DEFINITIONS BY SYMBOLS

H= Hold Point

CONTRACTOR is obliged to perform the inspection / test and to verify that the
results are acceptable according to required specifications, the relevant
inspection / test report / quality control Check sheet will be signed off; and
ensure COMPANY is given sufficient notice and is obliged to conduct / verify the
inspection. Unless waived by COMPANY, HOLD activities can be processed
further after successful completion of this activity.

W = Witness Point

COMPANY is requested in writing but not obliged to witness the inspection / test that
will be performed by others; in case of attendance, the party will be sign the
relevant inspection / test report / QC form if the results are acceptable.

R = Document or Record Review / Review Point

The COMPANY is requested by CONTRACTOR to review documents issued such as

inspection reports, mill certificates, etc.

S = Operation Surveillance

COMPANY’s operation personnel may perform daily random inspections, monitoring

the relevant results, on processes as indicated in the description of item to be
inspected.

AR = Approval Required

The party involved is requested to give approval on the relevant item.

All the controls and tests that involve COMPANY are intended to be performed
jointly with the CONTRACTOR QA/QC Engineer. The test / inspection report will be
issued by the Subcontractor which will be reviewed / approved by
CONTRACTOR and COMPANY as applicable.

PROVIDE ITP WITH THE SAME FORMAT OF WHAT WE HAD NOW. CHECK OUT
ITP’S FOR YOUR REFERENCE.
Inspection Points
Activit Test/ Inspection
Activity Reference Report
y/ Sr. Requirements and Frequency BOND/
Description Documents Reference No.
No. Criteria SUBCONTR CASAIS ADAC
ACTOR

1.0 Preliminary

 Material Approval As Material Approval

 Compliance with Specification, Request (MAR)
Submit Material for requirements of Prior to start the
1 H H H
Approval relevant project  Section work on site
specification 09 21 00
Material Approval  Section ADD COLUMN
Request 078400
Compliance with
FOR PROFIRE
As
Submit Shop requirements of
Specification, Prior to start the INSPECTION
Shop Drawing
2 Drawings for relevant project H H H
Section 09 21 work on site Approval POINTS
Approval specification Shop
00
Drawing Approval

Compliance with As
Submit Method
requirements of Specification, Prior to start the Method Statement
3 Statement for H H H
relevant project Section 09 21 work on site Approval
Approval
specification 00 & 078400

• Make/Brand
• Model and Type
• MIR should be raised
to Consultant
requesting for
materials to be
inspected
 All materials that will
be passed the  Packing list
Firestop Fittings and inspection will be  MAR During material  MIR
4 Accessories delivered labelled/tagged and Approval inspection for  MAR (cover H H H
to site will be logged in the  MRR Form each delivered lot page only)
database for  Delivery  MRR Form
inventory and will Specify
be the clauses the criteria of
Notes
ready to use
acceptance as per approved MSS and
• All rejected materials
will be tagged as specification.
rejected and will be
replaced
• All firestop materials
could be compliant to
ASTM 814 or UL 1479
2.0 Inspection

Specify criteria of
acceptance as per
approved MSS and
specification.
 Mock-up activities ,  Mock-up installation  Specificatio Work Inspection H
of Penetration n Section 09 Request Forms
installation and
termination of Firestop should be 21 00 & and Check List Specify for Checklist
done and inspected Section WIR Form
penetration firestop
by the Consultant 078400 form number.
system
prior proceeding with  Approved
installation of entire Shop During
3.1 works. Drawing H H
installation
 Method Statement
 Any comments made
by the consultant
should be rectified
first prior proceeding
with the Firestop
application.
 WIR
 Checklist form
 Photographic
records
including
opening
dimensions
 Photographic
records during
application,
As tagging/labellin
Specification, g
00Section 09  Drawings
 Method Statement
Check Application of 21 00 & During every indicating the
3.2  Approved Shop H H H
Penetration Firestop Section installation penetration
Drawing
078400 location and
 Inspection Records
number
 Highlighted
telecommunicat
ion cable tray
and conduit
shop drawings
 Reference
number of the
approved
Architecture
WIR to be
mentioned on
the WIR
As
Specification,
00Section 09
Completion of all As- Provide As-built 21 00 & On completion of
3.3 As Built Drawings R R R
built records drawings/Documents Section work
078400
WIR No.:
QUALITY CHECK SHEET FOR APPLICATION OF FIRE RATED SEALANT
Rev.

System: Firestop Sealant Applicable Drawing No/Rev.:

Sub-system: Firestop Application

Date:
Level/Location/ Gridline(If Applicable):
Item / Structure Description:
Installation by: Inspection Status

Activities/Items To Be Inspected Accepte Not Not

d Accepted applicabl
e
Stage: A
1.) Verify documents and submitted drawings reference tested and listed
applicable through and membrane penetration assemblies containing sealants,
devices and or other material tested to ASTM E814 or UL 1479 by accredited
testing agencies
2.) Ensure that the Firestop Material applied is as per approved material
submittal and shop drawing
3.) Verify the parameters indicated in the system are the same as those
installed in the field/ or Actual Site differs
3.1) Is the through penetration system rated for the type of nature of assembly
(thickness of concrete, stud width, etc.)
3.2) Is the rating of the through penetration system equal or greater than the
assembly penetrated
3.3) Does the field installation follow the listing
a Size opening prior follow the listing
Nature and quantity of penetrant(s), (material, size, diameter,
b insulation type, and thickness)
c Annular space requirements (minimum, maximum, nominal)
d Specified forming, packing or backing material (when required)
e Cleaning of excess material left behind after application
f Provide protection during and after curing period
g Identification/ marking and logging
Comments if any:

For Vendor /
For CONTRACTOR For COMPANY
SUBCONTRACTOR

Sign

Name

Date

Note: The Quality Check Sheet format is for guidance only, format type may vary for type of activity / inspection .