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Pre-Concrete Inspection Checklist Form

This document is a pre-concrete inspection checklist used to verify that all necessary preparations have been made before pouring concrete. It lists items in 6 categories: forms, rebar, sub-foundation, embedments, miscellaneous, and concrete specifications. The inspector uses the checklist to ensure things like formwork, rebar placement, pile compaction, anchor bolts, and concrete mix design meet project requirements before the pour. Upon completion of the inspection, the subcontractor, TAS representative, and PGN sign off to confirm the site is ready for concrete.

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1K views1 page

Pre-Concrete Inspection Checklist Form

This document is a pre-concrete inspection checklist used to verify that all necessary preparations have been made before pouring concrete. It lists items in 6 categories: forms, rebar, sub-foundation, embedments, miscellaneous, and concrete specifications. The inspector uses the checklist to ensure things like formwork, rebar placement, pile compaction, anchor bolts, and concrete mix design meet project requirements before the pour. Upon completion of the inspection, the subcontractor, TAS representative, and PGN sign off to confirm the site is ready for concrete.

Uploaded by

zainal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
  • Inspection Checklist Overview

PRE - CONCRETE INSPECTION CHECK LIST

Concrete Structure/Location : ___________________________________ Equipment/Structural Steel Drawing No. _______________________


Referenced Drawings : ________________________________________ U/G Electrical Drawing No. ________________________________
Concrete Rebar & Embed. Drawings No. __________________________ U/G Mechanical Drawing No. ______________________________

1. Forms 3. Sub-Foundation 5. Misc.

Survey Checked Piles Keyways


Orientation Compaction Blockouts
Location (Coord) Cleanliness Surface Roughened
Size Moisture Bonding Agent
Elevation Blinding Layer Type of Finish
Clean and Oiled Elevation Sets/Test Specimen
Chamfer U/G Mech. & Elect. Hot/Cold Weather Protection
Straight, Level, Plumb Joints
Adequate Bracing Special Placing Equip. Required
(Tremies, Pumps, Form Vibrators Screeds)
1. Re-Bar 4. Embedments Leakage System In Place
Grade Anchor Bolts (Diameter, Length, Type) Finished Slope
Size Anchor Bolts (Location, Projection)
Splices Per Survey Book
Spacing Anchor Bolt Sleeves
Clearance Anchor Bolt Grounding
Cleanliness Thread Projection
Adequate Support Weld Pads
Angle Iron
Inserts
Pipes
Conduits
Ground Wire/Earthing
Water Stop

6. Order Concrete To the Following Specifications:


Mix Design Quantity
Max. Aggregate Size Delivery Per Hour
Slump No. Of Test Cylinders/Set
Admixtures No. Sets Required

Remarks _______________________________________________________________________________________________

Subcontractor TAS PGN

Name : Name : Name :

Signature : Signature : Signature :

Date : Date : Date :

FORM : QA/QC - CV - PCI - 025

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