G
Guest

Method Statement: Firestop Mortar Sealing of Non-Combustible Metal Pipe Penetrations (with Insulation Continuity and Sleeve Provision) inspection and test plan example.

Inspection and Test Plan for Method Statement: Firestop Mortar Sealing of Non-Combustible Metal Pipe Penetrations (with Insulation Continuity and Sleeve Provision)

AI-assisted inspection and test plan connected to a method statement, with PDF and Excel export.

Published 12 Jun 2026 Rev. 00 2 views
About this ITP: Defines inspections, tests, acceptance criteria, and records for installing firestop mortar seals to metal pipe penetrations. Includes a hold point before covering.

More than a static template

Unlike a downloadable Word or PDF template, this ITP is an AI-assisted editable starting point directly connected to its method statement. Every inspection activity, hold point, and acceptance criterion is structured and ready to adapt to your project.

  • AI-assisted customization — Tailor inspection activities and acceptance criteria to your specific project scope.
  • Linked method statement — This ITP is connected to the corresponding method statement describing the work sequence.
  • Multiple export formats — Download as a formatted PDF or editable Excel spreadsheet.
  • Editable starting point, not a final document — Review and verify all content against your project specifications and standards before use.

What you can customize

When you save this ITP to your account, every inspection row becomes editable. You can add, remove, or modify:

  • Inspection activity — Description of what is being inspected.
  • Inspection type — Hold point (H), Witness point (W), Review (R), or Monitor (M).
  • Responsibility — Contractor, subcontractor, engineer, or client.
  • Frequency — How often the inspection occurs.
  • Acceptance criteria — Referenced standard or specification requirement.
  • Records — Forms, test reports, or checklists required as evidence.

Why this ITP is used

To ensure every penetration firestop installation matches a tested system and achieves the specified fire-resistance rating with full traceability.

Who uses this inspection and test plan

QA/QC engineers, site engineers, certified installers, HSE officers, and the Consultant/AHJ for verification and acceptance.

When this ITP is prepared and submitted

Applied for first-of-kind mock-ups and for every production installation, with a mandatory hold point prior to concealment.

Who receives or approves this ITP

Consultant/Engineer and, where required, the Authority Having Jurisdiction (AHJ).

Inspection scope

Verification of approved system, substrate condition, annular space, backing/supports, mixing ratios, mortar depth/finish, combustible clearance, labeling, and documentation.

Typical hold, witness, and review points

Hold: After mortar placement and finish, before covering. Witness: First-of-kind mock-up and initial production batch.

Typical inspection records

ITP checklists, penetration register, measurement and photo records, batch/mix logs, material certificates, labels, and approvals.

Important approval note

This ITP is an AI-assisted editable starting point, not a pre-approved document. Before use on any project, all inspection activities, hold points, and acceptance criteria must be reviewed and approved by the relevant parties (superintendent, principal contractor, or client representative) in accordance with your contract and project quality plan.

Always verify acceptance criteria against your applicable drawings, specifications, and regulatory requirements. Hold points must be confirmed with the relevant authority before work proceeds past that point.

Inspection and test plan

Activity Inspection / Test Acceptance Criteria Responsibility Record
Pre-works verification Check approved UL/ETA system vs field condition; verify host assembly rating; verify pipe material/size/insulation. Exact match to approved listing; deviations resolved by RFI. QA/QC Engineer ITP form; submittal approval; photos
Opening and surface preparation Cleanliness and pre-damp condition (SSD) of concrete/CMU; edges sound. Dust-free; no loose material; slightly damp, no standing water. Site Engineer / QA-QC Checklist; photo record
Sleeve installation (if applicable) Measure annular space, alignment, sleeve gauge, projection/flush condition. Annular gap within listing tolerance (typ. 10–25 mm) [Verify]; sleeve stable. QA/QC Engineer Measurement sheet; photos
Backing/support installation Verify mineral wool density, thickness, compression; mesh/lath fixing @ ≤400 mm c/c for floors/large voids. Continuous backing; correct compression; supports adequate. QA/QC Engineer Checklist; photos
Insulation continuity/combustible setback Check removal distance of combustible insulation and reinstatement with non-combustible; vapor barrier continuity plan. Setback distance per listing (typ. ≥200 mm each side) [Verify]; thickness matched; clean termination. QA/QC Engineer Photo; material certs
Mortar mixing Witness water ratio, mixing time, pot life; ambient temp record. Within TDS limits; workable mix; no retempering. QA/QC Engineer Batch/mix log
Mortar placement and depth Measure mortar depth and full contact; check around pipe 360°; finish quality. Min depth per listing (typ. ≥100 mm) [Verify]; no voids/cracks; flush finish unless specified. Consultant (Hold) / QA-QC Photos with depth gauge; ITP sign-off
Clearance to combustible materials Measure distance to unrelated combustibles. ≥50 mm unless listing allows otherwise [Verify]. QA/QC Engineer Checklist; photo with scale
Labeling and documentation Verify permanent label content; update register; compile records. Label complete and durable; register updated; all photos/batch logs filed. QA/QC Engineer Penetration register; label photo
Final inspection after curing and reinstatement Check for cracks/voids post-cure; confirm insulation/jacketing reinstated without damaging seal. No defects; continuity achieved; system visible where required. Consultant / QA-QC Final inspection report; as-built

This table is a read-only public reference. Download the PDF or Excel version, or customize this ITP to edit it for your project.

Frequently asked questions

Check 100% of the first 10 penetrations of each type, then at least 25% per shift; revert to 100% upon any nonconformance.

QA/QC prepares and the Consultant/Engineer witnesses/signs prior to any concealment, per the ITP and contract requirements.

Related method statement

This Inspection and Test Plan is associated with the Method Statement: Firestop Mortar Sealing of Non-Combustible Metal Pipe Penetrations (with Insulation Continuity and Sleeve Provision) method statement, which describes the step-by-step construction sequence, resources, materials, equipment, safety controls, and environmental controls for this activity.

View the Method Statement: Firestop Mortar Sealing of Non-Combustible Metal Pipe Penetrations (with Insulation Continuity and Sleeve Provision) method statement →

Related resources