T/L 275 KV PAYAKUMBUH - GARUDA SAKTI SECTION 01

CONTRACT NO. 010/PJ/DAN.02.02/UIPSBT/2018 TANGGAL 17 AP

FOUNDATION FINAL INSPECTION

TOWER NUMBER : FOUNDATION TYPE :

DRAWING NO :
MARK CONCRETE TEST CUBES
LEG LEG EXT. STUB EXT. CAP EXT. LENGTH STUB CLEATS/LEG
STUB PAD

MEASUREMENT BACK TO BACK LEVEL STUB

LEG TO LEG (ON TOP OF STUB)
LEG LEVEL (MM)
DESIGN (MM) ACTUAL (MM)

A-B A

B-C B

C-D C

A-D D

A-C

B-D
 MEASUREMENT BACK TO BACK
LEG TO LEG (ON BOTTOM OF STUB) GROUNDING DIPASANG DI LEG
DESIGN (MM) ACTUAL (MM)

A-B GROUNDING ROD A

B-C GROUNDING ROD C

C-D

A-D

A-C

B-D

EXCAVATION DIMENSION GRAVEL PROPERTY & SIZE

DIAMETER REBARS SAND PROPERTY
QUANTITIES REBARS CONCR HOMOGENITY
POSITION REBARS WATER/CEMENT RATIO
DEPTH REBARS CONCRETE DIMENSION
*) if correctly y (es) ; if not correct n (o) + make at bottom of the worsheet

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KUMBUH - GARUDA SAKTI SECTION 01
AN.02.02/UIPSBT/2018 TANGGAL 17 APRIL 2018

UNDATION FINAL INSPECTION

E: DATE :

LINE DIRECTION

T:
CONCRETE TEST CUBES
CHIMNEY

T:

LEVEL STUB
SLOPE FOR 1 REMARK DIFF + Or
DIFF + Or (MM)
M HIHG (MM)
 GROUNDING DIPASANG DI LEG

GROUND WATER LEVEL

(FROM TOP SOIL)
……………………..

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 DATE OF FOUNDATION WORKS
LEG PART EXCAVATION CONCRETING BACKFILLING

PAD
A

CHY

PAD
B

CHY

PAD
C

CHY

PAD
D

CHY

REMARK : (Sloop of the works due to land owner problems, landslide, retaining wall*) from ebove ect.
NOTE :
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NAME AND SIGN OF INSPECTION
 PT. REKADAYA ELETRIKA PT. PLN (PERSERO) PUSMANPRO
RECORD NO : REV:

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WORKS
BACKFILLING

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ME AND SIGN OF INSPECTION
 PT. PLN (PERSERO) UPPJ SUMBAR
DATE :

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