Quality of cast-in-place foundation applications, including Augered-Cast-in-Place (ACIP) piles and Drilled Shafts (particularly those cast under slurry) is greatly dependent upon the practices of the site personnel. Due to the installation techniques used to install these elements, it is usually not possible to inspect the hole through any Non-Destructive Test (NDT) method prior to grout or concrete placement, but there are several NDT methods available to indirectly assess the integrity of these completed elements. This paper will compare several NDT methods with the method of Thermal Integrity Profiling (TIP) for confirming integrity in ACIP piles and drilled shafts. The TIP method evaluates the integrity over 100% of the element cross section by measuring the hydration temperature during the early curing of the grout/concrete along the length of the element. The temperature measurements are typically concluded within 4 to 48 hours after placement, thus accelerating construction. For the generally small diameter ACIP piles, meaningful measurements often can be at as little as 4 to 8 hours after casting. The use of TIP in ACIP piles and Drilled Shafts can effectively overcome several limitations inherent in other NDT methods. Thermal Integrity Profiling will be described and several examples will be presented where TIP testing was used to confirm the structural integrity of ACIP piles and Drilled Shafts.