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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormPlease provide the following information and return responses to AASHTO.
Provide all applicable supporting documentation requested.
PlantName:
Physical Address:
Mailing Address:(if different from above)
Proprietary OwnershipCompany Name:
Physical Address:
Primary ContactName:Title:
Telephone:Email:
Fax:
ManagementQC Manager:
Plant Manager:2 nd / 3 rd Party Testing If applicable, list any other parties that perform testing for yourfacility:
Page 1 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
Table of Contents
Section 1: Standard Specifications...................................................................................3
Section 2: Size and Type of Material Produced by the Plant........................................5
Section 3: Pipe Identification Markings..........................................................................6
Section 4: Product Information........................................................................................7
Section 5: Sample Reports for Compound and Pipe Testing......................................10
Section 6: Quality Management System (QMS)...........................................................11
Section 7: Signature.........................................................................................................19
Page 2 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormSection 1: Standard Specifications
Auditor Note - Indicate if current versions of the following AASHTO & ASTM standards are available at the plant.
AASHTO ASTMPoly (Vinyl Chloride) (PVC) Profile Wall Drain Pipe and Fittings Based on Controlled Inside Diameter M 304-10
Standard Test Methods for Determining the Izod Pendulum Impact Resistance of Plastics D 256-10
Standard Practice for Conditioning Plastics for Testing D 618-08
Standard Test Method for Tensile Properties of Plastics D 638-10
Standard Test Method for Deflection Temperature of Plastics Under Flexural Load in the Edgewise Position D 648-07
Standard Terminology Relating to Plastics D 883-11
Standard Test Method for Dilute Solution Viscosity of Vinyl Chloride Polymers D 1243-95 (08)
Standard Terminology for Abbreviated Terms Relating to Plastic D 1600-08
Standard Specification for Rigid Poly (Vinyl Chloride) (PVC) Compounds and Chlorinated Ploy (Vinyl Chloride) (CPVC) Compounds
D 1784-11
Standard Test Method for Adequacy of Fusion of Extruded Poly(Vinyl Chloride) (PVC) Pipe and Molded Fittings by Acetone Immersion
D 2152-95 (10)
Standard Test Method for Determining Dimensions of Thermoplastic Pipe and Fittings D 2122-98 (10)
Standard Practice for Underground Installation of Thermoplastic Pipe for Sewers and Other Gravity-Flow Applications D 2321-11
Test Method for Determination of External Loading Characteristics of Plastic Pipe by Parallel-Plate Loading D 2412-11
Test Method for Determination of Impact Resistance of Thermoplastic Pipe and Fittings by Means of a TUP (Falling Weight)
D 2444-99 (10)
Standard Specification for Joints for Drain and Sewer Plastic Pipes Using Flexible Elastomeric Seals D 3212-07
Standard Terminology Relating to Plastic Piping SystemsStandard Specification for Elastomeric Seals (Gaskets) for Joining Plastic Pipe
F 412-09
Comments: None Page 3 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
Company Test Procedures:Please provide hard copies or electronic copies of any company test procedures used at this plant as substitutes for the standard quality control test procedures listed above.
Page 4 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
Section 2: Size and Type of Material Produced by the Plant
Specification M304: Indicate all applicable pipe produced at this location:Size inches [mm] St
4 [100]5 [125]6 [150]7 [175]8 [200]9 [225]10 [250]12 [300]15 [375]18 [450]21 [525]24 [600]27 [673]30 [750]36 [900]42 [1050]48 [1200]
Page 5 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormSection 3: Pipe Identification Markings
Please provide pictures (hard copy or electronic) that illustrate the PVC Pipe identification markings used at this plant.
Page 6 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormSection 4: Product Information
YES
NO
A) General
1) Does the company own plants at other locations?
2) If yes, does each plant have its own unique pipe marking?List other locations: N/A
B) Resin Information
1) How is compound received at the plant? by Railcar by Truckload with Hopper by Truckload of Boxes by Other Method:
If Other Method, Please Describe:
2) Please Describe your Lot Numbering System:3) Are Certificates of Analysis furnished by Manufacturers for each lot of compound?Please identify and describe what blends your facility uses:
Comments: None
Page 7 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
C) Pipe InformationThe following tables include details for quality control testing. Please indicate, for each test shown, whether your facility conducts the test in-house, by a second party facility, or by a third party facility. If the test is conducted by a second party facility or third party facility, please indicate the interval tested as well as the contact information and address for the facility. (The in-house and second parties are the manufacturer and owner agency (DOT), and a third party is an impartial testing facility not under the control or influence of either the manufacturer or owner.)
• QC Test Matrix – M304
Matrix of Quality Control Tests, Facilities, and Intervals (M304)
TEST NAME
Testing Performed: Test Interval:
In-House
By a Second Party
Facility1
By aThird Party
Facility1
M304
Compound Tests:Tensile Strength and Modulus of ElasticityImpact Resistance (Izod)Deflection TemperatureFlammabilityPipe Tests:Wall ThicknessInside DiameterPerforation Locations and DimensionsPipe StiffnessPipe FlatteningImpact Resistance (Tup)Acetone ImmersionSoiltightnessWatertightness
1Names, addresses, and contact information for second and/or third party facilities used:
Page 8 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormC) Continued: Training Information Matrix for Quality Control Testing Conducted In-HousePlease list the names and quality control tests for which they are trained to perform for those individuals conducting quality control testing at the facility: Please include a copy of the training record and competency evaluation record for each employee
listed below.
Com
poun
d T
ests
Tens
ile S
treng
th a
nd
Mod
ulus
of E
last
icity
Impa
ct R
esis
tanc
e (I
zod)
Def
lect
ion
Tem
pera
ture
Flam
mab
ility
Pipe
Tes
ts
Wal
l Thi
ckne
ss
Insi
de D
iam
eter
Perf
orat
ion
Loca
tions
and
D
imen
sion
s
Pipe
Stif
fnes
s
Pipe
Fla
tteni
ng
Low
Tem
pera
ture
Fl
exib
ility
Impa
ct R
esis
tanc
e (T
up)
Ace
tone
Imm
ersi
on
Soilt
ight
ness
Wat
ertig
htne
ss
Personnel
Page 9 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
Page 10 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
Section 5: Sample Reports for Compound and Pipe Testing
*Please provide sample reports representing the following quality control testing:
M304 SpecificationCompound – Tensile Strength and Modulus of Elasticity, Impact Resistance
(Izod), Deflection Temperature , Flammability Pipe – Wall Thickness , Inside Diameter , Perforation Locations and Dimensions ,
Pipe Stiffness , Pipe Flattening , Low Temperature Flexibility , Impact Resistance (Tup), Acetone Immersion , Soiltightness , Watertightness
Page 11 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormSection 6: Quality Management System (QMS)
Please attach supporting documentation for each the following requirements:
YES NOA) Cover Page
1) Does the QMS cover page contain:
a) The Company Name
b) The Company Logo
c) The Date of Latest Revision
B) Organization and Organizational Policies1) Does the QMS include a document indicating the line of authority from the quality
control testing technicians to the quality control manager?C) Quality Mission Statement
1) Does the QMS include a quality mission statement endorsed by the company’s Chief Executive Officer?
Comments:
Page 12 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormYES NO
D) Quality Control of Raw Materials (Compound)1) Does the QMS include procedures for the quality control of compound?
2) Do the procedures:
a) indicate the location of random sampling?
b) describe the method for random sampling?3) Does the method of random sampling include the size of sample and the lot size for the
quality control of compound?4) Does the procedure for the quality control of compound indicate the interval for each
test performed?5) Does the plant conduct any other quality control testing of compound?
If yes, please list:
Comments:
Page 13 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormYES NO
E) Quality Control Inspection and Testing (Pipe)1) Does the QMS include procedures for the inspection and testing of pipe?
2) Do the procedures: a) Require visual inspections of exterior and interior walls for bonding, blowouts, and
workmanship items during production? b) Describe a method for random sampling?3) Does the method of random sampling include the size of sample and the lot size for the
quality control of pipe?4) Does the procedure for the quality control of pipe indicate the interval for each test
performed?5) Does the QMS include an example of a quality control test report form?6) Does the QMS document where fittings and couplings are manufactured, the source of
the components, and the fabrication process used?7) Does the QMS include the process used to assure that all compounds (and 3rd party
components) used to manufacture fittings and couplings meet M304 requirements?8) Does the QMS establish traceability from the fitting or coupling back to the compound
lot used?9) Are the documents that establish traceability of fittings and couplings maintained along
with the inventory?Comments:
Page 14 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormYES NO
F) Training and Competency Evaluation for Quality Control PersonnelTraining1) Does the QMS include procedures used to ensure that the plant’s personnel are trained
to perform all quality control tests?2) Do the procedures indicate that the quality control manager is responsible for the
training program and maintenance of records?Competency Evaluations3) Does the QMS include procedures used to evaluate staff competency to ensure that
each quality control test is performed in accordance with standard procedures?4) Do the procedures: a) indicate that the evaluations are conducted at least annually and / or whenever there
is a change in procedures? b) indicate that the quality control manager is responsible for evaluating staff
competency and maintaining records?G) Statistical Analysis of Test Results
1) Does the QMS include a document describing the statistical process control plan?2) Does the plan include methods such as control charts to monitor production facility
quality control test results to identify trends and make production adjustments as necessary?
Comments:
Page 15 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormYES NO
H) Resolution of Non-Conforming Product or Test Results1) Does the QMS include provisions for resolving non-conforming product or test results?
2) Do the provisions require that a test report clearly identify the deficiencies?3) Do the provisions require that product produced subsequent to the deficiency will be
quarantined pending an investigation of the failure?4) Does the investigation include:
a) Obtaining and testing check samples?
b) If check sample meets requirements, reasons for original failure documented?
c) After reasons are documented, is the quarantined material released?
d) If check sample fails requirements, corrective action taken?
e) Corrective action noted on test report?
f) A second sample taken to verify the deficiency has been corrected? g) If second sample fails, is a process for correcting the deficiency defined in the
QMS?5) Does the QMS require that test reports indicate the action taken to resolve compound
or product failures?I) Retention of Test Results and Product Traceability
1) Does the QMS include a process for storing quality control test reports?
2) Does the process: a) include an identification in such a way that the test results for any pipe can be
located including the test results for the resin used to manufacture the pipe? b) include an identification of the location of the quality control test reports?
Comments:
Page 16 of 19
REV 18 – 11/11
AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormYES NO
J) Records Retention1) Does the QMS include requirements for records retention?
2) Do the requirements indicate the following documents be retained for at least 5 years:
a) NTPEP audit documentation?
b) Compound test reports (QC of Raw Material)?
c) Pipe test reports (QC of Product)?
d) Training and Competency Records
e) Equipment calibration / standardization / checks?
f) Internal Audits?
K) Quality Control Testing Facilities1) Does the QMS include requirements for the quality control testing facilities?
2) Do the requirements indicate that: a) There is a description of how QC responsibilities are covered at all times, including
when the QC manager is away from the plant for any reason? b) The quality control manager be responsible for quality control testing at all facilities
and shall assure that all sampling and testing is done by technicians meeting the requirements of manufacturer’s technician qualification program as described in the quality system manual?
c) The facilities shall maintain current versions of all AASHTO, ASTM, and Company Test Procedures for all tests performed and a current version of the company’s quality system manual?
d) The testing equipment shall be calibrated/verified in accordance with the equipment manufacturer’s recommendations at least once every 12 months by personnel customarily involved in such work as documented in the quality system manual?
e) All testing facility equipment shall be properly maintained and maintenance activities shall be documented?
f) The testing facility shall maintain records of all NTPEP reviews and actions taken to resolve any note deficiencies?
g) Records of equipment calibration, verification, and maintenance will be retained and available to the NTPEP for review upon request?
Comments:
Page 17 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
YES NO
L) Lab Equipment List1) Does the QMS include a list(s) giving a general description of physical and chemical
test equipment requiring calibration, standardization, or checks?2) Does the list include:
a) The interval between calibration, standardization, or checks?
b) A reference to calibration, standardization, or check procedures?
c) An identification of the location of calibration, standardization, or check records?
M) Lab Equipment Plan1) Does the QMS include procedures for ensuring that equipment standardizations and
checks are performed for all required equipment at specified intervals?2) Do the procedures include: a) How to handle equipment which is newly acquired, removed from service, or does
not meet accuracy requirements? b) In-house equipment standardization and check procedures, when they cannot be
referenced in applicable standards? c) Certificates or other documents that establish traceability of in-house equipment or
reference standards used for standardization and checks?
N) Lab Equipment Maintenance1) Does the QMS include procedures for ensuring that equipment maintenance is
performed for all required equipment at specified intervals?2) Do the procedures indicate: a) The position(s) or employee(s) responsible for ensuring the maintenance is
performed? b) How the maintenance is documented?
c) The location of maintenance records?
O) Marking, Storage, Shipping, and Handling of Finished Pipe1) Does the QMS include procedures for marking, storing, shipping, and handling of
finished pipe?Comments:
Page 18 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application Form
YES NO
P) Internal Audits1) Does the QMS include procedures for performing internal quality audits?Note – the audit may be performed by an independent auditor provided all the activities
listed under 2) are covered.2) Do the procedures include:
a) an evaluation of plant inspection?
b) an inspection of testing equipment and calibrations?
c) an observation of compound sampling and lot control procedures?
d) an observation of pipe sampling and testing procedures?
e) a review of the product certification procedures
f) a review of nonconforming product documentation and actions taken?
3) Are the results of the audit documented?
4) Is the most recent report included in the quality manual?
Q) List of Plants, Quality Control Testing Facilities, and Technicians1) Are the addresses and telephone numbers of all plants and quality control testing
facilities included in the QMS?2) Are the quality control contacts for each facility identified?
Comments:
Page 19 of 19
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AASHTO’s National Transportation Product Evaluation Program (NTPEP)Evaluation Program for Plants Producing
PVC Pipe
Pre-Audit Application FormPlease provide any additional information or comments you would like the auditor to be aware of in the following table.
S) Optional CommentsComments:
Section 7: SignatureSignature: Date:
I certify that all responses are truthful and accurate.
Name: Title:
Plant Name: Location (City, State):
Page 20 of 19
REV 18 – 11/11