Inspection and Test Plan Template

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Material Section

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

2. Construction Overview

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

3. Testing Summary

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

4. Installation Summary

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

5. Design Tolerances

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

6. Traffic Considerations

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

7. Survey Considerations

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

8. Inspection Requirements

• Activity Description

• Method Reference

• Inspection/Test Frequency

• Accpetance Criteria

• Contractor Sign Off

  Sign

• Client Sign Off

  Sign

Completion

• Contractor Sign Off

  Sign

Client Review

• Are all NCR's closed out

  Yes

  No

  N/A

• Are all relevant signatures completed?

  Yes

  No

  N/A

• Have all lots had the required number of tests?

  Yes

  No

  N/A

• All inspections completed

  Yes

  No

  N/A

• Client Sign Off

  Sign