Contractor’s Logo
Name of the Contractor
Pune Metro Rail Project
Reach X
Inspection and Test Plan for Name of the process
Name of the structure (Stations/Viaduct)
Document No. M-NCC-PR2-VDU-ITP-000004 Rev 00A
Document Status: Issued for Review
Document Submittal History:
Prepared Checked Approved
Rev.: Date: Doc Status:
(Contractor) (Contractor) (Contractor)
DD-MMM- Name of the Personnel Name of the Personnel
00A For Review Name of the Personnel
YYYY
00B 28-MAR-2019 For Review Name of the Personnel Name of the Personnel Name of the Personnel
Signature Signature Signature
Document Review Status Date: Name: Name of the
Reviewer from GC
Code-A/B/C/D DD-MMM-YYYY
Code A - Reviewed; Work may proceed
Code B - Revise and resubmit; Work may proceed subject to resolution of comments
Code C - Revise and resubmit; Work may not proceed
Code D - Review not required; Work may proceed
Document No. M-NCC-PR2-VDU-ITP-000004 Rev 00A Page 1 of 6 Printed: 16 Oct. 19
Inspection and Test Plan for Name of the process Name of the structure (Stations/Viaduct)
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