PROJECT NAME PROJECT SYMBOL

INSPECTION & TESTING PLAN

DOC. NO. : REV NO. : 00

ACTIVITY : DATE :

INSPECTION LEVEL
METHOD OF
NO. ACTIVITY DESCRIPTION ACCEPTANCE CRITERIA VERIFYING DOCUMENT TIME INSPECTION/ FREQUENCY
INSPECTION Owner Contractor Consultant

Fire Sprinkler Installation

A Prepare Material
1 Alarm check valve c/w alarm gong and retard chamber Review, Visual CAI-DWG-ME-DD-FF-GE-7001, The Brand,
2 Flow switch Review, Visual Size, Dimension, kind of others material
3 Sprinkler Head Review, Visual accordance to material Approved
4 Foam and Sponge Rubber Visual CAI-TS-PL-01
QC-ME-GEN-002 Per as execution M W SW
5 Pipes Visual
6 Fittings & Flanges buttweld Visual CAI-DWG-ME-DD-FF-GE-7001, The Brand,
Size, Dimension, kind of others material
7 Fitting threaded Visual accordance to material Approved
8 Mechanical Groove Joint Visual

B Implementation Work
1 Install pipe Visual Daily
MS-ME-MECH-003, CAI-DWG-ME-DD-FF
3 Install the accessories Visual QC-ME-INS-009 Daily M W SW
Visual, CAI-DWG-ME-DD-FF-P1-2001
4 Install pump Daily
Measurement
5 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, Pressure test on Fire Hydrant pipe is 1.5 x 11.5

1 Pressure Test QC-ME-TST-002 Per as execution SW W W
Measurement bar = 17,25 bar = 18 bar

-, Closing of all outstanding NCR

-, Submission complilation of relevant -, Final Document
-, Review
D Completion of Work inspection record / Reports and Contract -, Certificate of Completion (COC) Per as execution H H H
-, Visual
checklist, Documentations, Completed and -, Certificate of Origin (COO)
signed-off punchlist / NCR
LEGEND
Hold is defined as critical steps in the instalation and testing process. Otherwise owner waiving letter, the project team cannot proceed to the next activity until the inspection, measurment or test has been witnessed
H : Hold Point
approved by the attending parties
W : Witness Point Witness point of inspection/test, is an activity during construction where inspection, measurements or testing must take place and documented

SW : Spot Witness Spot Witness, This activity may perform during perform during construction where interim measurements, and/or witness of activity normally take place, prior to final measurement or inspection being done

R : Review Review of Inspection/Test Record and Other Document

ITP Sign-Off post completion of Works

CONTRACTOR APPROVAL Consultant APPROVAL

NAME : NAME :
SIGN : SIGN :
DATE: DATE:

FMR-QCL-09/R1
ECT SYMBOL

REMARK

ment or test has been witnessed and

inspection being done

 Doc.No. Revision :

0A
007-ITP-ME-2022
Inspection & Test Plan of Fire Sprinkler Installation CHECKED Sheet: Of:
Project No. : MD - 2408 DATE PREPARED APPROVED BY
QC
Project : Cainiao Smart Logistic Warehouse 5/25/2022 Site QC Project Manager
Manager

Responsbility*
No Item Description/Inspection Activity & Test Plan Method of Inspection Acceptance Criteria / Reference Verifying Document Time Inspection / Frequency Remarks
Murinda BNBV CN
Fire Sprinkler Installation
A Prepare Material
1 Alarm check valve c/w alarm gong and retard chamber Review, Visual CAI-DWG-ME-DD-FF-GE-7001, The Brand, Size,
2 Flow switch Review, Visual Dimension, kind of others material accordance to
3 Sprinkler Head Review, Visual material Approved
4 Foam and Sponge Rubber Visual CAI-TS-PL-01
QC-ME-GEN-002 Per as execution M W SW
5 Pipes Visual
6 Fittings & Flanges buttweld Visual CAI-DWG-ME-DD-FF-GE-7001, The Brand, Size,
Dimension, kind of others material accordance to
7 Fitting threaded Visual material Approved
8 Mechanical Groove Joint Visual

B Implementation Work
1 Install pipe Visual Daily
MS-ME-MECH-003, CAI-DWG-ME-DD-FF
3 Install the accessories Visual QC-ME-INS-009 Daily M W SW
4 Install pump Visual, Measurement CAI-DWG-ME-DD-FF-P1-2001 Daily
5 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, Pressure test on Fire Hydrant pipe is 1.5 x 11.5 bar =
1 Pressure Test QC-ME-TST-002 Per as execution SW W W
Measurement 17,25 bar = 18 bar

-, Closing of all outstanding NCR

-, Submission complilation of relevant inspection -, Final Document
-, Review
D Completion of Work record / Reports and Contract checklist, -, Certificate of Completion (COC) Per as execution H H H
-, Visual
Documentations, Completed and signed-off punchlist / -, Certificate of Origin (COO)
NCR

* Legend :

M : Field Inspection or/and Test which is performed by the subcontractor

R : Review of Inspection/Test Record and Other Document
I : Inspection/Test Record to be submitted only for information
P : Issue/Provide Document
SW : Spot Witness, This activity may perform during perform during construction where interim measurements,
and/or witness of activity normally take place, prior to final measurement or inspection being done
W : Witness point of inspection/test, is an activity during construction where inspection, measurements
or testing must take place and documented
H : Hold Point is defined as critical steps in the installation and testing process. Otherwise
owner issue waiving letter, the Project Team cannot proceed to the next work activity until the
inspection, measurement or test has been witnessed and approved by the attending parties
 Attached : Date:
QC-ME-INS-009
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT
Doc.No. : Page: 00 of 00

Subject : Fire Sprinkler Installation (Using BS, GI Pipe) Project No. MD2408

Location :
Reference Drawing :

RESULT
No. ITEM TO CHECKED REMARKS
YES NO
A Installation
1 Head Sprinkler type pendant
2 Head Sprinkler type up right
3 Head Sprinkler type Wall Mounted
4 MCV
5 BCV
6 PRV
7 Inspection Valve
8 Draining system
9 Support/ Hanger
10 Piping and connection
11 Piping Accessories & Labeling
12 Placement & Reach of each sprinkler according to design
13 The color of the bulb on the sprinkler is according to specifications

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
QC-ME-TST-002
CAINIAO SMART LOGISTIC WAREHOUSE
PROJECT Doc.No. : Page: 00 of 00

Subject : Pressurized Pipe Leakage Test Project No. MD2408

Location :

Ref. Drawing :

Start Finish
Installation : Installation :
Location : Location :
Date : Date :
Duration : Duration :
Time : WIB Time : WIB
Pressure : Bars Pressure : Bars
Weather : Weather :
Media test : Media test :
Note: Note:

Comments Conclusions:
Approved
Approved w/ comments
Not approved
Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date