Signature: Date:

Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:

Name Role
[John Doe] Project Manager Quality mentoring & coaching
[Jane Doe] Team Lead Quality audits
<Name> <Role> <Responsibility>

Tool Description

Document Description Location

Name and
Version
[

Activity Inspected
Method Acceptance Criteria Record
By

Prestart Implemented
Version Revision Hard copies ofApproval
Approved documentation Reason Doc
# By Visual Check
Date F-12
documentation in project binder Date
By Controller
1.0 <Author name> <mm/dd/yy> <name> <mm/dd/yy> <reason>
Checklist items 1-15 Site
Establish Site Visual Check F-34
completed Manager

Dimensional Site
Excavation As per site drawing drawing
check Manager

Pre-pour checklist, site

Pre-pour Visual Check F-72 Engineer
drawing

Delivery
Foundation pour Measure Slump test - 50mm +/- 10mm Engineer
record

Specification, 30 MPa NATA lab Test

Foundation pour Strength test Engineer
minimum Report
 Who
Check Item Description Sign Pass/Fail Details of Rectification
?

Formwork dimensions check

Formwork grade and alignment

Forms clean, smooth, watertight

Reinforcing steel placed as per drawings

Re-bar clean

Critical cover 30mm at all locations

Re-bar tied and supported (chairs) as per plans

Acceptance
Activity Inspected By Method Record
Criteria

Check correct material Quality Visual Check, Tape Checklist

As per drawing
spec, size Control measure QC-22

+/- 1mm from

Check cut lengths Operator Tape Measure Q-22
drawing

Check hole locations &

Operator Tape Measure +/- from drawing QC-22
sizes

...

Quality As per drawing,

Final Inspection Visual check QC-22
Control specs

Who
Description Sign Pass/Fail Details of Rectification
?

Check correct material spec, size

Check cut lengths

Check hole locations & sizes

...

Final Inspection
 Description Criteria Measurement Pass/Fail

Resistors #1-3 110 - 130 ohms

Resistors #4-8 200 - 240 ohms

...

Box weight 95g - 105g

zero defective
Display
pixels

Test or
Inspection Stage / Code /
Activity/Description performed Frequency Spec Inspection / Verification

Main
Sub Con Con Employer

Excavation

1. Preparation E W R

Test or
Inspection Stage / Code /
Activity/Description performed Frequency Spec Acceptance Criteria

Material Inspections
(Delivery on site )
1. Materials
As per approved
Material Submittals
1. Accessories Code 1/2

Project : Phase: Contractor: Organization: Crew:

Compliance verification Heightened awareness checkpoints

Compliance Verification FTQ 2TQ Heightened Awareness Checkpoints

 Compliance with initial job-ready
requirements   Appearance of Air Outlets and Inlets approved by the
ARCHITECT prior to ordering and installation
 Compliance with material inspection and tests
 Compliance with work in process first article
inspection requirements
 Compliance with work in process inspection
requirements
 Compliance with Task completion inspection
requirements
 Compliance with inspection and test plan
 Compliance with safety policies and procedures
Reported Nonconformances and incomplete items:
Heating// Ventilating// and Air Conditioning (HVAC)-Cooling Towers
Phase: Contract#:
Compliance Verification
 Compliance with initial job-ready
requirements
 Compliance with material inspection and tests
 Compliance with work in process first article
inspection requirements
 Compliance with work in process inspection
requirements
 Compliance with Task completion inspection
requirements
 Compliance with inspection and test plan
 Compliance with safety policies and procedures
Reported Nonconformance’s and incomplete items:
1. Material Section
  Registers// grills// and diffusers are compatible with wall and
ceiling systems
  Air Outlets and Inlets clean of dirt// dust// rubbish// and debris
  Air Outlet and Inlet connections to duct work is airtight
  Additional supports provided for registers// grills// and
diffusers in drop-in ceiling tile systems
  Internal fans are mounted with vibration isolators
  Drive belts properly tensioned
  Ventilators
maintenance
installed with clearance for inspection and
  Gravity Ventilators installed level and plumb
  Ventilator mountings weatherproof
Organization: Crew:
Field Operations
FTQ 2TQ Heightened Awareness Checkpoints
  No restrictions to air flow into evaporative area.
  Motors and fans balanced and free of excessive
vibration/noise.
  Valve operational positions (open vs. closed) clearly indicated.
  Relief valves discharge to approve areas.
  Fan and belt guards in place.
  Water treatment chemicals added.
  Equipment installed with clearance for inspection and
maintenance.
  Readouts and indicators clearly visible.
  Operational
Manuals.
set points noted in Operation and Maintenance
  Operation and Maintenance Manuals supplied to Owner.
Activity Description

Method Reference

Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

2. Construction Overview

Activity Description

Method Reference

Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

3. Testing Summary

Activity Description

Method Reference

Inspection/Test Frequency

Accpetance Criteria
Contractor Sign Off

Client Sign Off

4. Installation Summary

Activity Description

Method Reference
Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

5. Design Tolerances

Activity Description

Method Reference
Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

6. Traffic Considerations

Activity Description

Method Reference
Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

7. Survey Considerations

Activity Description

Method Reference
Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

8. Inspection Requirements

Activity Description

Method Reference
Inspection/Test Frequency

Accpetance Criteria

Contractor Sign Off

Client Sign Off

Completion

Contractor Sign Off

Client Review

Are all NCR's closed out

■ ves ■ NIA

Are all relevant signatures completed?

■ ves ■ NIA

Have all lots had the required number of tests?

■ ves ■ NIA

All inspections completed

■ ves ■ NIA

Client Sign Off