INSPECTION & TEST PLAN

FIRE FIGHTING
REF. QA-KHB-ACT-LGT-ITP-F-001

Revision Date Written by Checked by Approved by Remarks

0 28/12/15 Duk Pitou Lim Vutha Sean Huong

Revision Revision History

0 First issue

QA-KHB-ACT-LGT-ITP-F-001 Page 1 of 31
 CONTENTS

ITP

1. ITP Index 3

2. Inspection test plan 4

INSPECTION RECORD – CHECK LISTS

3. Sample Approval 8

4. Material deliveries 10

5. Material delivered 11

6. Laying of pipes 12

7. Hydrant and Hose real 15

8. Sprinklers 17

9. M.V Cabling 19

10. M.V switchgear 21

11. Motors and pumps 22

12. Fire Extinguishers 24

13. Valve Chambers 25

INSPECTION RECORD – TESTING AND COMMISIONING

14. Water Balance 27

15. Pressure testing of pipes 28

16. Motors and pumps 29

17. Hydrant and Hose real 31

Project KHMER BREWERY EXTENSION

QA-KHB-ACT-LGT-ITP-F-001 Page 2 of 31
 ITP INDEX – FIRE FIGHTING
Prepared by Lotus Green Team ITP No. QA-KHB-ACT-LGT-ITP-FF--001

MATERI ISP INSTALLATION

ISP TESTING NCR
SL. AL
LOCATION (5)
NO. (6) (7)
3 (4)
(2)
(1) 6 6 6 6 7
4A 4B 5A 5B 5C 5D 5E 5F 5G 5H 6E 7B
A B C D A

Legend Description Legend Description

1 Serial Number 5F Installation – Motors and pumps

2 Location 5G Installation – Fire extinguishers

3 Sample Approval 5D Installation – Valve Chambers

4 Material 6 ISP Testing

4A Material Register 6A Water Balance Testing

4B Inspection Report - Material 6B Pressure Testing of pipes

5 ISP Installation 6C Motors & Pumps Testing

5A Installation - Laying Of Pipes 6D Hydrant and Hose reel

5B Installation – Hydrant and Hose reel 7 Non-Conformance Report (NCR)

5C Installation – Sprinklers 7A NCR - Issued

5D Installation – MV Cabling 7B NCR - Cleared

5E Installation – MV Switch gear

Example for Location: For room directly give room 1, room 2, IT, Conference etc& for passages, Basements mentionGrid A-B & 1-2, Grid C-

QA-KHB-ACT-LGT-ITP-F-001 Page 3 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION & TEST PLAN

FIRE FIGHTING
Prepared by Lotus Green Team Date 28-Dec-2015 ITP No. QA-KHB-ACT-LGT-ITP-FF--001 Rev. No. 1

LEGEND: ACT = ARCHETYPE / CO = CONTRACTOR / IP = INDEPENDENT PARTY / CL = CLIENT R=REVIEW / S=SURVEILLANCE / W=WITNESS / H=HOLD POINT

Inspection Verification Record

ACT Approval
Frequency Acceptance Criteria (register, inspection,
Submission / Inspection / Test By
# Method test)
details
ACT CO IP CL

1
Documentation Review

Contractor’s MEP consultants approval in accordance

Shop drawings & Detailed Section document submission 2-4 Weeks Prior to Contractor’s
1a H H W W commencing of to contract specs, Design
& Elevation Drawings of hard copies to MEP Manager documentation
works requirement, drawings, and
Consultant manufactures recommendation

Prior to Standard Practice / EHS Standards Contractor’s

1b Method statement H H R commencing of PM/CM/MEP
Submit to CM Manager documentation
works

2 Sample Approval
Sample board / Sample
In accordance to contract specs, Design approval form
requirement, drawings, and
Prior to approved make QA-KHB-ACT-LGT-ISP-
2a Sample board Submit to CM H H W W commencing of PM/CM/MEP
Manager To be procure from approved vendors -FF-- SAM-___
works
All pipes shall be factory fabricated in Manufactures data
black steel and ready for fabrication sheet

QA-KHB-ACT-LGT-ITP-F-001 Page 4 of 31
 Verification Record
ACT Approval
Submission / Inspection / Test Inspection Frequency Acceptance Criteria (register, inspection,
# Method By
details test)
ACT CO IP CL

Prior to In accordance to contract specs, Design Suppliers data sheet /

2b Technical Data’s of manufacturer Submit to CM H H R R commencing of PM/CM/MEP
requirement, drawings, manufactures manuals
works Manager
recommendation and approved make

3 Inspection of incoming material.

Visual, 1 Week Prior to

Fabrication & storage As per Contract and Site Condition Welder qualification
3a Measurements and H H commencing of PM/CM
yard certificate
test works Qualified welders for fabrication
QA-KHB-ACT-LGT-REG-
All materials should be stored FF-MDD,
3b Storage of materials visual H H Each delivery QE
separately, easily identifiable QA-KHB-ACT-LGT-ISP-
FF-MDD,
3b Pipes & Fittings (All types)
As per Specifications

GI
3b.1
-A Class IS: 1239, IS: 1879 Part 1 to 10
Visual, Review of QA-KHB-ACT-LGT-REG-
-B Class H H
Documents FF-MDD,
-C Class QA-KHB-ACT-LGT-ISP-
FF-MDD,
Ea delivery QE IS: 1239 – 79 Part I, IS: 6631,
IS: 3589 – 1981, IS: 6632, IS: 806, IS: Manufactures data
M.S sheet
3b.2 6392 – 1971, IS: 1239 – 1979, IS: 1879
part 1 to 10
QA-KHB-ACT-LGT-REG-
IS: 778, IS: 1703,IS: 781 FF-MDD,
Gun metal(Copper alloy) IS: 1984 QA-KHB-ACT-LGT-ISP-
Visual, Review of
3c gate/check /globe valves/ball H H Each delivery QE FF-MDD,
Documents In accordance to contract specs, Design
valves
requirement, drawings, and
Manufactures data
approved make
sheet
IS: 1537, IS: 7181 QA-KHB-ACT-LGT-REG-
Visual, Review of FF-MDD,
In accordance to contract specs, Design
Documents QA-KHB-ACT-LGT-ISP-
requirement, drawings, and approved
3d Cast iron double flanged pipes H H Each delivery QE FF-MDD,
make
Manufactures data
sheet

QA-KHB-ACT-LGT-ITP-F-001 Page 5 of 31
 Verification Record
ACT Approval
Submission / Inspection / Test Inspection Frequency Acceptance Criteria (register, inspection,
# Method By
details test)
ACT CO IP CL
QA-KHB-ACT-LGT-REG-
FF-MDD,
IS: 10221 QA-KHB-ACT-LGT-ISP-
Corrosion protection wrapping Visual, Review of In accordance to contract specs, Design
3e H H Each delivery QE FF-MDD,
material Documents requirement, drawings, and approved
make Manufactures data
sheet
As per struct. Details / IS:1367 / QA-KHB-ACT-LGT-REG-
Supplier specification. FF-MDD,
QA-KHB-ACT-LGT-ISP-
Visual, Review of
3f Bolts & nuts H H Each delivery QE In accordance to contract specs, Design FF-MDD,
Documents requirement, drawings, and
approved make Manufactures data
sheet
IS: 814, QA-KHB-ACT-LGT-REG-
FF-MDD,
3g Welding electrodes visual H H Each delivery QE As per spec,
QA-KHB-ACT-LGT-ISP-
FF-MDD,
IS: 1726 QA-KHB-ACT-LGT-REG-
Visual, Review of FF-MDD,
3h Valve Chambers, frames & covers H H Each delivery QE In accordance to contract specs, Design
Documents QA-KHB-ACT-LGT-ISP-
requirement, drawings, and
FF-MDD,
approved make
Pumps / Motors / Starters
3i
- Electrical Driven
- Diesel Driven
IS: 325 – 1978 for motors

Visual, Review of IS: 8544 for starters

3i.1 Hydrant Pump
H H QA-KHB-ACT-LGT-REG-
Documents Motors should be Class B or higher and
minimum enclosure of IP 22 FF-MDD,
Jockey Pump QA-KHB-ACT-LGT-ISP-
3i.2 Each delivery QE Starters should be rated for AC 3 duty FF-MDD,
conditions
Booster Pump Manufactures data
In accordance to contract specs, Design
3i.3 requirement, drawings, and approved sheet
make QA-KHB-ACT-LGT-REG-
In accordance to contract specs, Design FF-MDD,
Hydrant, Hose reel & landing Visual, Review of requirement, drawings, and QA-KHB-ACT-LGT-ISP-
3j H H Each delivery QE
valves Documents approved make FF-MDD,
IS: 5290, IS:1648, IS: 3844
Manufactures data

QA-KHB-ACT-LGT-ITP-F-001 Page 6 of 31
 sheet
Verification Record
ACT Approval
Inspection Frequency Acceptance Criteria (register, inspection,
Submission / Inspection / Test By
# Method test)
details
ACT CO IP CL

In accordance to contract specs, Design QA-KHB-ACT-LGT-REG-

requirement, drawings, and FF-MDD,
3k Sprinklers Visual H H Each delivery QE
approved make QA-KHB-ACT-LGT-ISP-
FF-MDD,

In accordance to contract specs,

QA-KHB-ACT-LGT-REG-
As per IS:2176, IS: 2878, IS: 11108 FF-MDD,
3l Fire extinguishers Visual H H Each delivery QE QA-KHB-ACT-LGT-ISP-
Fire Protection Manual of the TariFF- FF-MDD,
Advisory Committee, Fire Insurance
Association of India. Calibration certificates

QA-KHB-ACT-LGT-ISP-
4 Pre Works Inspection visual H Daily CE Refer to Inspection Checklist
INST-FF-___

W.I.P.-inspection QA-KHB-ACT-LGT-ISP-
5 visual S W Daily CE Refer to Inspection Checklist
(W.I.P.=WORK IN PROGRESS) INST-FF-___

QA-KHB-ACT-LGT-ISP-
6 Post Works Inspection. visual H H Daily CE Refer to Inspection Checklist
INST-FF-___

QA-KHB-ACT-LGT-ISP-
7 Testing and Commissioning Visual/Mmnt/Review H W After installation CE Refer to Inspection Checklist
TEST-FF-___

Non-Conformance
NCR and Inspection after
8 Refer to NCR Procedure in case of non-compliance of tender/contract conditions. Report
Rectification of Defects
ACT-PM-NCR

QA-KHB-ACT-LGT-ITP-F-001 Page 7 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
SAMPLE APPROVAL
Inspection QA-KHB-ACT-LGT-ISP- FF-
ITP Fire Fighting Location
No. SAM-_____
Prepared by Lotus Green Team Sample

Ref. Drawing. No Ref. Specs.

Date & Time Technical Data Sheet Applicable Not applicable

Technical Specifications

No. Description Actual Acceptance Criteria Status

01 Supplier From approved list of vendors

Approved List of Makes &

02 Make
Technical Specifications

If mentioned in Approved List of

03 Model Makes & Technical Specifications /
Manufacturers’ recommendations
Check with any specific color
04 Color
requirement applicable
Check with any specific Finish
05 Finish
requirement applicable
Check with any specific Thickness
06 Thickness requirement applicable / Tech.
Data Sheet

Technical Specifications, Approved

07 Technical Data’s Shop drawings & Manufacturers
catalogue / data Sheets

08 Other Spec. if any

ACT Comments

QA-KHB-ACT-LGT-ITP-F-001 Page 8 of 31
 Architect Comments

Consultant’s Comments

Client’s Comments

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

ARCHITECT / CONSULTANT CLIENT

Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 9 of 31
 Project KHMER BREWERY EXTENSION

REGISTER
Material Deliveries
Prepared by Lotus Green Team ITP No. QA-KHB-ACT-LGT-ITP-F-001

Date 28-Dec-2015 REG No. QA-KHB-ACT-LGT-REG-FF-MDL-_____

Material Description
Item Delivered BOQ Item No
Make Model No

Delivery Description Sampling for Test Accepted

No. Challan # Quantity
Date Yes No Yes No

01

02

03

04

05

QA-KHB-ACT-LGT-ITP-F-001 Page 10 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
Material Delivered
Prepared by Lotus Green Team ITP No. QA-KHB-ACT-LGT-ITP-F-001
Date 28-Dec-2015 ISP No. QA-KHB-ACT-LGT-ISP-FF-MDD-____
Material Description
Item Delivered BOQ Item No
Make Model No
QA-KHB-ACT-LGT-REG-FF-MDD Inspection Date
REG No & Date
Location
App. Drawing No Technical Data Sheet Applicable Not applicable

Remarks
Description Ok (√) No(X)
No. Comments
Applicable Not applicable
(A) (NA)
01 In accordance to the Sample approved

02 Physical check for damages

03 In accordance to the approved drawing

In accordance to the technical specification /
04
Data Sheet
In accordance to the approved list of materials /
05
Sample submitted

06 Factory test certificate attached

Product catalogue & instruction manual

07
available

08 Other specification if any

09 Materials are stored properly

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 11 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-FF-
ITP FIRE FIGHTING Location
No. LOP-____
Prepared by Lotus Green Team Applicable Drawing

Laying of pipes
Item of work Spec: Ref: # Section 2.5
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
A PRE-INSTALLATION
Marking of pipe
Visual,
A.1 routings (Chasing)/ As per approved drawings
Measurements
Vertical levels of pipes
Visual, Review Check ISP: QA-KHB-ACT-LGT-ISP-FF-
A.2 Make of materials
of documents All MDD, is accepted
Check for Visual,
A.3 As per approved drawings
Sleeves/cutouts Measurements
Proper finishing of
A.4 visual As per spec and standard procedures
sleeves/cutouts
INSTALLATION IN-PROGRESS Start Date & Time: ________
B
Date & Time of Completion: ________
Check as per shop drawings.
Structural supports / Supports to be structural steel
clamping / Fasteners rods/channels/angles
B.1 Visual All /flats( Sec 4.1.4 )
Fastenersto be shear type anchor
fasteners in concrete & min. 75 mm
long wrought steel spikes in block work

Check for threading and tightness of

the joint.

Check for proper sealant and adhesive

materials used in joints as per thickness
and Diameter of pipe.
Laying of
Check for proper Diameter couplers
pipes/Joints/Fittings
and bends used.
B.2 All
GI
Check flanges are slip on type
-Thread
and rated for 2.0 N/m² or double the
system
Pressure

Check flanges have 3mm reinforced

Teflon gasket

QA-KHB-ACT-LGT-ITP-F-001 Page 12 of 31
 Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
Laying of Check for the welding rod & welding
visual
B.3 pipes/Joints/Fittings quality.

M.S Check short bends (elbow) not used to

-Welding avoid back pressure
-Thread
Check for threading tools.
Check for threading and tightness of the
joint.
All
instan Check for proper sealant and adhesive
ces materials used in joints as per thickness
and Diameter of pipe.

Check for proper Diameter couplers and

bends used
Ball valves at low Check 25mm metal full way with raising
B.4 Visual All
points spindle to be provided at all low areas

Main pipes should be min: 750mm below

ground level and 2m away from building
face.
Check for external Visual All Underground M S Pipes shall be wrapped
piping
B.5 with ‘Pypcoat’ or equivalent polymer
based corrosion protection tape

I.R to be raised
Fittings to be of weld able wrought iron
Visual, suitable for butt welding.
Fittings and welding 10%of
B.6 Radiography
for external piping joints
test 10% of welded joints to be radio
graphically tested
Bolts to be checked with template

Check for Concrete Concrete pedestals at every 3.5m and

foundations, pipes to be held with galvanized iron
Visual All
pedestals, Thrust clamps.
B.7
blocks
Concrete thrust anchors at all bends and
tees
Grouting base plate/ All Approved non shrink
B.8 Foundation bolts. visual
Bases Cement grout and to be cured for 7days
C POST INSTALLATION
Paint is of ‘fire red’ shade 536 (IS: 5-
19780)

2 coats of red oxide primer + two coats

of oil paint thereafter

Final coat to be applied before handing

C.1 Painting(Spec 4.1.2) Visual All over
All supports to be painted with 1 coat
of red oxide primer and two coats of
black enamel paint

Check all welded joints to be painted

with zinc rich paint

QA-KHB-ACT-LGT-ITP-F-001 Page 13 of 31
 Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
All joints and valves shall be checked for
leaks

After All piping to be tested for a hydrostatic

C.2 Testing Visual compl test pressure of 20 Kg/Sqcm maintained
etion for 24 hours

QA-KHB-ACT-LGT-ISP-TEST-FF-POP
 Accepted  Accepted with Comments  Rejected
CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE

Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 14 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-
ITP Fire Fighting Location
No. FF-HHR-____
Prepared by Lotus Green Team Applicable Drawing

Hydrant & Hose Reel

Item of work Spec: Ref: # Section 2.3
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor

A PRE-INSTALLATION

Make/Check of Visual, Review Refer QA-KHB-ACT-LGT-ISP-FF-

A.1
materials of documents MDD is accepted

Check for Pipes

(Supply & Drain) at
right position for
A.2 visual As per approved drawings
connection and All
location of supports
for drilling
Mark the Location of
A.3 visual As per approved drawings
Hydrant
Pipes for connection
A.4 visual Clean, Unclogged
are clean
INSTALLATION IN-PROGRESS Start Date & Time: ________
B
Date & Time of Completion: ________

Check for position of To be mounted 1m above from

B.1 Measurement All
landing valve ground level

Fixing of Hydrant & Alignment to be as per approved

Visual /
B.2 Hose reel and hose All shop drawings & catalogue
Measurement
cabinets

C POST INSTALLATION

Joints / Gaps between

After
C.1 fixtures and the walls visual As per Standards, Spécifications
fixing
sealed properly

Connection to the
After As per approved drawings /
C.2 Main header line visual
fixing sections
pipes

QA-KHB-ACT-LGT-ITP-F-001 Page 15 of 31
 Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
All piping to be tested for a
hydrostatic test pressure of 20
Kg/Sqcm maintained for 24 hours
After
C.3 Testing Visual Compl Refer the Inspection record for
etion testing

QA-KHB-ACT-LGT-ISP-TEST-FF-POP
 Accepted  Accepted with Comments  Rejected
CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 16 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-
ITP Fire Fighting Location
No. FF-SPK-____
Prepared by Lotus Green Team Applicable Drawing

Sprinklers
Item of work Spec: Ref: # Section 2.4
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor

A PRE-INSTALLATION

Refer QA-KHB-ACT-LGT-ISP-FF-
A.1 Make of materials visual
MDD- is accepted

Check for color / As per Spec, Sample approved

A.2 visual
Finishes/Damages &free from damages
Check for Pipes at
A.3 right position for visual All. As per approved drawings
connection
Visual,
Mark the Location of
A.4 Measurement As per approved drawings
Sprinklers.
s
Pipes for connection
A.5 visual Clean, Unclogged
are clean

INSTALLATION IN-PROGRESS Start Date & Time: ___________________

B
Date & Time of Completion: ____________

As per approved drawings /

Fix the Sprinklers and Visual /
B.1 All sections
check for alignment Measurement

C POST INSTALLATION

Joints / Gaps between

As per Standard
C.1 fixtures and the walls visual All
sealed properly

Connection to the As per approved drawings /

Main header line After sections & elevations
C.2 visual
pipes fixing

QA-KHB-ACT-LGT-ITP-F-001 Page 17 of 31
 Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
QA-KHB-ACT-LGT-ISP-TEST-FF-POP

Entire sprinkler piping shall be

tested, with the sprinklers in
position

All the operating tests shall be

carried out in the presence of any
local authority

After Test valves in each sprinkler

C.3 Testing Visual Comple installation shall be opened with
tion temporary drain connection a
observations recorded for startup
of jockey pump and sprinkler
pump, operation of water motor
gong and flow switch in
appropriate branch and alarm for
standby pump when the sprinkler
main pump is deliberately kept off-
electrically

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 18 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-
ITP Fire Fighting Location
No. FF-MVC-_____
Prepared by Lotus Green Team Applicable Drawing

M V CABLING
Item of work Spec: Ref: # Section 2.8
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor

A PRE- CABLING

Refer
Make /Check of
A.1 visual All QA-KHB-ACT-LGT-ISP- FF-MDD- is
materials
accepted

Check on the routes Visual, All routes to be marked as per

A.2 All
for cabling Measurement approved shop drawing

CABLING IN-PROGRESS Start Date & Time: ________

B
Date & Time of Completion: ________
Single cables to be fixed directly
with walls/ceiling and to be
supported at not more than
500mm
Visual,
B.1 Check during cabling All
Measurement
Perforated cable trays are to be
provided as per details and
drawing where number of cables
are run
2mm thick galvanized as per spec.
Check on cable trays Visual,
B.2 All
and fixing Measurement To be supported on approved mild
steel frame work

To be supported on steel supports

Check on cable laying Visual,
B.3 All
on built up trenches Measurement Plastic identification tags shall be
provided at every 30m.
To be not less than 12 times of
Check on bending of Visual, overall dia of cable / as per
B.4 All
cables Measurement manufacturer’s recommendations
whichever is higher.
No joints /splices for cables run
B.5 Check during laying Visual All
from panel to panel

QA-KHB-ACT-LGT-ITP-F-001 Page 19 of 31
 Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
Trench width to be as per
approved details

To be laid in a graded trench over

sand or soft earth as cushion

To be protected with brick/cement

Check on Visual, tiles as approved
B.6 All
underground cabling Measurement
Backfill over buried cables shall be
with a minimum earth cover of
600mm.

The cables shall be provided with

cable markers at every 35 meters
and at all loop points.
Check on cable
B.7 Visual All As per approved details/ Standards
dressing
All cable terminations for
conductors up to 4 sqmm may be
insertion type and all higher sizes
shall have tinned copper
compression lugs.

Check on Visual, Cable terminations shall have

B.8 All
terminations Measurement necessary brass glands and all lugs
shall be double compression type
whether so specified or not.

The end terminations shall be

insulated with a minimum of six
half-lapped layers of PVC tape.

Check for cable Cables shall be identified at end

B.9 identifications/ Cable Visual All terminations indicating the feeder
tag number and the Panel/Distribution
board from where it is being laid.
Cable armouring shall be earthed
B.10 Check for earthing Visual All
at both ends.
C POST CABLING

Visual/
After Refer the Inspection record for
C.1 Testing
fixing testing QA-KHB-ACT-LGT-ISP-TEST-
Measurement
ELE-___
 Accepted  Accepted with Comments  Rejected
CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 20 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-
ITP Fire Fighting Location
No. FF-MVS-______
Prepared by Lotus Green Team Applicable Drawing

INSTALLATION—MVSWITCH GEAR
Item of work Spec: Ref: # Section 2.8
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contrac
ACT
tor
A PRE-INSTALLATION

Check ISP:
Make / Check of
A.1 visual All QA-KHB-ACT-LGT-ISP -FF-MDD is
materials
accepted

Check on the locations Visual, All location to be marked as per

A.2 All
for HV switch gears Measurement approved shop drawing

B INSTALLATION IN-PROGRESS Start Date & Time: ________

Date & Time of Completion: ________
Check on foundation
B.1 Visual All Fixed as per drawing and details
bolts
Check for mounting of Bolts are properly fixed to the
B.2 Visual All
HV switch gears panel
C POSTINSTALLATION
Refer the Inspection record for
Testing & Visual, testing
C.1 All
Commissioning Measurements
QA-KHB-ACT-LGT-ISP-TEST-FF-___
 Accepted  Accepted with Comments  Rejected
CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 21 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-
ITP Fire Fighting Location
No. FF-MPS-_____
Prepared by Lotus Green Team Applicable Drawing

Motors & Pumps

Item of work Spec: Ref: # Section 2.3
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor

A PRE-INSTALLATION

Make / Check of Check ISP: QA-KHB-ACT-LGT-ISP-FF-

A.1 visual
materials MDD is accepted

Type of Motors / As per Spec, approved Name plate

Pumps (Indoor / details, manufactures
A.2 visual
Outdoor) and check recommendation and free from
for damages. defects and damages
Check for Pipes with
flanges (Inlet / outlet) Visual,
A.3 As per approved drawings
at right position for Measurement
connection All
Dimensions/Size
Check the
Position
Foundations /
Visual,
A.4 Pedestals for
Measurement Well Cured
mounting the
(All to be done advanced in 15 days)
Motors / Pumps
As per approved drawings
Pipes for connection
A.5 visual As per standards, free from damages
are clean
INSTALLATION IN-PROGRESS Start Date & Time: ________
B
Date & Time of Completion: ________
Mark the location for
the base frames and Visual,
B.1 All As per approved drawings / sections
identify the drilling Measurement
point
Fix the Base Frame
Visual / As per approved drawings / sections
B.2 and check for All
Measurement & elevations, product catalogue
alignment
Fix the Motors /
Visual /
B.3 Pumps and check for All As per approved drawings / sections
Measurement
alignment & elevations, product catalogue
# Description Method Acceptance Criteria Result Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 22 of 31
 Freq. Contra
Date ACT
ctor

C POST FABRICATION

Visual /
C.1 Check For tightness As per Standards
Measurement

Connection to the After As per approved drawings /

C.2 visual fixing of
Inlet / Outlet sections & elevations
Motors /
Pumps
Refer the Inspection record
for testing
C.3 Testing Visual
QA-KHB-ACT-LGT-ISP-TEST-
FF-MPS

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 23 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-INST-
ITP Fire Fighting Location
No. FF-FEX-______
Prepared by Lotus Green Team Applicable Drawing

Fire Extinguishers
Item of work Spec: Ref: # Section 2.7
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contra
ACT
ctor
A PRE-INSTALLATION
Refer
A.1 Check for materials visual QA-KHB-ACT-LGT-ISP-FF-MDD- is
accepted
All
Position of support
As per approved drawings and
A.2 for Fixing the Fire visual
details
Extinguishers

INSTALLATION IN-PROGRESS Start Date & Time: ________

B
Date & Time of Completion: ________

Check for fixing of As per standards, approved

B.1 visual All
supports drawings and details

Fixing of the Fire As per approved drawings and

B.2 Visual All
Extinguishers manufactures recommendations

C POST INSTALLATION
As per Standards
Check For tightness& Visual /
C.1 All
Completion Measurement
I.R to beraised.

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 24 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
INSTALLATION
Inspection QA-KHB-ACT-LGT-ISP-
ITP FIRE FIGHTING Location
No. INST-FF-VCH-_____
Prepared by Lotus Green Team Applicable Drawing

Valve Chambers
Item of work Spec: Ref: # Section 2.8
Type

Sign
# Description Method Freq. Acceptance Criteria Result Date Contract
ACT
or

A PRE-CONSTRUCTION

As per Spec & approved

drawings
Location and Size
A.1 visual All Size of chamber to be 650x650
of Chamber
for depths up to 900mm and
1000x1000 above 900mm
depth
Visual / As per Spec & approved
A.2 Inverts Levels All
Measurement drawings
Start Date & Time: ________
B
CONSTRUCTION IN-PROGRESS Date & Time of Completion: ________
As per Spec & approved
Visual drawings
B.1 Bed Concrete All
Measurement
Min 150mm thickness
Brick Work& Visual As per Spec & approved
B.2 All
mortar Measurement drawings

As per Spec & approved

Visual
B.3 Plastering All drawings
Measurement
( thickness 20mm)

Up to center of pipe
B.4 Benching Visual All As per Spec & approved
drawings

Visual, Review of As per Spec & approved

B.5 Rungs All
documents drawings

Weight & size

CI Visual, Review of As per Spec & approved
B.6 All
Frames & Covers. documents drawings

# Description Method Acceptance Criteria Result Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 25 of 31
 Freq. Contract
Date ACT
or

C POST CONSTRUCTION

C.1 Check for cleanness Visual All works As per Standards

Minimum 7 Days
C.2 Curing Visual All works
I.R to be raised after
completion
 Accepted  Accepted with Comments  Rejected
CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 26 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
TESTING
Inspection QA-KHB-ACT-LGT-ISP-TEST-
ITP Fire Fighting Location
No. FF-WBL-_____
Prepared by Lotus Green Team TEST Water Balance

Ref. Drg. No Ref. Specs.

System Instrument
ITP for Installation & QA-KHB-ACT-LGT-ISP-INST-F-001 Model
Date Technical Data Sheet Applicable Not applicable

Start Date & Time End Date & Time

Valves Design Test Results

No.
No Location Flow L/s DP Bar Flow L/s DP Bar % Value Settings
01

02
03
04

05

06
07

08

09

10
12

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 27 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
TESTING
Inspection QA-KHB-ACT-LGT-ISP-TEST-
ITP Fire Fighting Location
No. FF-PTP-_____
Prepared by Lotus Green Team TEST Pressure Testing of Pipes

Ref. Drg. No Ref. Specs.

Type of Pipe & Size Medium of test
All open ends been
Length of pipe Yes No
plugged
Pressurization Feed All Isolation Valves Closed
Yes No Yes No
Valve provided & Locked
System Instrument
ITP for Installation & QA-KHB-ACT-LGT-ISP-INST-F-001 Model
Date Technical Data Sheet Applicable Not applicable

Start Date & Time End Date & Time

Design Parameter Test Pressure

No. Pressure
for Pneumatic Start End Acceptance Criteria Test Result
Drop
Pressure

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 28 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
TESTING
Inspection QA-KHB-ACT-LGT-ISP-TEST-
ITP Fire Fighting Location
No. FF-MPS-_____
Prepared by Lotus Green Team TEST Motors & Pumps

Ref. Drg. No Ref. Specs.

System Manufacturer
QA-KHB-ACT-LGT-ISP-INST-F-
ITP for Installation & 001 Model / Type
Date
Serial Number
Date & Time Technical Data Sheet Applicable Not applicable

No. Description Design Actual Remarks

Electrical Characteristics
01
(Phase, Volt, Hz, IP)

02 Motor Rated KW

03 RPM

Value in Ohms Value in Ohms

R- Y- B- R- Y- B- R-
Y-E B-E
04 Insulation Level Y B R N N N E

05 Starting Current (A)

06 Running Current (A)

07 Over load ranges

08 Flow rate / Head

09 Pump pressure

Static head (pump OFF-)

*Discharge (bar)
10
*Suction (bar)

QA-KHB-ACT-LGT-ITP-F-001 Page 29 of 31
 No. Description Design Actual Remarks

Running
*Discharge (bar)
11
*Suction (bar)

12 Noise

13 Vibration

14 Strainer Cleaning

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 30 of 31
 Project KHMER BREWERY EXTENSION

INSPECTION RECORD
TESTING
Inspection QA-KHB-ACT-LGT-ISP-TEST-
ITP Fire Fighting Location
No. FF-HHR-____
Prepared by Lotus Green Team TEST Hydrant & Hose Reel

Ref. Drg. No Ref. Specs.

System Manufacturer
QA-KHB-ACT-LGT-ISP-INST-
ITP for Installation & FF-HHR Model / Type
Date
Serial Number
Date & Time Technical Data Sheet Applicable Not applicable

No. Description Design Actual Remarks

01 Static Pressure Test

Pressure (bar)

Duration (Minute)
02 Flow Test
7th Level Hose Reel 1
Pressure (bar)

Flow (liter/minute)

03 7th Level Hose Reel 2

Pressure (bar)

Flow (liter/minute)

 Accepted  Accepted with Comments  Rejected

CONCLUSION
NCR No. ____________

COMMENTS

CONTRACTOR ARCHETYPE
Date Sign Date Sign

QA-KHB-ACT-LGT-ITP-F-001 Page 31 of 31