*W = Witness Point; H = Hold Point; H(A) = Inspection/Test by Authority; U(C) = Inspection/Test by Consultant; S = Surveillance or monitoring; X = Self inspection by performer of work. Checklist INSPECTION AND TEST PLAN CHECKLIST for: PAINTING (To be completed by the person(s) directly responsible for the work) Contract Number: Work area: Checklist Number: Contract/Project Name: Contractor: Subcontractor: Work Items/activities to be verified Reference Initialled/OK Comments Preliminary Access permission obtained activities Access obtained Equipment approved/on site - Scaffold/ladders Signage/barricades Brushes/rollers/drop sheets Materials approved/on site - Filler/thinners Paints/colours Repairs completed I have carried out all necessary inspections and verify that the above items/activities conform Name: to the contract specification/documents Signature: Date: Surface Notification of power disruption preparation Protective measures Isolate appropriate circuits Filled correctly Free of oil/grease Free of dirt and loose particles Sanded smooth Washed down Spot primed I have carried out all necessary inspections and verify that the above items/activities conform Name: to the contract specification/documents Signature: Date: Painting Humidity/temperature appropriate Protective measures Paint applied to manufacturer’s instructions Each coat free of imperfections such as runs, patchiness, pinholes, misses etc. Drying time between coats appropriate I have carried out all necessary inspections and verify that the above items/activities conform Name: to the contract specification/documents Signature: Date: Pre-handover Replace fixtures activities Touch up Remove protective measures Final inspection confirms conforming Remove scaffold/ladders, clean up etc. I have carried out all necessary inspections and verify that the above items/activities conform Name: to the contract specification/documents Signature: Date: I have carried out all necessary inspections and verify that the above work for this work area Name: has been completed and conforms to the contract specification/documents Signature: Date: INSPECTION AND TEST PLAN CHECKLIST for: ELECTRICAL (To be completed by the person(s) directly responsible for the work)
*W = Witness Point; H = Hold Point; H(A) = Inspection/Test by Authority; U(C) = Inspection/Test by Consultant; S = Surveillance or monitoring; X = Self inspection by performer of work. Checklist INSPECTION AND TEST PLAN CHECKLIST for: PAINTING (To be completed by the person(s) directly responsible for the work) Contract Number: Contract/Project Name: Contractor: Subcontractor: Work area: Checklist Number: Work Items/activities to be verified Reference Initialled/OK Comments Preliminary activities Access permission obtained Access obtained Equipment approved/on site - Scaffold/ladders Signage/barricades Brushes/rollers/drop sheets Materials approved/on site - Filler/thinners Paints/colours Repairs completed I have carried out all necessary inspections and verify that the above items/activities conform to the contract specification/documents Name: Signature: Date: Surface preparation Notification of power disruption Protective measures Isolate appropriate circuits Filled correctly Free of oil/grease Free of dirt and loose particles Sanded smooth Washed down Spot primed I have carried out all necessary inspections and verify that the above items/activities conform to the contract specification/documents Name: Signature: Date: Painting Humidity/temperature appropriate Protective measures Paint applied to manufacturer’s instructions Each coat free of imperfections such as runs, patchiness, pinholes, misses etc. Drying time between coats appropriate I have carried out all necessary inspections and verify that the above items/activities conform to the contract specification/documents Name: Signature: Date: Pre-handover activities Replace fixtures Touch up Remove protective measures Final inspection confirms conforming Remove scaffold/ladders, clean up etc. I have carried out all necessary inspections and verify that the above items/activities conform to the contract specification/documents Name: Signature: Date: I have carried out all necessary inspections and verify that the above work for this work area has been completed and conforms to the contract specification/documents Name: Signature: Date: INSPECTION AND TEST PLAN CHECKLIST for: ELECTRICAL (To be completed by the person(s) directly responsible for the work)
qms_guidelines_appendix_e_0.docx