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DOT-FHWA QA/QC Plan Sample Selected pages (not a complete plan) Part 1: Project Specific Quality Plan Part 2: Quality Manual Part 3: Submittal Forms Contact: FirstTimeQuality 410 451 8006 Pat [Pick the date]

QUALITY ASSURANCE/QUALITY CONTROL PLAN TABLE OF CONTENTS Customer... 7 Project Name... 7 Project Number... 7 Project Location... 7 Overall Project Description... 7 [CompanyName] Scope of Work... 7 A. Management Responsibility... 8 [CompanyName][CompanySuffix] Quality Policy... 8 Project QC Organization Chart... 9 Appointment of Project QC Personnel... 10 Quality Responsibilities... 10 B. Personnel Qualifications... 17 C. Quality Control Plans... 20 Listing of Quality Controlled construction Tasks... 20 Task Quality Control Plans... 20 Process Control Coordination and Communication... 21 Daily Quality Control Inspections... 22 Phase 1: Preparatory Phase... 22 Phase 2: Initial Phase... 24 Phase 3: Follow-up Phase... 24 Source Inspections... 25 Hold Points for Customer Inspections... 25 Phase 4: Task completion inspections... 25 QC Plan Implementation and Reporting... 26 D. Quality Control Sampling and Testing... 38 Required Sampling and Testing... 38 Preparation of Inspection and Test Plan... 38 Sample Labeling... 38 Records of Quality Control Test Results... 39 Inspection and Test Status... 39 E. Nonconformances... 45 Nonconformance Controls... 45 Corrective Actions... 46 Preventive Actions... 47 F. Subcontractor and Supplier Controls... 51 Page 5 [ProjectName] - [ProjectNumber]

Qualification of Subcontractors and Suppliers... 51 Qualification of Testing Laboratories... 52 Purchase Order Requirements... 52 Purchase Order Approval... 52 G. Quality Audits... 55 H. Attachments... 57 I. Additional Quality Control Requirements... 81 Page 6 [ProjectName] - [ProjectNumber]

Questions? Call First Time Quality 410-451-8006 C. QUALITY CONTROL PLANS (Ref. U.S. DOT FP-03 153.04) Project phases of work and Tasks subject to process control procedures are listed on the Quality Controlled Tasks form. The form is included as an exhibit in this subsection. A series of inspections will be performed on each Task including Tests specified by contract requirements Material inspections Task Job-ready inspections Work in process inspections Task Completion inspections s ge Near project completion [CompanyName] performs a punch-out QC inspection, corrects all deficiencies. If the customer performs a final inspection, [CompanyName] corrects all deficiencies. The customer may verify completion of the project by a final acceptance inspection. Pa LISTING OF QUALITY CONTROLLED CONSTRUCTION TASKS A listing of project Tasks is included on the Quality Control Task List is included as an exhibit in this subsection. ct ed The Quality Manager identifies each phase of construction Task that requires separate quality controls. Each Task triggers a set of requirements for quality control inspections before, during and after Tasks. Specifically, Task that required for the following Tasks listed on the Master Tasks form included as an exhibit in this subsection. Se le Additional detail on [CompanyName] policies and procedures for the preparation of the Task appear in Quality Manual section 2.5 Identification of Quality Controlled Task. TASK QUALITY CONTROL PLANS A quality control plan is prepared for each quality controlled Task. Each Quality Control Plan is recorded on DOT Form 470 and included as exhibits in this subsection. Specifically, the quality control plans include descriptions of the following QC activities: Preparatory QC Activity 1. Independently and with contractor staff review contract requirements plans and specifications. Preparatory QC Activity 2. Check and verify submittals, plans and materials certifications for contract requirements and submit to FHWA Provide statement and signature of verification. Preparatory QC Activity 3. Check site conditions for constructability, including staging, disposal and storage areas. Identify potential quality control issues. Verify the materials delivered to the site conform to accepted materials certifications, submittals, plans and contract requirements. Preparatory QC Activity 4. Review construction staking to assure accuracy and sufficiency at each stage of construction. Page 20 [ProjectName] - [ProjectNumber]

[ProjectNumber] Project ID [CompanyName][CompanySuffix] Master Task List [ProjectName] Version 20131215 Project Name Section 152 Construction Survey and Staking Section 201 Clearing and Grubbing Section 203 Removal of Structures and Obstructions Section 204 Roadway Excavation Section 205 Rock Blasting Section 207 Earthwork Geotextiles Section 208 Structural Excavation and Backfill for Selected Major Structures Section 209 Structure Excavation and Backfill Section 211 Roadway Obliteration Section 212 Linear Grading Section 251 Riprap Section 252 Special Rock Embankment and Rock Buttress Section 253 Gabions and Revet Mattresses Section 255 Mechanically-Stabilized Earth Walls Section 256 Permanent Ground Anchors Section 258 Reinforced Concrete Retaining Walls Section 260 Rock Bolts Section 301 Untreated Aggregate Courses Section 303 Road Reconditioning Section 308 Minor Crushed Aggregate Section 309 Emulsified Treated Asphalt Base Course Sections 401, 402, or 403 Hot Asphalt Concrete Pavement Section 404 Minor Hot asphalt Concrete Section 409 Asphalt Surface Treatment Task Approved By Date Page 27 [ProjectName] - [ProjectNumber]

Questions? Call First Time Quality 410-451-8006 D. QUALITY CONTROL SAMPLING AND TESTING (Ref. U.S. DOT FP-03 153.05) The Quality Inspection and Test Plan form lists inspections and tests that will be performed on this project. The Quality Inspection and Test Plan exhibit is included as an exhibit in this subsection. Results of inspections and tests will be recorded as follows: Task inspection results will be recorded on the Task Inspection Form. Test results will be recorded on the Inspection and Test Form. Daily inspections of work in process will be recorded on the Daily Quality Control Report. s REQUIRED SAMPLING AND TESTING ge Form exhibits are included as an exhibit in this subsection. Pa Sampling and testing will be provide as listed in Table 153-1, included as an exhibit in this subsection. MATERIAL QUALITY INSPECTIONS ct ed Material quality inspections and tests ensure that purchased materials meet purchase contract quantity and quality requirements. The Superintendent inspects or ensures that a qualified inspector inspects materials prior to use for conformance to project quality requirements. The Superintendent ensures that each Task that uses the source inspected materials proceed only after the material has been accepted by the material quality inspection or test. le PREPARATION OF INSPECTION AND TEST PLAN Se The Quality Manager prepares quality inspection and test plans for a project that identifies: Each required quality inspection and/or test Inspection and test specifications for each required quality inspection or test Hold points for customer quality inspection Page 38 [ProjectName] - [ProjectNumber]

Table 153-1 Quality Control Sampling and Testing Requirements Material or Product Characteristic Test Method or Specification Sampling Frequency Point of Sampling Split Sample Reporting Time Section 301 Untreated Aggregate Courses Aggregate base Grading (Aggregate Production) Aggregate surface course (Aggregate Production) Subbase Grading (Aggregate Production) Gradation AASHTO T 27 & AASHTO T 11 1 for each 6 hours of production but not less than 2 for each day Flowing aggregate stream (bin or belt discharge) or conveyor belt Yes when requested End of shift Fractured faces ASTM D 5821 " " " " Sand equivalent AASHTO T 176 Alternate Method No. 2, Referee Method SE/P 75 Index Gradation See Subsection 101.04 AASHTO T27 & AASHTO T 11 " " " " " " " " 1 for each 6 hours of production but not less than 2 for each day Flowing aggregate stream (bin or belt discharge) or conveyor belt Yes, when requested End of shift Fractured faces ASTM D 5821 " " " " Liquid limit AASHTO T 89 " " " " Plasticity Index AASHTO T 90 " " " " Gradation AASHTO T27 & AASHTO T 11 1 for each 6 hours of production but not less than 2 for each day Flowing aggregate stream (bin or belt discharge) or conveyor belt Yes, when requested End of shift Fractured faces ASTM D 5821 " " " " Sand equivalent AASHTO T 176 Alternate Method No. 2, Referee Method " " " " SE/P 75 Index See Subsection 101.04 " " " " Section 309 Emulsified Asphalt Treated Base Course Emulsified asphalt treated aggregate base Grading Gradation AASHTO T27 & AASHTO T 11 1 for each 6 hours of production but not less than 2 for each day Flowing aggregate stream (bin or belt discharge) or conveyor belt Yes, when requested End of shift Fractured faces ASTM D 5821 " " " " Page 40 [ProjectName] - [ProjectNumber]

Table 153-2 Quality Control Inspection and Measurement Requirements Activity Characteristic Specification or Activity Tolerance and Reference Measurement or Inspection Frequency Point of Inspection or Measurement Reporting Time Section 152 Construction Survey and Staking Construction staking Construction staking Section 201 Clearing and Grubbing General clearing Clearing Grubbing Clearing and grubbing preparation, preservation of adjacent vegetation Falling, rounding areas and trimming Grubbing excavation and embankment areas and backfill Measurements to check accuracy and adequacy of construction staking Visual inspection Section 203 Removal of Structures and Obstructions Salvaging material Use of reasonable care Subsection 152.03 and Table 152-1 Subsection 201.03 " Subsection 201.04 " Subsection 201.05 15% of staked, lines points or marks. and 100% of staked or surveyed points, marks or lines on bridges, walls or other major structures Daily Completed staking Clearing operation End of shift 24 hrs " " " " " " Visual inspection Subsection 203.03 Daily Salvaging operation 24 hrs Page 58 [ProjectName] - [ProjectNumber]

QUALITY MANUAL TABLE OF CONTENTS 1. Quality System Management and Responsibilities... 6 1.1. Overview... 6 1.2. [CompanyName][CompanySuffix] Quality Policy... 6 1.3. Quality Duties, Responsibilities, and Authority... 6 1.4. Quality System Performance Measures... 9 1.5. Customer Satisfaction Performance Measures... 9 1.6. Exceptions... 9 2. Project Quality Assurance/Quality Control Plan... 10 2.1. Overview... 10 2.2. [CompanyName] Project License and Qualification Requirements... 10 2.3. Project Personnel and Qualifications... 11 2.4. Project Quality Assurance/Quality Control Plan... 11 2.5. Identification of Quality Controlled Tasks... 12 2.6. Project Quality Inspection and Test Plan... 12 2.7. Project Quality Communications Plan... 12 2.8. Project Quality Training Plan... 12 2.9. Customer Training On Operation and Maintenance... 12 2.10. Project Records and Documentation Plan... 13 2.11. Project Audit Plan... 13 3. Contract Specifications... 14 3.1. Overview... 14 3.2. Contract Technical Specifications... 14 3.3. Contract Drawings... 14 3.4. Contract Submittals... 14 3.5. Customer Submittal Approval... 16 3.6. Contract Warranty... 16 3.7. Contract Review and Approval... 17 4. Design Review and Control... 18 4.1. Overview... 18 4.2. Design Input Review... 18 4.3. Project Design Quality Assurance/Quality Control Plan... 18 4.4. Design Progress Reviews... 19 4.5. Design Output Verification and Approval... 19 5. Project-Specific Quality Standards... 20 5.1. Overview... 20 Page 2 Quality Manual

5.2. Regulatory Codes... 20 5.3. Industry Quality Standards... 20 5.4. Material and Equipment Specifications... 20 5.5. Work Process Specifications... 21 5.6. Controlled Material Identification and Traceability... 21 5.7. Measuring Device Control and Calibration... 22 5.8. [CompanyName] Quality Standards... 22 5.9. Application of Multiple Sources of Specifications... 22 6. Project Purchasing... 23 6.1. Overview... 23 6.2. Qualification of Outside Organizations and Company Departments... 23 6.3. Quality Responsibilities of Key Subcontractor and Supplier Personnel... 24 6.4. Requirements for Subcontractor QC Plan... 25 6.5. Subcontractor and Supplier Quality Policy... 25 6.6. Project Subcontractor and Supplier List... 26 6.7. Purchase Order Requirements... 26 6.8. Project Purchase Order Approvals... 26 7. Process Controls... 28 7.1. Overview... 28 7.2. Project Startup and Quality Control Coordination Meeting... 28 7.3. Preparatory Project Quality Assurance/Quality Control Plan Planning... 28 7.4. Weekly Quality Planning and Coordination Meetings... 29 7.5. Process Control Standards... 29 7.6. Daily Quality Control Report... 31 7.7. Monthly Quality Control Report... 31 8. Inspections and Tests... 32 8.1. Overview... 32 8.2. Required Task Quality Inspections and Tests... 32 8.3. Material Inspections and Tests... 32 8.4. Work in Process Inspections... 33 8.5. Task Completion Inspections... 33 8.6. Inspection of Special Processes... 34 8.7. Independent Measurement and Tests... 34 8.8. Commissioning Functional Acceptance Tests... 34 8.9. Hold Points for Customer Inspection... 34 8.10. Quality Inspection and Test Specifications... 34 8.11. Inspection and Test Acceptance Criteria... 34 8.12. Inspection and Test Status... 35 8.13. Independent Quality Assurance Inspections... 35 8.14. Inspection and Test Records... 35 8.15. Project Completion and Closeout Inspection... 36 9. Nonconformances and Corrective Actions... 38 Page 3 Quality Manual

9.1. Overview... 38 9.2. Nonconformances... 38 9.3. Corrective Actions... 39 10. Preventive Actions... 41 10.1. Overview... 41 10.2. Identify Preventive Actions for Improvement... 41 10.3. Train Preventive Actions for Improvement... 41 11. Quality System Audits... 43 11.1. Overview... 43 11.2. Project Quality System Audit... 43 11.3. Company-wide Quality System Audit... 43 12. Record and Document Controls... 45 12.1. Overview... 45 12.2. Quality System Documents... 45 12.3. Document Controls... 45 12.4. Record Controls... 46 13. Appendix... 47 13.1. Definitions of Terms... 47 Page 4 Quality Manual

Questions? Call First Time Quality 410-451-8006 7. PROCESS CONTROLS HOW WORK IS CARRIED OUT 7.1. OVERVIEW s The construction process plan defines how project work is to be done and approved for the overall project. The construction process plan is communicated to all key personnel, subcontractors and suppliers in a startup meeting. As the project proceeds, Task plans provide additional details of how each individual Task is carried out. Tasks planning meetings are used to communicate expectations of the Task plan to key personnel responsible for carrying out the Task. ge 7.2. PROJECT STARTUP AND QUALITY CONTROL COORDINATION MEETING ct ed Key requirements of the project The Project Quality Assurance/Quality Control Plan Required quality inspections and tests The project submittal schedule Quality policies and heightened awareness of critical quality requirements Project organization chart and job responsibilities Methods of communication and contact information Location of project documents and records le Pa Prior to the commencement of work, the Project Manager holds a meeting to discuss and coordinate how project work will be performed and controlled. Key personnel from [CompanyName], subcontractors and suppliers meet to review expectations for project quality results as well as quality assurance and quality control policies and procedures including: Se 7.3. PREPARATORY PROJECT QUALITY ASSURANCE/QUALITY CONTROL PLAN PLANNING 7.3.1. TASK REQUIREMENTS REVIEW In preparation for the start of an upcoming Task, the Superintendent reviews an integrated and coordinated set of documents that collectively define quality requirements for the Task including: Objectives and acceptance criteria of the Task Quality standards that apply to the Task Work instructions, process steps, and product installation instructions that apply to the Task Shop drawings Submittals Tools and equipment necessary to perform the work License, certification, or other qualification requirements of personnel assigned to work Required records of the process and resulting product The subcontractor contracted to perform the work, if applicable Customer contract requirements Required quality inspections and tests Method for clearly marking nonconformances to prevent inadvertent use Location of quality system records and documents Page 28 Quality Manual

Questions? Call First Time Quality 410-451-8006 Personnel training 7.3.2. PREPARATORY SITE INSPECTION The Superintendent also performs a quality inspection of the work area and: Assesses completion of required prior work Verifies field measurements Assures availability and receiving quality inspection status of required materials Identifies any nonconformances to the requirements for the Task to begin Identifies potential problems 7.3.3. TASK PREPARATORY QUALITY PLANNING MEETINGS s Prior to the start of a Task, the Superintendent conducts a meeting with key company, subcontractor personnel responsible for carrying out, supervising, or inspecting the work, and interested customer representatives. Pa Conflicts that need resolution Required quality documents and a verification of availability to personnel carrying out, supervising, or inspecting the Task Record keeping requirements and the availability of necessary forms Review methods and sequences of installation Special details and conditions Standards of workmanship Heightened awareness of critical quality requirements Quality risks Tasks quality inspection form ct ed ge During the meeting, the Superintendent communicates the Task quality requirements and reinforces heightened awareness for critical requirements. Topics for a Task quality plan meeting include: Se le 7.4. WEEKLY QUALITY PLANNING AND COORDINATION MEETINGS Page 29 Quality Manual

Questions? Call First Time Quality 410-451-8006 List of Included Forms le ct ed ge Pa Point Of Contact List Project Organization Chart Project Quality Communications Plan Quality Manager Appointment Letter Project Manager Appointment Letter Superintendent Appointment Letter Personnel Certifications and Licenses Project Personnel Resumes Project Subcontractor and Supplier List Training Plan Training Log Regulatory Codes and Industry Standards Project Regulatory Building Codes Controlled Materials Form Metals Material Receiving Inspection Report Material Inspection and Receiving Report Inspection and Testing Standards Quality Inspection and Test Plan Test Equipment Calibration Plan and Log Quality Controlled Work Task List Daily Production Report Work Task Inspection Form Nonconformance Report Punch List Project Completion Inspection Form System Document Control Form Project Records Control Form Project Quality System Audit Form Se s Standard Forms:

[CompanyName][CompanySuffix] Nonconformance Report Version 20131125 Nonconformance Report Control ID Project ID Project Name [ProjectNumber] Preparer Signature/ Submit Date [ProjectName] Quality Manager Signature / Disposition Date Description of the requirement or specification Description of the nonconformance, location, affected area, and marking Disposition Corrective Actions Preventive Actions Replace Repair Rework Use As-is Approval of disposition required by customer representative? Yes Customer approval signature /date: Corrective actions completed Name/Date: Customer acceptance of corrective actions required? Yes Name/Date: No No Preventive actions completed Name/Date: Page 54 [ProjectName] - [ProjectNumber]

Industry-Specific Information Available by Division 03 Concrete 08 Openings 27 Communications 04 Masonry 09 Finishes 28 Electronic Safety and Security 05 Metals 21 Fire Suppression 31 Earthwork 06 Wood Plastic Composite 22 Plumbing 32 Exterior Improvements 07 Thermal and Moisture Protection 23 HVAC 33 Utilities 26 Electrical

For More Information: Contact: FirstTimeQuality 410-451-8006 www.firsttimequality.com EdC@FirstTimeQuality.com For More Information, contact: CaldeiraQuality, LLC First TimeQuality. 410 451 8006 www.firsttimequality.com EdC@FirstTimeQuality.com