Template: Inspection and Test Plan
Customer:
Contract Number:
Contract/Project Name:
Ref Operation or stage of work
Description
Characteristics
INSPECTION AND TEST PLAN for: (Insert work activity)
Work area: (Insert work area)
Stage/
Records Requirement/ standard/
frequency
specification
Acceptance criteria Inspection/ test
procedure
Insert Contractor Identification and/or Logo
Inspection *what/who
Employee
Service provider
*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.
Customer
Checklist
INSPECTION AND TEST PLAN CHECKLIST for:
(To be completed by the person(s) directly responsible for the work)
Contract Number:
Work area:
Contract/Project Name:
Contractor:
Subcontractor
Work
Items/activities to be verified
Reference
Checklist Number:
Initialled/OK
I have carried out allnecessary inspections and verify that the above items/activities conform to the contract
specification/documents
Comments
Name:
Signature:
Date:
I have carried out allnecessary inspections and verify that the above items/activities conform to the contract
specification/documents
Name:
Signature:
Date: