QC-CVL-201
NEW CRUSHING PLANT PROJECT
PRE POURING CONCRETE INSPECTION RECORD
Area / Building Name/Foundation : Date :
Part / Location : Report Doc/No. :
Reference Drawing / spec : Ref. Code/Std. :
RESULT RESULT
YES NO NA FORMS YES NO NA REBAR
SURVEY CHECKED GRADE
ORIENTATION SIZE
LOCATION (COORD) SPLICES
SIZE / DIMENSION SPACING
ELEVATION BEND/HOOK
CLEAN AND OILED CLEANLINESS
CHAMFER/ GRADE/ POUR-STRIP CONCRETE COVER
STRAIGHT,LEVEL,PLUMB
ADEQUATE BRACING/SHORING/ TIES SUB FOUNDATION
EMBEDMENTS PILES/PHT
COMPACTION
SURVEY CHECKED CLEANLINESS
EMBEDDED PARTS (LOCATION,PROJECTION) MOISTURE
EMBEDDED PARTS (DIAMETER,LENGTH ,TYPE) LEAN CONCRETE
ANCHOR BOLTS (LOCATION,PROJECTION) ELEVATION
ANCHOR BOLTS (DIAMETER,LENGTH ,TYPE) U/G MECH & ELECT
STEEL PLATE
STEEL ANGLE MISC
CONDUITS
WATER STOP BLOCKUTS
SURFACE ROUGHENED/CH
BONDING AGENT
ORDER CONCRETE TO THE FOLLOWING SPECIFICATIONS : HOT/COLD WEATHER PROT
MIX DESIGN : Mpa JOINTS (EXPANTION / CON
QUANTITY : M3 SPECIAL PLACING EQUIP. R
SLUMP : Cm (TREMIES,PUMPS,FORM V
ADMIXTURES : Lt THERMO COUPLE
NO. OF TEST CYLINDER/SET =: Ea
Name Signature Date
Site Engineer / supervisor
QC Engineer
PROJECT MANAGER PT. KBK
Witnessed/Aprroved/Reviewed
QC-CVL-201
E ROUGHENED/CHIPPING
LD WEATHER PROTECTION
EXPANTION / CONSTRUCTION )
PLACING EQUIP. REQUIRED
S,PUMPS,FORM VIBRATORS)
Date & Time
QC-CVL-202
NEW CRUSHING PLANT PROJECT
REINFORCING BAR INSTALLATION INSPECTION RECORD
Area / Building Name/Foundation : Date :
Part / Location : Report Doc/No. :
Reference Drawing / spec : Ref. Code/Std. :
RESULT
No ITEM DESCRIPTION REMARKS
YES NO NA
1 Size/ Number of Bars
2 Bending Radius
3 Spacing between Rebar
4 Lap Length/ Development Length
5 Hook (Extra length/Shape)
6 Stirrup (Shape/ Location/ Pitch/ Hook)
7 Starter Bars (Shape/ Length/ Location)
8 Concrete Cover (Top/ Side/ Bottom)
9 Reinforcing for Opening
10 Column/ Beam (Untorsionality)
11 Quality of Cleaning (no loose rust, oil, paint, dried mortar)
12 Rebar Support for Stability (Wiring/ Chairs/ Spacers)
13 Rebar Grade
14 Splicing (Weld Joint/ Welder Qualification/ Welding Procedure)
15
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16
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Name Signature Date & Tim
Site Engineer / supervisor
Site Engineer / supervisor
QC Engineer
PROJECT MANAGER PT. KBK
Witnessed/Aprroved/Reviewed
QC-CVL-202
REMARKS
Date & Time
QC-CVL-203
NEW CRUSHING PLANT PROJECT
POURING CONCRETE INSPECTION RECORD
Area / Building Name/Foundation : Date :
Part / Location : Report Doc/No. :
Reference Drawing / spec : Ref. Code/Std. :
RESULT
No ITEM DESCRIPTION REMARKS
YES NO NA
A PRE CONCRETE PLACEMENT/ INSPECTION
1 Area is Cleaned and Free from Foreign/Deletenous object
2 Adequate Number of Manpower, Tools, and Equipment
3 Pouring Method is Acceptable
4 Protection against Rain and Hot/Cold Weather Protection
5 Availability of Batching Plant and Mixer Truck
6 Provide Enough Lighting and Power for Night Pours
B CONCRETE PLACEMENT & CONSOLIDATION
7 Concrete Slump Test Taken and Approved
8 Concrete Cylinders Sample was taken
9 Proper Concrete Consolidation/Vibration
C POST CONCRETE PLACEMENT
10 Type/ Method Application of Concrete Curing
11 Timely Application of Concrete Curing
12 Concrete Finish type Accordance with Specs
13 Timely Removal of Formwork
14 Concrete surface in good condition
(Free from Cracks, Segragation , Honey comb)
Name Signature Date & Tim
Site Engineer / supervisor
QC Engineer
PROJECT MANAGER PT. KBK
Witnessed/Aprroved/Reviewed
QC-CVL-203
REMARKS
Date & Time
Report Page
PT. KASONGAN BUMI KENCANA Doc/No Date :
SURVEY DATA REPORT
Project Title : NEW CRUSHING PLANT PROJECT
Item Work : Dimensi actual anchor bolt
Location :
Ref . Drawing : Instrument :
Design Actual DEVIATION
NO Point Keterangan
X Y Z X Y Z X Y Z
Drawing :
Nam Signature Date / Time
Surveyor
Site Engineer / Supervisor
QC Engineer
PTKBK Project Manager
