist
Section 4.2
Page 3
11-Jul
WORKMANSHIP - ITEM DETAILS COMMENTS
1. FLASHING: a. Location & Dimension
b. Laps Sealed, Secured to Back-up, End Dams
2. MORTAR MIXING: a. Spec. Material/Proportion
b. Mixing Time
3. MORTAR APPLICATION: a. Joints Correctly Filled
b. Cavities & Grouted Cells Reasonably Clear
c. Spec. Joint Profile, Joints Properly Tooled, Re-tempering
4. LAYING UNITS: a. Alignments & Joint Tolerances
b. Minor Unit Defects Within Material Standard Limits
c. Corbelling Within Limits
d. Features as per Design: Arches, Sills, Soldiers, Prefab, etc.
e. Fire Rated Units Where Specified
5. VENEER TIES: a. Embedment in Mortar Within Limits ± 13
b. Specified Spacing & Location
c. Specified Fastening
6. ANCHORS - Specified Location & Installation
7. STEEL LINTELS & SHELF ANGLES: a. Spec. Location/Size
 b. Overhang £ 1/3 Width, Expansion Gap Under Shelf Angle
8. WEEPHOLES & VENTS

9. AIR BARRIERS (If in masonry work)

10. INSULATION (If in masonry work)

a. Specified Location, Core Insulation to Top
b. Cavity Insulation Fastened, Oriented & Joined as Specified
11. REINFORCING: a. Sizes, Spacing & Locations
b. Position in Cell, Bar Laps
c. Stirrup & Tie Bars
d. Joint Reinforcing Size, Spacing & Laps
12. GROUTING: a. Cells Clear
b. Cleanouts (if required) - Spacing & Size, Cleaned, Closed
c. Parapets Solid Grouted
d. Pour & Lift Height
Section 4.2
Page 4
11-Jul
Masonry Inspection
Checklist
13. WEATHER PROTECTION: a. Top of Wall Covered
b. Cold Weather/Hot Weather Requirements
14. MOVEMENT JOINTS
a. Locations of Movement Joints / Type
b. Vertical & Shelf Angle Expansion Joints Clear of Mortar
c. Caulking Colour (by others)
15. FIRESTOPPING - Location, Installation (if in masonry work)
16. DRY CLEANING OF BLOCK

17. WET CLEANING (If required or specified)

a. Wall Adequately Cured
b. Test Area Check
c. Surroundings Protected
d. Cleaning to Manufacturer's Requirements
e. Adequate Pre-Soak, Rinse
18. WATER REPELLENT (if in masonry work)
a. Wall Adequately Clean & Dry
b. Caulking & Flashing Complete, Surroundings Protected
c. Application to Manufacturer's Requirements
 CHECKLIST OF
BRICK WALL / LIGHTWEIGHT CONCRETE BLOCK
Note : Only Valid for Project Construction Activity

KOTA KASABLANKA 3 - PROJECT

Owner - Inhouse PMCM : PT. Elite Prima Utama Ref Drawing : Grid :
Main Contractor : Lotte E&C - Totalindo J.O Methods : Area / Tower :
Conclusion
Drawing and

Action
Found on Allowed (√)
Description Spec REMARKS
Site Tolerance Ok Not Ok
Reference
1. FLASHING:
a. Location & Dimension by drawing
b. Laps Sealed, Secured to Back-up, End Dams
2. Light weight concrete block
a. Dimention 600 x 600 x 125 ± 2mm
600 x 600 x 100
600 x 600 x 75
b. Fire resistance 4 hour
2. MORTAR MIXING:
a. Spec. Material/Proportion 1:6
b. Mixing Time Dry mixing mortar
3. MORTAR APPLICATION:
a. Joints Correctly Filled Full fill
b. Cavities & Grouted Cells Reasonably Clear
c. Spec. Joint Profile, Joints Properly Tooled, Re-tempering
4. LAYING UNITS:
a. Alignments & Joint Tolerances refer to drawing ± 2mm
b. Minor Unit Defects Within Material Standard Limits
c. Corbelling Within Limits
d. Features as per Design: Arches, Sills, Soldiers, Prefab, etc.
e. Fire Rated Units Where Specified
5. VENEER TIES:
a. Embedment in Mortar Within Limits ± 13 refer to drawing
b. Specified Spacing & Location refer to drawing
c. Specified Fastening refer to drawing
6. ANCHORS - Specified Location & Installation per 3 layer no
7. STEEL LINTELS & SHELF ANGLES, CONCRETE DIKE:
a. Spec. Location/Size follow the drawing
b. Overhang 1/3 Width, Expansion Gap Under Shelf Angle follow the drawing
c. Concrete dike H 200mm at alligment
8. WEEPHOLES & VENTS
9. AIR BARRIERS (If in masonry work)
10. INSULATION (If in masonry work)
a. Specified Location, Core Insulation to Top
b. Cavity Insulation Fastened, Oriented & Joined as Specified
11. REINFORCING:
a. Sizes, Spacing & Locations refer to drawing ± 5mm
b. Position in Cell, Bar Laps refer to drawing ± 5mm
c. Stirrup & Tie Bars refer to drawing ± 5mm
d. Joint Reinforcing Size, Spacing & Laps refer to drawing ± 5mm
12. GROUTING AND SEALANT
a. Cells Clear
b. Cleanouts (if required) - Spacing & Size, Cleaned, Closed
c. Parapets Solid Grouted
d. Pour & Lift Height
e. Sealant fire rated
Note during inspection : Signatute *) :

Initial :

Note : *) By EPH Inspector ; **) If necessary B: Check Before Commencing; P: Check While-in Progress; C: Check on Completion
Acknowledge by,
Other ContrLotte E&C - Totalindo JO (LTJO) PT. Elite Prima Hutama (EPH)
Signature :Signature : Signature :

Name : Name : Name :

Date : Date : Date :