PROJECT INFORMATION
TEST OR SPECIAL INSPECTION
SOILS
CONCRETE
MASONRY
STEEL/ALUMINUM
WOOD
OTHER
RECAP
WORK EXEMPT
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Division of the State Architect | State of California

PROJECT INFORMATION

Application Number *

Name of Design Professional *

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IMPORTANT: This form is only a summary list of structural tests and some of the special inspections required for the project. Generally, the structural tests and special inspections noted on this form are those that will be performed by the Geotechnical Engineer of Record, Laboratory of Record, or Special Inspector. The actual complete test and inspection program must be performed as detailed on the DSA approved documents. The appendix at the bottom of this form identifies work NOT subject to DSA requirements for special inspection or structural testing. The project inspector is responsible for providing inspection of all facets of construction, including but not limited to, special inspections not listed on this form such as structural wood framing, high-load wood diaphragms, cold-formed steel framing, anchorage of non-structural components, etc., per Title 24, Part 2, Chapter 17A.

**NOTE: Undefined section and table references found in this document are from the CBC, or California Building Code.

TEST OR SPECIAL INSPECTION

Select Your Category

SOILS

CONCRETE

MASONRY

STEEL/ALUMINUM

WOOD

OTHER

SOILS

Table 1705A.6, Table 1705A.7, Table 1705A.8

Geotechnical Reports

Project has a geotechnical report, or CDs indicate soils special inspection is required by GE.

Project does NOT have and does NOT require a geotechnical report.

Select Soils Details

General

Soil Compaction and Fill

Driven Deep Foundation (Piles)

Cast-In-Place Deep Foundations (Piers)

Retaining Walls

Other Soils

S1. GENERAL

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Verify that: • Site has been prepared properly prior to placement of controlled fill and/or excavations for foundations. • Foundation excavations are extended to proper depth and have reached proper material. • Materials below footings are adequate to achieve the design bearing capacity.	Periodic	GE*	*By geotechnical engineer or his or her qualified representative (See Appendix (end of this form) for exemptions).
	a. Verify that: • Site has been prepared properly prior to placement of controlled fill and/or excavations for foundations. • Foundation excavations are extended to proper depth and have reached proper material. • Materials below footings must not contain loose material, mud, organic silt, organic clays, or peat.	See Notes	PI	Refer to specific items identified in the Appendix listing exemptions for limitations. Placement of controlled fill exceeding 12'' depth under foundations and/or within the building envelope is not permitted without a geotechnical report.

S2. SOIL COMPACTION AND FILL

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Perform classification and testing of fill materials.	Test	LOR*	* Under the supervision of the geotechnical engineer.
b. Verify use of proper materials, densities and inspect lift thicknesses, placement and compaction during placement of fill.	Continuous	GE*	*By geotechnical engineer or his or her qualified representative. (Refer to specific items identified in the Appendix (end of this form) for exemptions where soils SI and testing may be conducted under the supervision of a geotechnical engineer or LOR's engineering manager. In such cases, the LOR's form DSA 291 shall satisfy the soil SI and test reporting requirements for the exempt items).
c. Compaction Testing.	Test	LOR*	*Under the supervision of the geotechnical engineer. (Refer to specific items identified in the Appendix (end of this form) for exemptions where soil testing may be conducted under the supervision of a geotechnical engineer or LOR's engineering manager. In such cases, the LOR's form DSA 291 shall satisfy the soil test reporting requirements for the exempt items).
b. Verify use of proper materials, densities and inspect lift thicknesses, placement and compaction during placement of fill.	Continuous	LOR*	* Under the supervision of a geotechnical engineer or LOR's engineering manager. Refer to specific items identified in the end of this form listing exemptions for limitations.
c. Compaction Testing.	Test	LOR*	* Under the supervision of a geotechnical engineer or LOR's engineering manager. Refer to specific items identified in the end of this form listing exemptions for limitations.

S3. DRIVEN DEEP FOUNDATIONS (PILES)

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Verify pile materials, sizes and lengths comply with the requirements.	Continuous	GE*	*By geotechnical engineer or his or her qualified representative.
b. Determine capacities of test piles and conduct additional load tests as required.	Test	LOR*	*Under the supervision of the geotechnical engineer.
c. Inspect driving operations and maintain complete and accurate records for each pile.	Continuous	GE*	* By geotechnical engineer or his or her qualified representative.
d. Verify locations of piles and their plumbness, confirm type and size of hammer, record number of blows per foot of penetration, determine required penetrations to achieve design capacity, record tip and butt elevations and record any pile damage.	Continuous	GE*	* By geotechnical engineer or his or her qualified representative.
e. Steel piles.	*	*	Provide tests and inspections per STEEL section.
f. Concrete piles and concrete filled piles.	*	*	Provide tests and inspections per CONCRETE section.
g. For specialty piles, perform additional inspections as determined by the registered design professional in responsible charge.	*	*	* As defined on drawing or specifications.

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S4. CAST-IN-PLACE DEEP FOUNDATIONS (PIERS)

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Inspect drilling operations and maintain complete and accurate records for each pier.	Continuous	GE*	*By geotechnical engineer or his or her qualified representative. (See Appendix (end of this form) for exemptions.)
b. Verify pier locations, diameters, plumbness, bell diameters (if applicable), lengths and embedment into bedrock (if applicable); record concrete or grout volumes.	Continuous	GE*	*By geotechnical engineer or his or her qualified representative. (See Appendix (end of this form) for exemptions.)
c. Confirm adequate end strata bearing capacity.	Continuous	GE*	*By geotechnical engineer or his or her qualified representative. (See Appendix (end of this form) for exemptions.)
d. Concrete piers.	*	*	Provide tests and inspections per CONCRETE section below.
a. Inspect drilling operations and maintain complete and accurate records for each pier.	Continuous	PI	Continuous inspection to be provided by project inspector. Refer to specific items identified in the Appendix (end of this form) listing exemptions for limitations.
b. Verify pier locations, diameters, plumbness and lengths. Record concrete or grout volumes.	Continuous	PI	Continuous inspection to be provided by project inspector. Refer to specific items identified in the Appendix (end of this form) listing exemptions for limitations.
c. Concrete piers.	*	*	Provide tests and inspections per CONCRETE section below.

S5. RETAINING WALLS

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Placement, compaction and inspection of backfill.	Continuous	GE*	1705A.6.1. * By geotechnical engineer or his or her qualified representative. (See section S2 above).
b. Placement of soil reinforcement and/or drainage devices.	Continuous	GE*	* By geotechnical engineer or his or her qualified representative.
c. Segmental retaining walls; inspect placement of units, dowels, connectors, etc.	Continuous	GE*	* By geotechnical engineer or his or her qualified representative. See DSA IR 18-2.
d. Concrete retaining walls.	*	*	Provide tests and inspections per CONCRETE section.
e. Masonry retaining walls.	*	*	Provide tests and inspections per MASONRY section.

S6. OTHER SOILS

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Soil Improvements.	Test	GE*	Submit a comprehensive report documenting final soil improvements constructed, construction observation and the results of the confirmation testing and analysis to CGS (California Geological Survey) for final acceptance. * By geotechnical engineer or his or her qualified representative.
	b. Inspection of Soil Improvements.	Continuous	GE*	* By geotechnical engineer or his or her qualified representative.

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		Test or Special Inspection	Type	Performed By	Code References and Notes

CONCRETE

Table 1705A.3; ACI 318-14 Sections 26.12 & 26.13

Select Concrete Details

Cast-in-Place Concrete

Prestressed/Post-Tensioned Concrete (in addition to Cast-in-Place Concrete tests and inspections)

Precast Concrete (in addition to Cast-in-Place Concrete tests and inspections)

Shotcrete (in addition to Cast-in-Place Concrete tests and inspections)

Post-installed Anchors

Other Concrete

C1. CAST-IN-PLACE CONCRETE

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Verify use of required design mix.	Continuous	SI	Table 1705A.3 Item 5, 1910A.1.
b. Identify, sample, and test reinforcing steel.	Test	LOR	1910A.2; ACI 318-19 Ch. 20 and Section 26.6.1.2; DSA IR 17-10. (See Appendix (end of this form) for exemptions.)
c. During concrete placement, fabricate specimens for strength tests, perform slump and air content tests, and determine the temperature of the concrete.	Test	LOR	Table 1705A.3 Item 6; ACI 318-19 Sections 26.5 & 26.12
d. Test concrete (f'c)	Test	LOR	1905A.1.17; ACI 318-19 Section 26.12.
e. Batch plant inspection Continuous Periodic Not Required	See Notes	SI	Default of 'Continuous' per 1705A.3.3. If approved by DSA, batch plant inspection may be reduced to 'Periodic' subject to requirements in Section 1705A.3.3.1, or not required per 1705A.3.3.2. See IR 17-13. (See Appendix (end of this form) for exemptions.)
f. Welding of reinforcing steel.	*	*	Provide special inspection per STEEL, Category S/A4(d) & (e) and/or S/A5(g) & (h) below.

	Test or Special Inspection	Type	Performed By	Code References and Notes
	e. Batch plant inspection Continuous Periodic Eliminated	See Notes	SI	Default of 'Continuous' per 1705A.3.3. If approved by DSA, batch plant inspection may be reduced to 'Periodic' subject to requirements in Section 1705A.3.3.1, or eliminated per 1705A.3.3.2. (See Appendix (end of this form) for exemptions.)
	f. Welding of reinforcing steel.	*	*	Provide special inspection per STEEL, category 19.1(d) & (e) and/or 19.2(g) & (h) below.

C2. PRESTRESSED / POST-TENSIONED CONCRETE (IN ADDITION TO SECTION C1):

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Sample and test prestressing tendons and anchorages.	Test	LOR	1705A.3.4, 1910A.3.
b. Inspect placement of prestressing tendons.	Periodic	SI	1705A.3.4, Table 1705A.3 Items 1 & 9.
c. Verify in-situ concrete strength prior to stressing of post-tensioning tendons.	Periodic	SI	Table 1705A.3 Item 13. Special inspector to verify specified concrete strength test prior to stressing.
d. Inspect application of post-tensioning or prestressing forces and grouting of bonded prestressing tendons.	Continuous	SI	1705A.3.4, Table 1705A.3 Item 9; ACI 318-19 Section 26.13.

C3. PRECAST CONCRETE (IN ADDITION TO SECTION C1):

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Inspect fabrication of precast concrete members.	Continuous	SI	ACI 318-19 Section 26.13., and PCI MNL-128 and -130.
b. Inspect erection of precast concrete members.	Periodic	SI*	Table 1705A.3 Item 10. * May be performed by PI when specifically approved by DSA.
c. For precast concrete diaphragm connections or reinforcement at joints classified as moderate or high deformability elements (MDE or HDE) in structures assigned to Seismic Design Category D, E or F, inspect such connections and reinforcement in the field for: 1. Installation of the embedded parts 2. Completion of the continuity of reinforcement across joints. 3. Completion of connections in the field.	Continuous	SI	Table 1705A.3; ACI 318-19 Section 26.13.1.3; ACI 550.5
d. Inspect installation tolerances of precast concrete diaphragm connections for compliance with ACI 550.5.	Periodic	SI	Table 1705A.3; ACI 318-19 Section 26.13.1.3; ACI 550.5

C4. SHOTCRETE (IN ADDITION TO SECTION C1):

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Inspect shotcrete placement for proper application techniques.	Continuous	SI	1705A.3.9, Table 1705A.3 Item 7, 1908A.1, 1908A.2, 1908A.3. See ACI 506.2-13 Section 3.4.
	b. Sample and test shotcrete (f'c).	Test	LOR	1908A.2 and 1705A.3.9.

C5. POST-INSTALLED ANCHORS:

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Inspect installation of post-installed anchors.	See Notes	SI*	1617A.1.19, Table 1705A.3 Item 4a (Continuous) & 4b (Periodic) 1705A.3.8 (See Appendix (end of this form) for exemptions); ACI 318-19 Section 26.13. * May be performed by the project inspector when specifically approved by DSA.
	b. Test post-installed anchors.	Test	LOR	1910A.5. (See Appendix (end of this form) for exemptions.)

C6. OTHER CONCRETE:

		Test or Special Inspection	Type	Performed By	Code References and Notes

MASONRY

1705A.4; TMS 602-16, Tables 3 and 4.

Select Masonry Details

Structural Masonry

Veneer Or Glass Block Partitions

Post Installed Anchors In Masonry

Other Masonry

f'm PSI *

PSI must be between 1,500 and 3,000 PSI unless specifically approved by DSA

M1. STRUCTURAL MASONRY:

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Mill certificate indicates compliance with requirements for reinforcement, anchors, ties, fasteners and metal accessories. See item C1(b) for identification, sampling and testing of reinforcing steel.	Periodic	SI*	2103A.4; TMS 602-16 Articles 1.5B.2 & 2.4. *To be performed by qualified LOR representative. Applicable testing by LOR. See DSA IR 17-10 for unidentified reinforcing steel.
b. Producer's certificate of compliance for masonry units, mortar and grout materials.	Test	LOR	1705A.4, 2103A.2, 2103A.3, 2103A.5; TMS 602-16 Articles 1.5B.2, 2.1, 2.2, 2.6A and 2.6B, and Table 6 footnote 3.
c. Test masonry (f'm).	Test	LOR	1705A.4. For Unit Strength: 2105A.3; TMS 602-16 Articles 1.4B.2 ,1.5B.1 & 1.5B.2. For Prism (required when f'm > 2000 psi): 2105A.2; TMS 602-16 Articles 1.4B.3, 1.4B.4, 1.5B.1 & 1.5B.2.
d. Verify proportions or properties of site-prepared, premixed or preblended mortar.	Periodic	SI	TMS 602-16, Table 3 (row 5), Table 4 Item 1a. DSA PR 20-01. (See Appendix (end of this form) for exemptions.)
e. Verify proportions or properties of site-prepared, premixed or preblended grout.	Periodic	SI	TMS 602-16, Table 3 (row 5), Table 4 Item 2d (See Appendix (end of this form) for exemptions.)
f. Batch plant inspection Continuous Periodic Not Required	See Notes	SI	Default of 'Continuous' per 1705A.3.3. If approved by DSA, batch plant inspection may be reduced to 'Periodic' subject to requirements in Section 1705A.3.3.1, or not required per 1705A.3.3.2. See IR 17-13. Refer to TMS 602-16 Table 3 and Table 4, Item #3a. (See Appendix (end of this form) for exemptions.)
g. Test core-drilled samples.	Test	LOR	2105A.4. (See Appendix (end of this form) for exemptions.)
h.Inspect preparation of prisms.	Continuous	SI	TMS 602-16 Articles 1.4.B.3 & 1.4.B.4 & Table 4 Item 4.
i. Verify size, location and condition of all dowels, construction supporting masonry, etc.	Periodic	SI
j. Verify size, grade and type of reinforcement, connectors, and anchor bolts. Verify size and location of structural members.	Periodic	SI	TMS 602-16 Table 4, Items 1c & 3c.
k. Inspect placement of reinforcement, anchor bolts, and connectors.	Continuous	SI	TMS 602-16 Table 4 Item 2c.
l. Placement, consolidation, and reconsolidation of grout.	Continuous	SI	TMS 602-16 Table 4 Item 3h.
m. Inspect placement of masonry units and construction of mortar joints.	Periodic	SI	TMS 602-16 Table 4 Item 3b.
n.Verify preparation, construction and protection of masonry during cold weather (temperature below 40⁰ F) or hot weather (temperature above 90⁰ F).	Periodic	SI*	TMS 602-16 Table 4 Item 3f. * May be performed by the project inspector when specifically approved by DSA.
o. Inspect type, size and location of anchors and all other items to be embedded in masonry including other details of anchorage of masonry to structural members, frames and other construction.	Continuous	SI	TMS 602-16 Table 4 Item 3d.
p. Inspect grout space, including mortar protrusions, prior to placement of grout.	Continuous	SI	TMS 602-16 Table 4 Item 2a.
q.Welding of reinforcing steel.	TMS 602-16 Table 4 Item 3e. Provide special inspection per STEEL, Category S/A4(d) & (e) and/or S/A5(g) & (h) below.

M2. VENEER OR GLASS BLOCK PARTITIONS

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Verify proportions of site-prepared mortar and grout and/or verify certification of premixed mortar.	Periodic	SI	TMS 602-16 Table 3 (row 5) and Table 4 Items 1a & 2d.
b. Inspect placement of units and construction of mortar joints.	Periodic	SI	TMS 602-16 Table 4 Item 3b.
c. Inspect placement of wire, connectors and anchors	Periodic	SI	TMS 602-16 Table 4 Item 2c.
d. Inspect type, size and location of anchors and all other items to be embedded in masonry veneer including details of anchorage of masonry to veneer backing, frames and other construction.	Periodic	SI	TMS 602-16 Table 4 Item 3d.
e. Verify preparation, construction and protection of masonry during cold weather (temperature below 40⁰ F) or hot weather (above 90⁰ F).	Periodic	SI*	TMS 602-16 Table 4 Item 3f. * May be performed by the project inspector when specifically approved by DSA.
f. Test adhered veneer bond strength.	Test	LOR	1410.2.1; TMS 402 Article 12.3.2.4. (Field constructed mock-up laboratory tested in accordance with ASTM C482).

M3. POST-INSTALLED ANCHORS IN MASONRY

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Inspect installation of post-installed anchors.	See Notes	SI*	1617A.1.19, 1705A.4, Table 1705A.3 Item 4a (Continuous) & 4b (Periodic); ACI 318-14 Sections 17.8 & 26.13. * May be performed by the project inspector when specifically approved by DSA. (See Appendix (end of this form) for exemptions.)
	b. Test post-installed anchors.	Test	LOR	1705A.4, 1910A.5. (See Appendix (end of this form) for exemptions.)

M4. OTHER MASONRY

		Test or Special Inspection	Type	Performed By	Code References and Notes

STEEL/ALUMINUM

1705A.2.1, Table 1705A.2.1; AISC 303-16, AISC 341-16, AISC 358-16, AISC 360-16; AISI S100-16; RCSC 2014; AWS D1.1, AWS D1.2, AWS D1.3, AWS D1.4, AWS D1.8

Select Steel/Aluminum Details

Structural Steel, Cold-formed Steel and Aluminum Used for Structural Purposes

High Strength Bolts

Welding

Non Destructive Testing

Steel Joists And Trusses

Spray Applied Fire-Proofing

Anchor Bolts and Anchor Rods

Storage Rack Systems

Other Steel

S/A1. STRUCTURAL STEEL, COLD-FORMED STEEL AND ALUMINUM USED FOR STRUCTURAL PURPOSES

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Verify identification of all materials and: • Mill certificates indicate material properties that comply with requirements. • Material sizes, types and grades comply with requirements.	Periodic	SI	Table 1705A.2.1 Item 3a‒3c. 2202A.1; AISI S100-20 Section A3.1 & A3.2, AISI S240-20 Section A3 & A5, AISI S220-20 Sections A4 & A6. * By special inspector or qualified technician when performed off-site.
b. Test unidentified materials.	Test	LOR	2202A.1.
c. Examine seam welds of HSS shapes.	Periodic	SI	DSA IR 17-3.
d. Verify and document steel fabrication per DSA-approved construction documents.	Periodic	SI	Not applicable to cold-formed steel light-frame construction, except for trusses (1705A.2.4).
e. Buckling restrained braces.	Test	LOR	Testing and special inspections in accordance with IR 22-4.

S/A2. HIGH-STRENGTH BOLTS:

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Verify identification markings and manufacturer's certificates of compliance conform to ASTM standards specified in the DSA-approved documents.	Periodic	SI	Table 1705A.2.1 Items 1a & 1b, 2202A.1; AISC 360-16 Section A3.3, J3.1, and N3.2; RCSC 2014 Section 1.5 & 2.1; DSA IR 17-8 & IR 17-9.
b. Test high-strength bolts, nuts and washers.	Test	LOR	Table 1705A.2.1 Item 1c, 2213A.1; RCSC 2014 Section 7.2; DSA IR 17-8.
c. Bearing-type (“snug tight”) connections.	Periodic	SI	Table 1705A.2.1 Item 2a, 1705A.2.6, 2204A.2; AISC 360-16 J3.1, J3.2, M2.5 & N5.6; RCSC 2014 Section 9.1; DSA IR 17-9.
d. Pretensioned and slip-critical connections.	*	SI	Table 1705A.2.1 Items 2b & 2c, 1705A.2.6, 2204A.2; AISC 360-16 J3.1, J3.2, M2.5 & N5.6; RCSC 2014 Sections 9.2 & 9.3; DSA IR 17-9. * “Continuous” or “Periodic” depends on the tightening method used.

Welding Type Options

Shop Welding

Field Welding

S/A3. WELDING:

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Verify weld filler material identification markings per AWS designation listed on the DSA-approved documents and the WPS.	Periodic	SI	1705A.2.5, Table 1705A.2.1 Items 4 & 5; AWS D1.1 and AWS D1.8 for structural steel; AWS D1.2 for Aluminum; AWS D1.3 for cold-formed steel; AWS D1.4 for reinforcing steel; DSA IR 17-3.
b. Verify weld filler material manufacturer’s certificate of compliance.	Periodic	SI	DSA IR 17-3.
c. Verify WPS, welder qualifications and equipment.	Periodic	SI	DSA IR 17-3.

S/A4. SHOP WELDING (IN ADDITION TO SECTION S/A3):

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Inspect groove welds, multi-pass fillet welds, single pass fillet welds > 5/16", plug and slot welds.	Continuous	SI	Table 1705A.2.1 Items 5a.1‒4; AISC 360-16 (and AISC 341-16 as applicable); DSA IR 17-3.
b. Inspect single-pass fillet welds ≤ 5/16”, floor and roof deck welds.	Periodic	SI	1705A.2.2, Table 1705A.2.1 Items 5a.5 & 5a.6; AISC 360-16 (and AISC 341-16 as applicable); DSA IR 17-3.
c. Inspect welding of stairs and railing systems.	Periodic	SI	1705A.2.1; AISC 360-16 (and AISC 341-16 as applicable); AWS D1.1 & D1.3; DSA IR 17-3.
d. Verification of reinforcing steel weldability other than ASTM A706.	Periodic	SI	1705A.3.1; AWS D1.4; DSA IR 17-3. Verify carbon equivalent reported on mill certificates.
e. Inspect welding of reinforcing steel.	Continuous	SI	Table 1705A.2.1 Item 5b, 1705A.3.1, Table 1705A.3 Item 2, 1903A.8; AWS D1.4; DSA IR 17-3.

S/A5. FIELD WELDING (IN ADDITION TO SECTION S/A3):

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Inspect groove welds, multi-pass fillet welds, single pass fillet welds > 5/16", plug and slot welds.	Continuous	SI	Table 1705A.2.1 Items 5a.1‒4; AISC 360-16 (AISC 341-16 as applicable); DSA IR 17-3.
b. Inspect single-pass fillet welds ≤ 5/16”.	Periodic	SI	Table 1705A.2.1 Item 5a.5; AISC 360-16 (AISC 341-16 as applicable); DSA IR 17-3.
c. Inspect end-welded studs (ASTM A-108) installation (including bend test).	Periodic	SI	2213A.2; AISC 360-16 (AISC 341-16 as applicable); AWS D1.1; DSA IR 17-3.
d. Inspect floor and roof deck welds.	Periodic	SI	1705A.2.2, Table 1705A.2.1 Item 5a.6; AISC 360-16 (AISC 341-16 as applicable); AWS D1.3; DSA IR 17-3.
e. Inspect welding of structural cold-formed steel.	Periodic	SI*	1705A.2.5; AWS D1.3; DSA IR 17-3. The quality control provisions of AISI S240-20 Chapter D shall also apply. * May be performed by the project inspector when specifically approved by DSA.
f. Inspect welding of stairs and railing systems.	Periodic	SI*	1705A.2.1; AISC 360-16 (AISC 341-16 as applicable); AWS D1.1 & D1.3; DSA IR 17-3. * May be performed by the project inspector when specifically approved by DSA.
g. Verification of reinforcing steel weldability.	Periodic	SI	1705A.3.1; AWS D1.4; DSA IR 17-3. Verify carbon equivalent reported on mill certificates.
h. Inspect welding of reinforcing steel.	Continuous	SI	Table 1705A.2.1 Item 5b, 1705A.3.1, Table 1705A.3 Item 2, 1903A.8; AWS D1.4; DSA IR 17-3.

S/A6. NONDESTRUCTIVE TESTING:

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Ultrasonic.	Test	LOR	1705A.2.1, 1705A.2.5; AISC 341-16 J6.2, AISC 360-16 N5.5; AWS D1.1, AWS D1.8; DSA IR 17-2.
	b. Magnetic Particle.	Test	LOR	1705A.2.1, 1705A.2.5; AISC 341-16 J6.2, AISC 360-16 N5.5; AWS D1.1, AWS D1.8; DSA IR 17-2.

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		Test or Special Inspection	Type	Performed By	Code References and Notes
			Test	LOR

S/A7. STEEL JOISTS AND TRUSSES

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Verify size, type and grade for all chord and web members as well as connectors and weld filler material; verify joist profile, dimensions and camber (if applicable); verify all weld locations, lengths and profiles; mark or tag each joist.	Continuous	SI	1705A.2.3, Table 1705A.2.3; AWS D1.1; DSA IR 22-3 for steel joists only. 1705A.2.4; AWS D1.3 for cold-formed steel trusses.

S/A8. SPRAYED FIRE-RESISTANT MATERIALS

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Examine structural steel surface conditions, inspect application, take samples, measure thickness and verify compliance of all aspects of application with DSA-approved documents.	Periodic	SI	1705A.15, 1705A.15.1, 1705A.15.2, 1705A.15.3, 1705A.15.4, 1705A.15.5, 1705A.15.6.
b. Test density.	Test	LOR	1705A.15.1, 1705A.15.5, ASTM E605
c. Bond strength adhesion/cohesion.	Test	LOR	1705A.15.1, 1705A.15.6, ASTM E736

S/A9. ANCHOR BOLTS AND ANCHOR RODS

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Anchor Bolts and Anchor Rods.	Test	LOR	Identify, sample and test anchor bolts and anchor rods not meeting exemptions identified in Section 1 of IR 17-11.
	b. Threaded rod not used for foundation anchorage.	Test	LOR	Identify, sample and test threaded rods not meeting exemptions identified in Section 1 of IR 17-11.

S/A10. STORAGE RACK SYSTEMS

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Materials used, to verify compliance with one or more of the material test reports in accordance with the approved construction documents.	Periodic	SI	Table 1705A.13.7
b. Fabricated storage rack elements.	Periodic	SI	1704A.2.5; Table 1705A.13.7
c. Storage rack anchorage installation.	Periodic	SI	ANSI/MH16.1 Section 7.3.2; Table 1705A.13.7
d. Completed storage rack system to indicate compliance with the approved construction documents.	Periodic	SI*	Table 1705A.13.7; * May be preformed by the project inspector when specifically approved by DSA.

S/A11. OTHER STEEL

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		Test or Special Inspection	Type	Performed By	Code References and Notes

WOOD

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Prefabricated Wood Structural Elements

Manufactured Wood Structural Elements

Other Wood

W1. PREFABRICATED WOOD TRUSSES

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Inspect fabrication of manufactured open-web trusses.	Continuous	SI	1705A.5.6; DSA IR 23-8.
	b. Inspect fabrication of manufactured metal-plate-connected trusses.	Continuous	SI	1705A.5.6, 1705A.5.7; DSA IR 23-4.
Item 1

W2. MANUFACTURED WOOD STRUCTURAL ELEMENTS:

Test or Special Inspection	Type	Performed By	Code References and Notes
a. Inspect fabrication of structural glued-laminated timber.*	Continuous	SI	* See 1705A.5.5 for exceptions.
b. Inspect fabrication of cross-laminated timber.	Continuous	SI	1705A.5.5
c. Inspect erection of mass timber.	Periodic	SI	Table 1705A.5.3, Item 2
d. Inspect mass timber connections with threaded fasteners, bolts, and/or adhesive anchors other than described in item e below. Inspect concealed mass timber connections.	Periodic	SI	Table 1705A.5.3, Items 3.1, 3.3, 3.4, 3.5. For threaded fasteners: Verify use of proper installation equipment. Verify use of pre-drilled holes where required. Inspect screws, including diameter, length, head type, spacing, installation angle, and depth.
e. Inspect mass timber connections with adhesive anchors installed in a horizontal or upward orientation.	Continuous	SI	Table 1705A.5.3, Item 3.2
f. Inspect application of sealants or adhesives applied to mass timber elements.	Periodic	SI	1705A.20

W3. OTHER WOOD

		Test or Special Inspection	Type	Performed By	Code References and Notes

OTHER

X1. OTHER

	Test or Special Inspection	Type	Performed By	Code References and Notes
	a. Load Test for Identified Product(s):	Test	LOR	1709A.2, 1709A.3. Testing is not required for: 1) a product with a valid evaluation service report per DSA IR A-5, or 2) a product that can be justified by structural calculation.
	b. Installation torque for non-HS bolts.	Continuous	SI*	Applicable to communication towers identified as Essential Service Facility Projects (ESFP). Calibrated wrench use required, verified by SI during installation. during installation. DSA Policy PL 18-01: Communication Towers, Poles and Buildings Utilized by State Agencies for Essential Services Communications. *EXCEPTION: Non-ESFP may use PI without need for notification to DSA.

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		Test or Special Inspection	Type	Performed By	Code References and Notes

RECAP

• Soils Testing and Inspection: Geotechnical Verified Report Form DSA 293

• Structural Testing and Inspection: Laboratory Verified Report Form DSA 291

• Concrete Batch Plant Inspection: Laboratory Verified Report Form DSA 291

• Prestressed / Post-Tensioned Concrete Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Precast Concrete Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Shotcrete Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Post-installed Anchors: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Masonry Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Shop Welding Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Field Welding Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• High-Strength Bolt Installation Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Steel Joist Fabrication Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Sprayed Fire-Resistive Material Application Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Mass Timber Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Glu-Lam Wood Fabrication Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

• Wood Truss Fabrication Inspection: Laboratory Verified Report Form DSA 291 , or, for independently contracting SI, Special Inspection Verified Report Form DSA 292

listOfVerifiedReportName

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Form Number

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AgencyName

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Prefill Status

Form Data Id

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Other text

Error Description

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DSA 103-22

PROJECT INFORMATION

TEST OR SPECIAL INSPECTION

SOILS

CONCRETE

MASONRY

STEEL/ALUMINUM

WOOD

OTHER

RECAP

WORK EXEMPT