APPENDIX - 1

CONSTRUCTION QUALITY ASSURANCE & QUALITY CONTROL PLAN (CQACP - by Contractor)

- Review Checklist

Note:
This checklist is provided as part of the evaluation and review process for Quality Assurance & Quality Control Plan.
The checklist assists designated reviewers in determining whether specifications meet criteria established in the condition of contract.
The objective of the evaluation is to determine whether the document complies with the contract specifications & methodology requirements.
Attached to this document is the DOCUMENT REVIEW CHECKLIST. Its purpose is to assure that documents achieve the highest standards relative
to format, consistency, completeness, quality, and presentation.

Submissions must include the following three documents, and must be presented in the following order: (First) Document Review Checklist,
(Second) the Construction Quality Assurance and Quality Control Plan Checklist, and (Third) the Construction Quality Assurance and Quality Control Plan.

Organisation: …………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………..

CQACP Document Review Checklist

Question YES NO

General
i. Is CQACP signed by the QA/QC manager who prepared the plan?
ii. Is CQACP signed by the senior QA/QC official?
iii. Is CQACP signed by the senior management official(s)?
iv. Does CQACP provide a list of abbreviations used?
v. Does CQACP format comply with Contract Specification?

Management and Organisation

i. Does the CQACP contain organisational charts and functional statements?
ii. Is the current organisational structure of the quality system
documented in the CQACP reasonable?
iii. Is the QA/QC Manager shown on the organisation chart?
iv. Is an acceptable line of reporting from the QA/QC manager to the
senior manager identified?
v. Is the organisational independence of the QA/QC Manager indicated?
vi. Does the CQACP adequately describe the scope of the organisation?

QA/QC System and Description

i. Is the review and approval process for CQACPs submitted by external
organisations acceptable?
ii. Is an acceptable process identified by which managers and staff are
informed of the CQACP requirements?
iii. Are acceptable roles, task, responsibilities and authorities for QA/QC
discussed in the CQACP?
iv. Does the CQACP describe how the QA/QC activities will be implemented
and is it acceptable?
v. Does the CQACP contain an adequate process for assuring that it is

1
Question (continue) YES NO

developed in accordance with design/contract specifications/requirement

and performs as required when used to support construction operations?
vi. Does the CQACP describe how senior management will assure that the CQACP
is being implemented and is it acceptable?
vii. Does the CQACP describe how the effectiveness of the quality system is
measured and is it acceptable?
viii. Does the CQACP describe how the effectiveness of the quality system is
measured for external organisations i.e. subcontractor, 3rd party testing
labs and is it acceptable?

Personnel Qualifications and Training

i. Does the CQACP identify an acceptable process for assuring that personnel
are qualified to perform the activities needed?
ii. Does the CQACP describe an acceptable process for determining QA-related
training needs, providing the training, and measuring its effectiveness?
iii. Does the CQACP identify an acceptable individual for item (2) above?
iv. Does the CQACP identify an acceptable frequency for assessing training needs?
v. Does the CQACP identify an adequate process for specifying QA and QC
requirements in procurements, acquisitions, assistance agreements, etc.?
vi. Does the CQACP describe an acceptable role for the QA/QC manager in the
process in item (1) above?
vii. Does the CQACP identify an adequate process and procedures for incorporating
QA/QC requirements into work assignments, technical directives, etc.?

Extramural Agreements and Procurement of Items and Services

i. Does the CQACP identify an adequate process for specifying QA/QC
requirements in procurements, acquisitions, assistance agreements, etc.?
ii. Does the CQACP describe an acceptable role for the QA/QC manager in the
process in item (1) above?
iii. Does the CQACP identify an adequate process and procedures for
incorporating QA/QC requirements into work assignments, technical
directives, etc.?

Documents and Records

i. Does the CQACP contain an adequate process for identifying, generating and
keeping necessary documents and records to support construction activities?
ii. Does the CQACP contain adequate procedures for identifying QA/QC
documents and records?
iii. Does the CQACP contain adequate procedures for the disposition and
maintenance of QA/QC documents and records?

Planning
i. Does the CQACP contain an adequate process for planning construction
operations?
ii. Does the CQACP contain an adequate process for providing technical
expertise in sampling, statistics, analytical services and QA/QC?
iii. Does the CQACP contain an adequate process for management to
assess the QA/QC planning process?
iv. Does the CQACP contain an adequate process for preparing, reviewing,
and approving QA/QC project plans?

2
Question (continue) YES NO

Assessment and Response

i. Does the CQACP contain adequate assessment methods (audits, peer
reviews, surveillances, performance evaluations, etc.) to examine the
effectiveness of the technical and QA/QC activities in a project?
ii. Does the CQACP contain an adequate process for planning, conducting,
and reporting the results of assessment activities?
iii. Does the CQACP identify who is responsible for conducting assessments?
iv. Does the CQACP contain an adequate process to assure that corrective
actions are implemented in a timely manner?
v. Does the CQACP identify who is responsible for assuring that corrective
actions are implemented in a timely manner?
vi. Does the CQACP contain an adequate process to measure the effectiveness
of corrective actions?

Quality Improvements
i. Does the CQACP contain an adequate process for corrective actions
in the organisation?
ii. Does the CQACP identify who confirms the effectiveness of
corrective actions?

Reviewer Designation Date Remarks Signature

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APPENDIX - 2
Stop Work Authorization Letter
Project Name: ___________________________________________________________________

Project Number: ____________________________

From: Client’s Project Director _________________________________________________________

To: QAC Manager _______________________________________________________________

This Letter of Authorization outlines your responsibility as our Project Quality Assurance & Quality Control
Manager (PQACM) for the project referenced above. As the PQACM, you report directly to the Project
Manager. You review the specifications, addendums and plans in their entirety and implement the Quality
Management Plan. The Project Quality Assurance and Quality Control Plan encompasses three phases of
inspection: Preparatory Meetings and Initial and Follow-Up Inspections. You and/or your staffs (Quality
Assurance & Quality Control Officer - QACO) are responsible for reviewing specifications, submittals, as-builts,
plans and shop drawings for compliance to the contractual requirements.

You and/or your staffs conduct daily audits to ensure that the workmanship and materials used in the
construction of the project are in compliance with the plans, drawings and specifications.

You are authorized to stop work that does not comply with the plans and specifications. You and your staff
must document all non-conforming conditions, items and/or workmanship noted and constantly monitor and
alert Safety personnel to safety violations. If, at any time, you require assistance with the implementation of
the Project Quality Assurance and Quality Control Plan, contact the Project Manager.

________________________________________
Project Director
Shwe Taung Group
Acknowledgements

________________________________________
Project Director
Shwe Taung Development (Junction City Project)

________________________________________
Project Manager
HTCT (Junction Square Extension Project)

4
APPENDIX - 3.1

Non-Conformance Report
Project Name: NCR No.:

Structural ☐ M&E ☐ Architectural ☐ Safety & ☐

Housekeeping
Date: Location: Spec. violated: Drawing violated:

Non-Conforming Condition:

Reported By (Project QAQC team): Date:

Cause of Nonconformity:

Proposed Corrective Action (repair, replace, leave as is or other):

Proposed Preventive Action:

Action ready for verification on(Date):

Dispositioned by (Site QAQC team - within 7 days of receipt of the NCR): Date:

Re-Inspected/ Close out by (Project QAQC officer): Date:

Accepted by (Project QAQC Manager): Date:

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APPENDIX – 3.2

Construction Punch List

Project Name: Package:

Structural ☐ Mechanical ☐ Electrical ☐ Civil ☐

Inspected By: Date: Page: ___ of ___

Completed by Accepted by
Item
Description Construction Quality Control
No.
(Sign/Date) (Sign/Date)

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APPENDIX - 3.3

Report Number: Page 1 of 2

CONTRACTOR’S QUALITY CONTROL REPORT (CQCR)
WEEKLY LOG OF CONSTRUCTION Date:

Project Name: Package:

Contractor: Weather:

1 – Were there any delays in work progress?

Response:

2 – Verbal instructions given by PM/Consultant:

Response:

3 – Did anything develop that may lead to a change order/claim?

Response:

4 – Activities in process:
Response:

5 – General comments:
Response:

6 – Safety Inspection/Safety Meetings:

Response:

7 – Prep/Initial Dates (Preparatory and initial dates held and advance notice)
Response:

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 Report Number: Page 2 of 2
CONTRACTOR’S QUALITY CONTROL REPORT (CQCR)
WEEKLY LOG OF CONSTRUCTION Date:

Project Name: Project Number:

Activity Start/Finish:

QC Requirements:

QA/QC Punch List:

Contractors/Visitors on Site:

Equipment Hours (Total Operating Hours to Date):

Accident Reporting (Describe Accident):

On behalf of the contractor, I certify that this report is complete and correct and all
Contractor
equipment and material used and work performed during this reporting period are in
Certification compliance with the contract, plans and specifications, to the best of my knowledge,
except as noted above.

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 APPENDIX – 3.4
EMPLOYER: CONTRACTOR: ENGINEER/PM:

Project Title: -

MAR. No.
Material Approval Request Revision No. 0
Material Description: Date: 00/00/0000
Package
Material Trade Name: Manufacturer / Supplier:

Listed Proposed Country of Origin:

Contract Specification Details Discipline

Location / Area of Use:

Technical Details of proposed materials

Attachments :-
1. Samples submitted Yes N/A
2. Original Brochure Yes N/A
3. Other supporting Documents attached Yes N/A

Notes / Comments:- Delivery Period :

For CONTRACTOR
Name: Signature:

Designation: Project Manager

EMPLOYER / CONSULTANT Approval Status / Comments
Approval Code- (A) Approval Code- (B) Approval Code- (C) Approval Code- (D)
Approved Approved with Comments Incorporate Comments, Not Approved
Revise and Resubmit

CONSULTANT Comments:
________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________
___________________________________________________________________________________________________________________

Signature:
Name:

Designation: Date:
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APPENDIX – 3.5

Contractor Take Delivery Form

Project Name: Contractor:

Form No.: Month: Year: Recorded By:

P.O. No. Item Descriptions Date

No. Quantity Package Witness by
received
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:

10
 Contractor Take Delivery Form
Project Name: Contractor:

Form No.: Month: Year: Recorded By:

Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:
Item:
BL No.:
Performa invoice:

11
APPENDIX – 3.6

Receiving Material Inspection Report

Project Name: Package:

Definable Feature of Work:

Date Received: Order Number: Date Inspected: Inspected By:

Ref No. Item Description Quantity Partial or Okay or Special

Full? Damaged? Storage?

Remarks (explanations required for partial and damaged material):

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APPENDIX – 3.7
EMPLOYER: CONTRCTOR: ENGINEER/PM:

CONFIRMATION OF VERBAL INSTRUCTION

Project: Project No:

Contractor Company Name

Date
here
Location C.V.I. No.

DETAILS OF VERBAL INSTRUCTIONS:

Subject:

Instruction given by:

Date:

Location:

Contractor's Representative: Attachment:

This instruction is hereby confirmed in writing and unless contradicted in writing forthwith shall be
deemed to be an order in writing by the Engineer pursuant to conditions of contract.

Signed for Comp. : Date:

Response by the Engineer/PM:

Singed for
Date
Engineer/PM:

13
APPENDIX – 3.8 Document Transmittal Form

PROJECT TITLE
Transmittal

Project: TRANSMITTAL JOB-0000

NO:

Client: Date:

Recipient:

Attention:

WE ARE SENDING SUBMITTED FOR ACTION TAKEN

SHOP DRAWINGS APPROVAL APPROVED AS SUBMITTED

LETTER GENERAL YOUR ACTION APPROVED WITH COMMENTS

PRINTS AS REQUESTED REVISE AND RESUBMIT

CHANGE ORDER FOR INFORMATION REJECTED

PLANS VERIFY SUBSTRUC. DESIGN NOT REVIEWED

SAMPLES

REPORT/TEST RESULTS

OTHERS (INSPECTION REQUEST)

NO. REFERENCE NO. DESCRIPTION

1 IR-0000
REMARKS

ISSUED BY: RECEIVED BY: RECEIVED BY: RECEIVED BY:

CONTRACTOR CONSULTANT CLIENT

SIGNED: SIGNED: SIGNED:

DATE: DATE: DATE:

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