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Concrete Pouring Request: General Information

This concrete pouring request document provides details for a planned concrete pour, including the date, location, supplier, and inspection checklist items. It lists the type of structure, concrete strength, and maximum aggregate size. Pre-pour inspections of items like the foundation, rebar, and embedments are checked off. Planned and actual pouring dates, times, volumes are recorded. The request is signed off by the project manager, safety engineer, QA/QC manager, and safety engineer.

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442 views3 pages

Concrete Pouring Request: General Information

This concrete pouring request document provides details for a planned concrete pour, including the date, location, supplier, and inspection checklist items. It lists the type of structure, concrete strength, and maximum aggregate size. Pre-pour inspections of items like the foundation, rebar, and embedments are checked off. Planned and actual pouring dates, times, volumes are recorded. The request is signed off by the project manager, safety engineer, QA/QC manager, and safety engineer.

Uploaded by

g3neps
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CONCRETE POURING REQUEST

Date:
Location:
Level:
Supplier:
Batchplant:

General Information
Type of structure:
Concrete Strenght:
Max size of aggr.:
Slump:

Pre-pouring inspection checklist


Item for inspection Site Engr. QA/QC Remarks
1. Line and Grade
2. Sub-base preparation/foundation fill
3. Gravel Bed
4. Lean Concrete
5. Waterproofing/water stop
6. Rebars
7. Formworks
8. Electrical Embedment/Blockout
9. Mechanical Embedment/Blockout
10. Sanitary Embedment/Blockout
11. Fire Protection Embedment/Blockout
12. Architectural Embedment/Blockout

Pouring Statistics
Schedule Pouring Date: Actual Pouring Date:
Schedule Pouring Time: Actual Pouring Time:
Scheduled Completion Time: Actual Completion Time:
Estimated Volume(cu.m): Actual Volume (cu.m):
(as per plan) (poured)

Approve by:
Construction Project Manager safety Engineer

signed over printed name signed over printed name


CONCRETE POURING REQUEST

Date:
Location:
Level:
Supplier:
Batchplant:

General Information
Type of structure:
Concrete Strenght:
Max size of aggr.:
Slump:

Pre-pouring inspection checklist


Item for inspection Site Engr. QA/QC Remarks
1. Line and Grade
2. Sub-base preparation/foundation fill
3. Gravel Bed
4. Lean Concrete
5. Waterproofing/water stop
6. Rebars
7. Formworks
8. Electrical Embedment/Blockout
9. Mechanical Embedment/Blockout
10. Sanitary Embedment/Blockout
11. Fire Protection Embedment/Blockout
12. Architectural Embedment/Blockout

Pouring Statistics
Schedule Pouring Date: Actual Pouring Date:
Schedule Pouring Time: Actual Pouring Time:
Scheduled Completion Time: Actual Completion Time:
Estimated Volume(cu.m): Actual Volume (cu.m):
(as per plan) (poured)

Requested by:
Construction Project Manager Safety Engineer

signed over printed name signed over printed name

Approved by:
QA/QC Manager Safety Engineer
signed over printed name signed over printed name

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