01 Itp-Piping

QUALITY MANAGEMENT PLAN
DEPARTMENT OR FUNCTION OR PROJECT NO | PROJECT NAME

APPENDIX A – CHECKLISTS (ITP)
Checklist No. Abbreviation Checklist Title

Chk 00a Chk 00b - Contract Initiation/Preliminaries (Office Ba
- Initiation/Preliminaries (Site Based)
Chk 01 DE Demolition
Chk 02 CL Clearing, Topsoiling and Mulching
Chk 03 EF Embankment Foundation
Chk 04 EC Embankment Construction
Chk 05 SD Stormwater Drainage
Chk 06 SG Subgrade
Chk 07 SB Subbase
Chk 08 BC Basecourse
Chk 09 KB Kerbing
1.1 EXPLANATORY NOTES ON USING CHECKLISTS:
 These checklists have been approved by the Manager – Roads and Maintena
 Where there is no specification, the current industry best practice standards ha
 The checklists are not just for quality. They include environmental, safety and
 Use one checklist for each lot. QER allocates a lot number and enters into the
 When each monitoring and measurement activity has been completed, the nom
 In certain circumstances, some activities may not be applicable. In such instan
nominated signatory places “N/A” in the activity signature box;
 All applicable “Hold Points” are mandatory. They must be released prior to com
separate form. In such instances, a  must be placed in the signature box.
 When all checklist activities have been completed and signed off, the Project/S
conformance of the lot.
 All supporting monitoring and measuring records, test results and as construct

1.2 WHAT’S IN THE CHECKLIST (ITP) AND ACTION BY THE USER:
Column What’s in the checklist and instructions to the user
1 Sequential number of the construction activity
2 Description of the construction activity
3 Who performs the activity in Column 2
4 Inspection and test associated with the activity in Column 2 – What to verify and at what point? 5
conduct Item in Column 4
6 Acceptance criteria (Ex: 95%MDD, + 10mm, + 0.5%, Drainage Standard, AS 1289.1 etc.) 7 D
(Ex: recording form, NATA test certificate etc.)
8 Inspection activity type (W-Witness, H-Hold Point, R-Review, S-Surveillance)
9 Company’s verifier’s initials
10 Superintendent’s responsibility (W, H, R or S as in Column 8) 11 Superintendent must initials t
Any pertinent remarks
Contract Initiation / Preliminaries (Office Based)
Oper Construction Activity Description By Inspection & Test Specification
No Point / Activity Reference
1 2 3 4 5
1. Confirm receipt of letter of intent. Arrange signing of contract. PM Prior to start Review H
2. Obtain approval from Managing Director to launch the Project. PM Prior to start Liaise H
3. Verify client capacity to pay. CFO Prior to start Review H
4. Initiate insurances required for the contract and forward evidence to CFO Prior to start Insurances Cer
Superintendent. CFO Prior to start Bank Guarantee Cert
5. Arrange for security deposit (Bank Guarantee) to be forwarded to the Superintendent if required.
6. Prepare and issue Quality Management Plan with a copy to the MQE Upon Contract QMP
Superintendent. award release
7. Prepare and issue an acceptable Safety Management Plan to the Superintendent. Once approved SM Prior to start and mobilisation SMP
issue copies for construction. MQE Prior to start of the EMP
8. Prepare and issue Environmental Management Plan with a copy to the activity
Superintendent.
9. Prepare and submit Traffic Management Plan with a certificate of PM During the contract 1.25
compliance to the Superintendent. Issue approved plan for construction.
10. Review drawings and verify that contract documents conform to MQE/ PM Prior to start Review
construction and tender documents. Review addendums, conditions and variations to the contract. MQE Prior to start Review
11. Check relevant Australian Standards, Test Methods, Acts and
Regulations are available.
12. Obtain and make available to the Superintendent the Laboratory Quality QER 1 week prior to use Lab Qual
Manual a week in advance on site
13. Assess availability of company plant. Obtain quotations and order hired PM Prior to start Review H
plant. Assess fuelling, lubrication and servicing requirements.
14. Assess personnel requirements – surveyor, drainers, operators etc. PM Prior to start Review
Verify and record any on site training required.
15. Organise a briefing of key personnel engaged on the Contract including PM Prior to start Meeting H
quality, safety and environmental.
16. Confirm that subcontractors on this project have been assessed and PM Prior to start Prior to using
approved. Verify Third Party Certification requirement. Provide list to Superintendent including the names, subcontractors on site
addresses and the portion of subcontracted works for approval. Also include subcontractors whose
activities require current technical, managerial, safety and/or environmental competencies. Provide
evidence of Priority Access
Employer status. Verify financial due diligence requirements.
17. Provide subcontractors with all relevant specifications and drawings. If QER Prior to start Prior to start
required, prepare subcontract agreements.

Contract Initiation / Preliminaries (Office Based)
18. Provide QER with copies of surveyor qualifications and all survey SV/ QER Prior to start Liaise H equipment cal
he Superintendent.
19. Demonstrate compliance with the bitumen property requirements for QER Prior to Full suit of test per Hold point H
production batch release Material
he Contract. This requirement does not apply to rubberised binder. conformance
Audit testing undertaken by the Principal shall not be used to Certificates
positions, job descriptions and reporting relationships for all managerial or supervisory personnel associated with the work under the Contract;
b) Details of each Subcontractor’s name, address and
representative.
LEGEND (Column 8 & 10): ‘H’ – Hold Point; ‘W’ – Witness Point; ‘R’ – Document Review; ‘S’ – Surveillance MQE: Date: These activities have

1 2 3 4 5
demonstrate compliance.
20 Prior to the on-site delivery of crushed aggregate, provide certification QER During the contract Suit of t
o the Superintendent that the aggregate conforms to specified mention
requirements. 201A-2
21 Prior to the binder being used on the contract, demonstrate to the QER Prior to start on Prior to
superintendent compliance with the emulsion binder property site Testing
requirements for each batch of binder. shown
in 201A
22 Prior to commencement of the work under the Contract and, PM Prior to start on Key per
whenever directed to do so provide Superintendent with: site
a) An updated detailed Company chart showing the Key Personnel
23 Submit completed QA documents on Practical Completion to MQE At PC Complia
Superintendent.
24 Upon Practical Completion of the Works, prepare and submit to Superintendent a closeout PM Upon Practical Close O
report on the performance of the Works. Completion Report

Contract Initiation / Preliminaries (Site Based)
1 2 3 4 5 6 7 8
1. Seek the approval of the Superintendent prior to procuring or installing PM Prior to start
any ‘flexible’ or ‘removable’ sign posts.
2. Display copies of Environmental Policy and Commitment Statement for S Prior to start Display, provide Policy R
he project in the site office. Provide copied of Policy to t he employees S Throughout the works copies
at induction and subcontractors. S Prior to work employ
3. Perform the work to the highest standard consistent with the Contract. commence or recommence Standa
Ensure works are fit for the purpose to meet the specification performance requirements. works
4. Provide Superintendent notice prior to commencement or Superin
recommencement of any work on site. No work commences or recommences in the absence of the approv
Superintendent.
5. Note the pre-existing condition of the verge and reinstate the verge to a S Existing properties 1.33 Restore to original photographic R
similar standard and as approved by the property owner. conditions
6. Verify site access and brief employees at inductions PM/S Prior to start Notify
pe
7. Note working hours and inform all personnel at inductions PM/S Prior to start 1.21 Working hours Induction R
8. Obtain a current NATA endorsed calibration certificate and submit a QER Prior to start on
copy to the Superintendent one week prior to use of NDM on site. site
9. Prior to NDM being stored on site submits to Superintendent a copy of QER Prior to start on Prior to Storing on
he approval obtained from the statutory Authority for the NDM to be emporarily stored in an unoccupied site site
locker vehicle and/or a
ransportable material testing laboratory
10. During the execution of the work under the Contract, have available at S At all times Make available Compete set of R
all times at the Site and other locations where the work is carried out a
complete set of documents for reference by Superintendent.
11. Ensure plant and equipment used on the project is approved by the Superintendent. PM At mobilisation Superintendent approval
12. Attend the Contract Kick-off Meeting. PM At the start Minutes H

13. Certify to the Superintendent that the Traffic Management Plan CM/ QER Prior to use
conforms to the requirements of the Contract.
14. Resubmit to the Superintendent any amendments to the TMP. CM/ QER Prior to use
15. Obtain setting out information from the Principal and check the digital SV Prior to start 1.22.6
design model to ensure that it corresponds with the drawings and certify to the superintendent that there
is no discrepancy between the digital design model and the drawings.

Contract Initiation / Preliminaries (Site Based)
1 2 3 4 5 6 7 8
16. Design drawings detail locations of suitable bench marks, property SV Throughout WUC 1.22.6 Referenced to
lines, corners and base lines and Specification Road Reference Marks (RRM). Perform all survey work with existing bench marks
reference to existing control points. Verify client’s surveyor has established RRMs. Protect all RRMs
and Re-establish any RRM disturbed during construction.
17. Level check to ascertain the survey bench marks are accurate and SV Prior to clearing 1.22.6 Accurate survey
have not been disturbed. Protect them and Re-establish any disturbed during construction. Confirm that the and topsoiling control points,
existing works conform in level and location with those show on the Drawings before commencing any protect control points
works on site. Notify Contracts Manager any variances.
18. Provide the following survey: SV Ongoing Licenced survey

a) Pre-construction survey;
b) Setting out the works; and
c) As constructed survey.
19. Complete Job Safety Analysis (JSA) Sheets prior t o commencement of S Prior to start of the JSA for e
each hazardous task. Submit copies t o Superintendent. ask hazard
20 Always wear specified PPE. Hard hats to be marked with employee S At all times PPE Complian
Company Logo.
21 Provide first aid facilities and arrange for emergency treatment of S Make available at First Aid facilit
injuries. all times
22 Where described as such in specification and prior to commencement PM Prior to start 1.24 Approval, Ser
of Works in the vicinity of service, superintendent’s confirmation must relocation by o
be obtained that the required services and public utility alterations or
relocation have been correctly completed by the principal.

23 Obtain “One Call” information, locate, mark and barricade existing S/SV Ongoing 1.24 Protect Servic
services encountered to prevent any damages. Mark on the
construction drawings together with RL information.
24 Give and cause subcontractors to give Superintendent free access for S At all times Free access
observation or inspection of Work.
25 Comply, and ensure that Subcontractors comply, with the requirements of all statutory and other PM/S During the contract Comply with
requirements. statutory/ othe
requirements
26 Minimise excess or scrap materials. Store or dispose of such material as directed by PM/S Excess when known Minimise wast
Superintendent. scrap
27 Maintain work areas in a neat, clean and safer condition. On completion of work, remove all S Clean at all times Clean, neat an
temporary structures, excess materials, worksite
plant and equipment and clean up.

16PR016C_ Process Control – Embankment Construction
Lot No: Start Date: Finish Date: Lot Description / Chainage:
1 2 3 4 5 6 7 8
1. Define lot for embankment construction lot. Include any over- S/QER Initiate Checklist 1.25, 2.3.3 Drg and Spec Visual
excavation below the subgrade surface within the lot.
2. Certify to the Superintendent that underlying embankment foundation QER Previous lots Check
lots conform.
3. Conduct digital ground survey before Embankment fill construction. QER Digital ground Survey
survey
4. Implement adequate traffic control measures S Traffic control 1.25 TMP Daily diary H
5. Set out batter stakes (0.5m offset). SV Set out 1.22.6 Survey pegs Visual W
2.3.4 Suitable fill, PSD Test cert R R
excavation or shall be clean sand with the particle size distribution when tested in accordance with AS 1289.3.6.1 as per Cl 2.3.4
7. Use cut material or import select fill material from and place to the S Cut to fill 2.3.4 Suitable fill Visual
shapes and levels shown on the drawings.
8. Control moisture; work the material in compacted layers of 100mm to S Spreading and 2.3.4 Mixing process
300mm. Where the layer is less than 100mm, scarify underlying material with grader to a minimum 100mm mixing
thickness.
9. At all times prevent ponding of water on the embankments. As a S Ponding Avoid ponding Visual
minimum, place material such that the rolled surface slopes down at a grade not less than one percent (1%) S Compaction 2.3.4 Rc > 96% Test res
towards the inside of the embankments (towards tailings).
10. Control moisture and compact the layer to achieve the desired density adding water to adjust
moisture uniformly to within +2% of OMC (-1%
<OMC <2%).
11. Undertake testing as required S/QER Testing NATA Test request H

12. Verify conformance of test results. Make available official results to QER Testing Verify results Test
Superintendent on receipt.
13. Submit completed checklist to QER. S On completion Liaise R
14. Update lot register. QER Sign bottom line Lot Status R
LEGEND (Column 8 & 10): ‘H’ – Hold Point; ‘W’ – Witness Point; ‘R’ – Document Review; ‘S’ – Surveillance
These activities have been inspected and are in accordance with the approved procedure. Lot Conforms
Supervisor: Date: / / QER:
DOCUMENT131 20 AUGUST 2018 15 OF 40

16PR016C_ Process Control – Embankment Construction

16PR016C_ Process Control – Stormwater Drainage

1 2 3 4 5 6 7 8
1. Define stormwater drainage lot. Verify pipe size in accordance with the S/QER Initiate Checklist 2.12
Drg & Spec Visual
drawings. Installation standard using trench method is in accordance S/QER Scope Note Visual
with the manufacturer’s recommendations.
2. The work under this checklist consists of the supply and installation of stormwater drainage pipes
and structures.
3. Reinforced Concrete Culvert pipes and drainage systems shall be S/QER General Obtain
supplied, handled, stored and installed in accordance to: a) The relevant Project Specification and conformance certificates and sub
with specific Supe
b) The relevant Australian Specifications
c) As indicated on the drawings and
d) The manufacturer’s recommendations
4. Handle and install pipes and structures in such a manner so as to S Plastic pipes
prevent damage to them.
5. Ensure that the equipment used during the compaction of backfill does S Compaction Compact with care Visual S
not damage the pipes and structures. Determine limitations on the type of compaction equipment, and cover to be provided to
the top of the culvert in accordance with Clause 5.5.2 “Protection of Pipeline” AS/NZS
2566.2 and satisfy the manufacturer’s published requirements.
6. Verify on receipt that pipes are in accordance with the specification. QE
7 Confirm embankment construction is complete to 600mm above the S Prior to start

points along the pipe of culvert or to subgrade level.
8 Implement adequate traffic control measures S At all times
9 Set out location as per drawings. Peg the centreline at the inlet and outlet inverts and peg the S Following set out 1.22.6
extent of clearing required. Seek confirmation from the Superintendent of the setting out details,
including any
adjustments.
10 Confirm that all relocation of services that may be affected by the S Prior to trench
excavations have been carried out. excavation
11 Ascertain the position of all underground services and structures in the vicinity of the work from S Prior to trench
Contract Drawings and drawings obtained from he appropriate public authority and by site excavation
inspection. Mark and protect
all services.

16PR016C_ Process Control – Pavement Marking
LEGEND (Column 8 & 10): ‘H’ – Hold Point; ‘W’ – Witness Point; ‘R’ – Document Review; ‘S’ – Surveillance
These activities have been inspected and are in accordance with the approved procedure. Lot Conforms Conforming Lot with IR IR No.
Supervisor: Date: / / QER: Date:

1 2 3 4 5

1 2 3 4 5 6 7 8
1. Define lot for street lighting. Power supply to the installation is three/ S/QER Initiate checklist 2.18 Electrical Drg Check
single phase 22/11/0.415/0240kV, 50Hz.
2. Submit for Superintendent’s review schedules of manufacturers, PM Prior to start Pre-co
product data, samples, calculations and shop drawings. s
3. Provide material, equipment and components of good quality PM Prior to delivery Material,
manufactured by reputed manufacturers with their permanent equipment and components
nameplates and install in accordance with current written instructions of he suppliers.
4. Implement adequate traffic control measures S At all times 1.25 TMP Daily diary H
5. Set out electrical power/street lighting lot. SV Setting out 1.22.6 Set out Survey pegs H
6. Install all electrical works in accordance with the project specification, S At all times Cons
drawings and Australian Standards in a professional manner. s
7. Install conduits for road crossings prior to subgrade construction and S Prior to subgrade Conduits Visual
under retaining walls prior to bedding construction. Mark each end of service crossing for various S Prior to excavation Mark and protect Approval
services i.e. Western Power, water, gas, Telstra and other.
8. Before commencing excavation, locate and protect all underground
services.
9. Before commencing excavation, mark the proposed locations of the S Light pole Site
light poles and cable trenches on-site for Superintendent’s approval positioning
10. Excavate trench straight if possible, and at uniform grade between pits, S Excavation Excavation, min Visual S
personnel access ways, junctions and changes in route, with vertical
sides and uniforms grades. The alignment is in accordance with Western Power Manual DSB 95/3.
11. Install services and equipment and protect from weather, dirt, moisture, S Installation general Protect from Visual S
vandalism and tampering. Provide access for inspection and wea
maintenance. Bed
12. Provide clean sand under and around cables and conduits installed underground. S Cables and conduits
13. Seal buried entries to ducts and conduits using waterproof seals. S Sealing Waterproofing Visual S


1 2 3 4 5
14 Install 4mm2 polypropylene draw string or 2.5 mm2 galvanised steel wire in conduits for future S Draw wire Instal
installation of cable. Provide puddle flanges around conduits where they pass into cable pits. Install wire
bell mouth accessory on end of conduit located within wall of pits and flush with
inside surface of pits on conduits > 100mm diameter.
15 Notify Superintendent after services installation prior to backfill of S Prior to backfill Trenc
renches. inspe
16 Accurately record the routes of underground cables before backfilling. SV Prior to backfill As
Accurately plot conduit routes, pits, junction boxes, etc. and note levels of ducts at the f ollowing const
points:
a) Changes in direction
b) Entry and exit from structures
c) Changes in depth
17 Accurately mark the location of underground cables with route markers. S Upon cable Location mark
Place markers at each joint, route junction, change of direction, installation
ermination and in straight runs at intervals < 50m.
18 Mark equipment, electrical wiring, piping conduits and ducts to provide S Upon installation Identification
a ready means of identification.
19 Provide approved engraved stainless steel labels of adequate size to S accommodate the title of the Labelling Provide dange
equipment item identified in a legible manner. Provide DANGER labels where required in white characters
on black background.
20 Evenly balance the connected luminaries across the three phases. S Balance loads Review
21 Carry out all earthing in accordance with the requirements of the supply S authority, the Superintendent and Earthing AS 3000
the regulations set down by AS3000 Wiring Rules.
22 Backfill service trenches as soon as possible after the service has been S ested and inspected in layers < Backfill, tap to AS2648.1
150mm and compact. Install
underground marking tape.
23 Provide and install a suitable light pole footing arrangement to support S Prior to installation Lighting pole
he luminaries and certified by a structural engineer. Provide detailed footings
drawings of the proposed footing for approval prior to construction.
24 Provide and install new lighting columns as detailed on the drawings. In S he event that the lighting location Lighting poles installation Lighting poles
on the drawing does not match the
site conditions, contact the Superintendent for clarification.


1 2 3 4 5
25. Carry out earthing of the entire LV/HV installation strictly in accordance S Lighting poles AS 3000 Visual S
with AS 3000 and Western Power specification and manual.
26. Provide and install the Western Power approved luminaries or S Luminaries Design calculations Visual
approved equivalent. Design calculations are required for the approval.
27. Provide and install underground light cabling within the conduits. S Cables/wiring Within conduits Visual S
28. Reinstate surfaces removed or disturbed by trench excavations to S Reinstatement of Matc
match existing or adjacent work. surfaces
29. Carry out function and operational checks on energised equipment and S Completion tests Western Power Test results W
circuits and make adjustments for the correct operation of safety requ
devices. Undertake all tests required by Western Power. Wes
30. Carry out testing and commissioning of the entire installation as per Western Power specification Pow
S Following installation
DSB95/4 (Sections 8 and 14) and SPUD spec
Manual
31. Paint all electrical equipment including switchboards, poles and light QER Upon completion Painting Visua
fittings unless other wise specified.
32. Prior to practical completion, submit 3 copies of designated documents QER On Practical QA documents Certificate R
including warranties, Electrical Services Quality Assurance Certificate Completion
Practical Completion, as constructed drawings, operation and maintenance manuals, commissioning QER Upon PC Spare parts Liaise
reports, authorities and utilities approvals and the like.
33. Supply spare parts with a copy of the delivery docket signed for
acceptance by the local authority.
34. During the maintenance period, carry out routine maintenance and S During Mainte
inspections and preventive maintenance work in accordance with the operation and maintenance maintenance schedu
manuals an as recommended by manufacturers of supplied equipment. Repair and maintain subject to
breakdown.
35. Following the maintenance period, on final completion, submit ElectricalQER Upon Final QA Certification R
Services Quality Assurance Certificate Final Completion. Completion
36. Submit completed checklist to QER. S R
LEGEND (Column 8 & 10): ‘H’ – Hold Point; ‘W’ – Witness Point; ‘R’ – Document Review; ‘S’ – Surveillance Lot Conforms
These activities have been inspected and are in accordance with the approved procedure. Supervisor: Date: / QER:
/

16PR016C_ Process Control – Footpaths

1 2 3 4 5
1 Define lot for footpath / median path – 100 mm thick N32 concrete. S/QER Initiate checklist 2.15
2 Notify Superintendent of commencement of footpaths. PS 2 days notice 2.15
3 Cut or fill the entire width of the path reserve as necessary. Prepare PS Foundation
foundation, compact and test to depth as per the specifications.
4 Place the clean bedding sand layer to specified thickness and compact PS Bedding sand
to required density.
5 Construct track control joints - Joint spacing at 4.0m intervals (max.) PS Track control Joints 2.15.2
using only cast in-situ “lockjoint” control joints.
6 Construct expansion joints using polyethylene foam expansion joint filler placed every 40 metres in PS Expansion Joints 2.15.2
a straight unhindered path or the start of a deviation of a curve in the path and where the new
path m eets a fixed
object such as another path, a kerb edge or a building.
7 Implement curing procedures to the duration specified PS 2 days notice
8 Erect warning signs, lights and barricades to prevent damage from PS Visual
vehicles and pedestrians for minimum 24 hours
9 Verify construction tolerances for the following: PS Submit 2.15
 Vertical location in relation to 2% grade line from top of
kerb
 Grade access
 Surface true to line
 Surface irregularities
 Spacing of expansion joints
 Thickness
 Width
10. Submit Checklist and compaction test results to QMR. PS QA file Compliance R
LEGEND (Column 8 & 10): ‘H’ – Hold Point; ‘W’ – Witness Point; ‘R’ – Document Review; ‘S’ – Surveillance Lot Conforms

These activities have been inspected and are in accordance with the approved procedure. Supervisor: Date: / QER:
/
OJECT NAME
liminaries (Office Based) Contract

(Site Based)
nd Mulching
tion
ction
OJECT NAME
LISTS:
Roads and Maintenance;
practice standards have been assumed;
onmental, safety and project management requirements;
er and enters into the Lot Status Register prior to any work being performed on the lot;
en completed, the nominated signatory must place initials in the signature box;
licable. In such instances the QER or the
x;
e released prior to commencing the next activity. Approval may be obtained on a
signature box.
gned off, the Project/Supervisor and QER signs on the bottom line to certify
sults and as constructed data sheets must be attached to the checklist.
OJECT NAME
what point? 5 Procedure or instruction reference to
1 etc.) 7 Document used to verify the acceptance
rintendent must initials to confirm release of Hold Points 12

ITP / Checklist No - 00a
Specification Acceptance Verifying Verification Rem
Reference Criteria Document Brierty Client arks
5 6 7 8 9 10 11 12
H
H
H
Insurances Certificate H
Bank Guarantee Certificate H
QMP Hold point H H

release H H
SMP Hold point release H H
EMP Hold point release
During the contract 1.25 TMP Hold point H H

release
Review H
Review H
Lab Quality Manual Hold point H H

release
H
Review H
Prior to using W
Prior to start H
ITP / Checklist No - 00a
H equipment calibration certificates – validity within 12 months. Submit to
old point H H each batch of bitumen and binder prior to the bitumen being used on Mobilisation
mance
cates
Date: These activities have been inspected and are in accordance with the approved procedure:
Specification Acceptance Verifying Verification Rem

Reference Criteria Document Brierty Client arks
5 6 7 8 9 10 11 12
Suit of test as Hold point H H

mentioned in release
201A-2
Prior to use. NATA H W
Testing as
shown
in 201A-2
Key personnel Hold point H H
release
Compliance QA file H W
Close Out Report R W

Report
ITP / Checklist No - 00b

Specification Acceptance Verifying Verification Remarks
Reference Criteria Document
6 7 8 9 10 11 12
Prior to start Review Hold point H H
release
Policy R R
copies to Checklists and S S
employees supporting documents H W
Standard of the Hold point
works release
Superintendent
approval
photographic R R
conditions evidence
art Notify on site Induction W W
personnel document
Induction R R
Prior to use on site Hold point H H
release
Prior to Storing on Hold point H H
site release
Compete set of R R
contract
documents
Superintendent approval Hold point release H H
Minutes H
Prior to use TMP Conformance Hold point H H
release
Prior to use TMP amendments Hold point H H
release
Prior to start 1.22.6 Liaise Hold point H H
release
ITP / Checklist No - 00b

6 7 8 9 10 11 12
Referenced to Survey records R R
1.22.6 Accurate survey Survey records H R

control points,
protect control points
Licenced surveyor Survey records H R
JSA for each Hold point H H

hazardous task release
PPE Compliance Visual, OHS S S
inspections
First Aid facilities Visual, OHS S S
inspections
Approval, Services Hold point release H H
relocation by others
Protect Services “One Call”, H R

Construction
drawings
Free access Visual S S
Comply with Copies of letters and S S
statutory/ other notices
requirements
Minimise waste/ Visual, Purchase Order S S

scrap
Clean, neat and safe Visual, Inspections, W W

worksite Audit
ITP / Checklist No - 04

6 7 8 9 10 11 12
3 Drg and Spec Visual R R
ots Checklist, test Hold point H H

results
Survey pegs Survey W W
Daily diary H S
Visual W W 6. Embankment construction material shall be suitable material won from S Cut to fill
Suitable fill Visual S S
3.4 Mixing process Visual S S
Avoid ponding Visual S S

Rc > 96% Test results S S
Test request H S
Verify results Test results R R
Liaise R R
Lot Status R R
Lot Conforms Conforming Lot with IR IR No.

QER: Date: / /
40
40

6 7 8 9 10 11 12
Drg & Spec Visual R R
Note Visual R R
Obtain materials Material R R

conformance certificates and submit to the certificates
Superintendent
Plastic pipes Handle with care to Visual S S

ensure no damage
Visual S S
o ensure no
damage
ordance with the specification. QER On receipt Pipe specification Visual, against R R
supply docket
Drg Visual W S
TMP Daily diary H S

Culvert site adjustment Hold point H H
Review Visual, liaise H S
Protect existing services Drawings H S
40
Conforming Lot with IR IR No.
Date: / /
Acceptance Verifying Verification Remarks

Criteria Document
6 7 8 9 10 11 12

6 7 8 9 10 11 12
Electrical Drg Checklist H R
rt Pre-construction Within 2 weeks of R R

submission award
Material, Visual R R
Daily diary H S
Survey pegs H W
s Construction Visual R R
standard
Conduits Visual S S
Mark and protect Approval H W
Site mark-up Approval W W
Visual S S
cover 750mm Max
1100mm
Visual S S
weather
Bedding sand Visual S S
Visual S S

5 6 7 8 9 10 11 12
Install draw Visual S S
wire
Trench Visual H W
inspection
As Survey W R
constructed
Location marking Visual S S
Identification Visual W W
Provide danger labels Visual W W
Review Test R R
AS 3000 Visual S S
AS2648.1 Visual S S
Lighting pole Visual S S

footings
Lighting poles Visual S S

5 6 7 8 9 10 11 12
Visual S S
Design calculations Visual S S
Visual S S
Match existing Visual S S
Test results W W
requirements
Western
Power
Visual W W
specification
Painting Visual S S
Certificate R R
Spare parts Liaise R R
Maintenance Visual R R
schedule
R R
R R
QER: Date: / /
Acceptance Verifying Verification Remarks

Criteria Document
6 7 8 9 10 11 12
Electrical Drg Checklist R R
Notice for Hold point H R

inspection
95% MDD Test S R
Compact Visual S R
4 m intervals Visual S S
40 m intervals and Visual as specified S S
Notice for W W
inspection
Drg, Spec S R
As constructed S S
R W

QER: Date: / /
40

01 Itp-Piping

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QUALITY MANAGEMENT PLAN

DEPARTMENT OR FUNCTION OR PROJECT NO | PROJECT NAME

Checklist No. Abbreviation Checklist Title

Chk 02 CL Clearing, Topsoiling and Mulching

Chk 03 EF Embankment Foundation

Chk 04 EC Embankment Construction

Chk 05 SD Stormwater Drainage

QUALITY MANAGEMENT PLAN

QUALITY MANAGEMENT PLAN

Oper Construction Activity Description By Inspection & Test Specification

QUALITY MANAGEMENT PLAN

12. Attend the Contract Kick-off Meeting. PM At the start Minutes H

QUALITY MANAGEMENT PLAN

18. Provide the following survey: SV Ongoing Licenced survey

relocation have been correctly completed by the principal.

QUALITY MANAGEMENT PLAN

11. Undertake testing as required S/QER Testing NATA Test request H

DOCUMENT131 20 AUGUST 2018 15 OF 40

QUALITY MANAGEMENT PLAN

DOCUMENT131 20 AUGUST 2018 16 OF 40

Oper Construction Activity Description By Inspection & Test Specification

6. Verify on receipt that pipes are in accordance with the specification. QE

7 Confirm embankment construction is complete to 600mm above the S Prior to start

DOCUMENT131 20 AUGUST 2018 17 OF 40

QUALITY MANAGEMENT PLAN

Supervisor: Date: / / QER: Date:

Oper Construction Activity Description By Inspection & Test Specification

Oper Construction Activity Description By Inspection & Test Specification

QUALITY MANAGEMENT PLAN

Oper Construction Activity Description By Inspection & Test Specification

QUALITY MANAGEMENT PLAN

Oper Construction Activity Description By Inspection & Test Specification

QUALITY MANAGEMENT PLAN

Oper Construction Activity Description By Inspection & Test Specification

2 Notify Superintendent of commencement of footpaths. PS 2 days notice 2.15

7 Implement curing procedures to the duration specified PS 2 days notice

LEGEND (Column 8 & 10): ‘H’ – Hold Point; ‘W’ – Witness Point; ‘R’ – Document Review; ‘S’ – Surveillance Lot Conforms

liminaries (Office Based) Contract

sults and as constructed data sheets must be attached to the checklist.

what point? 5 Procedure or instruction reference to

1 etc.) 7 Document used to verify the acceptance

rintendent must initials to confirm release of Hold Points 12

QMP Hold point H H

During the contract 1.25 TMP Hold point H H

Lab Quality Manual Hold point H H

Specification Acceptance Verifying Verification Rem

Suit of test as Hold point H H

Close Out Report R W

ITP / Checklist No - 00b

ITP / Checklist No - 00b

1.22.6 Accurate survey Survey records H R

Licenced surveyor Survey records H R

JSA for each Hold point H H

Protect Services “One Call”, H R

Minimise waste/ Visual, Purchase Order S S

Clean, neat and safe Visual, Inspections, W W

Specification Acceptance Verifying Verification Remarks

ots Checklist, test Hold point H H

Suitable fill Visual S S

3.4 Mixing process Visual S S

Avoid ponding Visual S S

Lot Conforms Conforming Lot with IR IR No.

Specification Acceptance Verifying Verification Remarks