Inspection Test Plan Checklist

• Company name

• Date

  Date

• IR Reference Number

• Prepared by

• Location
  Address

Preparatory Inspection

• Specify

• Conforms

  Yes

  No

  N/A
In Progress Inspection

• Specify

• Conforms

  Yes

  No

  N/A

Completion

• Overall Comments

• Contractor Name and Signature

  Sign

• Engineer Name and Signature

  Sign

• Client Name and Signature

  Sign

Works Completed in Accordance with the Approved Specifications & Drawings

• Result

  Pass

  Fail

  N/A

• Contractor CT/QC Name and Signature

  Sign

• Remarks

• Engineer Inspector Name and Signature

  Sign

• Remarks

• Employer Name and Signature

  Sign

• Remarks