CSP-20 rev.

01
Appendix I-II
PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

BUILDING/ ROOM C01-A
Project No.
Project Title
Facilities
INFORMATION
Tag Number Location
Item Description Ref Drawing
System Inspection Date
Sub System
INSPECTION / TEST OK N/A P/L No.
1 Check that the construction confirms to approved drawings and specification.
2 Ensure that the Building is in line with the layout drawing.
3 Check and verify all civil inspection reports are available.
4 Check throughout the Building for cleanliness.
5 Check painting for any damage.
6 Check for ventilation of the room.
7 Check the door & Window are as per approved drawing.
8 Check the door & Window hardware is as per approved drawing.
9 Check that the construction confirms to approved drawings and spec.
10 Ensure that the Building is in line with the layout drawing.
11 Check and verify all civil inspection reports are available.
12 Check throughout the Building for cleanliness.
13 Check painting for any damage.
COMMENT(S) AND ADDITIONAL INFORMATION

COMPLETED BY VERIFIED BY ACCEPTED BY

Designation Contractor Representative PCSB Inspector Discipline Engineer
Company PETRONAS Carigali PETRONAS Carigali
Name
Signature
Date
Page 1 of 1
 CSP-20 rev. 01
Appendix I-II
PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

FOUNDATION C02-A
Project No.
Project Title
Facilities
INFORMATION
Tag Number Location
Item Description Ref Drawing
System Inspection Date
Sub System
INSPECTION / TEST OK N/A P/L No.
1
Ensure that location / orientation of foundations is as per approved layout drawing.
2 Check and verify all civil inspection reports are available.
3 Check foundation level and dimensions as correct as per drawing.
4 Check anchor bolt or pocket spacing / projections are as per drawings.
5 Check for grouting gap between foundation and underside of base plate.
6 Check for presence of crack on the surface etc.
7 Check for aesthetic look of foundation & for its surface finishing.
COMMENT(S) AND ADDITIONAL INFORMATION

COMPLETED BY VERIFIED BY ACCEPTED BY

Designation Contractor Representative PCSB Inspector Discipline Engineer
Company PETRONAS Carigali PETRONAS Carigali
Name
Signature
Date
Page 1 of 1
 CSP-20 rev. 01
Appendix I-II
PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

CONCRETE WORK C03-A
Project No.
Project Title
Facilities
INFORMATION
Tag Number Location
Item Description Ref Drawing
System Inspection Date
Sub System
INSPECTION / TEST OK N/A P/L No.
1 Concrete work installed in accordance with specifications and drawings.
2 Rebar installed in accordance with specifications and drawings.
Pockets and/or anchor bolts installed in accordance with specifications and
3
drawings.
4 Drains and grating installed in accordance with specifications and drawings.
All foundations installed do not create traps for water, ample drainage available for
5
the area.
6 All temporary aids / formwork removed.
7 Backfill and cleaning of surrounding area complete.
8 Slump Test : (mm)
9 Concrete Break Test : (MPA)
COMMENT(S) AND ADDITIONAL INFORMATION

COMPLETED BY VERIFIED BY ACCEPTED BY

Designation Contractor Representative PCSB Inspector Discipline Engineer
Company PETRONAS Carigali PETRONAS Carigali
Name
Signature
Date
Page 1 of 1
 CSP-20 rev. 01
Appendix I-II
PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

ROAD C04-A
Project No.
Project Title
Facilities
INFORMATION
Tag Number Location
Item Description Ref Drawing
System Inspection Date
Sub System
INSPECTION / TEST OK N/A P/L No.
1 Check road sub grade as per AFC drawing.
Ensure that compliance test as the following completed and accepted.
• Compaction test.
• California Bearing Ratio test ( CBRT).
2
• Plate bearing test.
• Static cone penetration test.
• Density test.
3 Check rigid paving as per specification.
4 Check the flexible paving min 50 mm.
5 Check side drainage channel.
6 Check centre drainage channel.
COMMENT(S) AND ADDITIONAL INFORMATION

COMPLETED BY VERIFIED BY ACCEPTED BY

Designation Contractor Representative PCSB Inspector Discipline Engineer
Company PETRONAS Carigali PETRONAS Carigali
Name
Signature
Date
Page 1 of 1
 CSP-20 rev. 01
Appendix I-II
PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

FENCING & GATES C05-A
Project No.
Project Title
Facilities
INFORMATION
Tag Number Location
Item Description Ref Drawing
System Inspection Date
Sub System
INSPECTION / TEST OK N/A P/L No.
1 Check fencing / gates installed as per AFC drawing.
2 Check chain link face fabric as per specification.
3 Check tension wire installed as per AFC drawing.
4 Check string of barbed as per AFC drawing.
5 Check steel bracing at each tenth post as per drawing.
6 Check fencing and gates material as per specification.
7 Check fencing and gates painting as specification.
COMMENT(S) AND ADDITIONAL INFORMATION

COMPLETED BY VERIFIED BY ACCEPTED BY

Designation Contractor Representative PCSB Inspector Discipline Engineer
Company PETRONAS Carigali PETRONAS Carigali
Name
Signature
Date
Page 1 of 1