Inspection Check lists
The following formats are enclosed in Appendix -
CHECK LIST NO DESCRIPTION OF CHECK LIST
_____ / CL / 01 For Clearing, grubbing and dismantling of structures
_____ / CL / 02 For Embankment, subgrade and GSB filling
_____ / CL / 03 For WMM construction
_____ / CL / 04 For Embankment and subgrade testing
_____ / CL / 05 For GSB & WMM testing
_____ / CL / 06 For Prime coat & Tack coat
_____ / CL / 07 For BM / DBM / BC construction
_____ / CL / 08 For Concrete works (PCC & RCC)
_____ / CL / 09 For Deck slab concrete works
_____ / CL / 10 For Masonry works
_____ / CL / 11 For Reinforcement
_____ / CL / 12 For Turfing
_____ / CL / 13 For Post concrete
_____ / CL / 14 For Prestressing works
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____ / CL / 01
Rev. No : 00
CHECK LIST FOR CLEARING & GRUBBING
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
Removal and disposed of trees, shrubs, bushes, stumps, roots,
1
grass, weeds, top organic soil and other rubbish
2 Required excavation carried out
3 Backfill the excavated pits with suitable material
4 Compacted the backfill material properly
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____ / CL / 02
Rev. No : 00
CHECK LIST FOR EMBANKMENT, SUBGRADE & GSB FILLING
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Previous layer approved
2 Material from approved source
3 Material contains deleterious material
4 Material contains over size boulders / stones
5 Layer thickness is as specified
6 Using the approved machinery for spreading
7 Uniform spreading of water
8 OMC is maintained before commencing rolling
9 Level pegs arranged
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/ CL / 03
Rev. No : 00
CHECK LIST FOR WMM FILLING / PREPARATION
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Previous layer approved
2 Material from approved source
3 Material contains sufficient moisture
4 Material contains over size boulders / stones
5 Layer thickness is as specified
6 Using the approved machinery for spreading
7 Level pegs arranged
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____ / CL / 04
Rev. No : 00
CHECK LIST FOR EMBANKMENT / SUBGRADE TESTING
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Found loose surface
2 Found bumping in the surface
3 Toe width is sufficient
4 Sand used for testing as per specification
5 Moisture meter calibrated
6 Sand bulk density and cone calibrated
7 Frequency of the test is as per specification
8 Levels found with in tolerance
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____ / CL / 05
Rev. No : 00
CHECK LIST FOR GSB / WMM TESTING
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Found loose surface
2 Found segregation in the surface
3 Toe width is sufficient
4 Sand used for testing as per specification
5 Moisture meter calibrated
6 Sand bulk density and cone calibrated
7 Frequency of the test is as per specification
8 Levels found with in tolerance
9 Gradation and other lab tests are ok
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____ / CL / 06
Rev. No : 00
CHECK LIST FOR PRIME COAT / TACK COAT
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Previous layer approved
2 Surface cleaned properly before spraying prime coat / Tack coat
3 Lab, equipments available for spray test
4 The surface to be primed shall be free from moisture
5 Weather is foggy, rainy, dusty or windy
6 Rate of spraying is as per calibrated
7 Quantity of spraying as per specification
8 Surface temperature is more than 100C
9 Proper barricading is arranged for traffic management
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____ / CL / 07
Rev. No : 00
CHECK LIST FOR BM / DBM / BC
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Previous layer approved
2 Weather is foggy, rainy, dusty or windy
Tack coat required (if yes follow the check list for Prime / Tack
3
coat)
4 Adequate Machinery available
5 Mix transported to site are covered properly
6 Trip record sheet available
7 Thermometer for recording temperature is available
8 Temperature record sheet available
Survey stakes set out to determine vertical and horizontal control
9
of asphalt layers
10 Found segregation in the surface
11 Are there any cold joints
Are the finish levels of asphalt in conformance with tolerable
12
specification limits
13 Surface regularity test is found OK
14 Samples tested at lab are found OK
15 Cores and Non Destructive tests conducted
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/08
Rev. No : 00
CHECK LIST FOR CONCRETE WORKS (RCC & PCC)
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Concerned drawing available
2 Strata / levels found acceptable
3 Mix and its materials approved
4 Formwork / scaffolding approved
5 Bar bending schedule / Reinforcement approved
6 Adequate cover blocks / chairs / spacers provided
7 Slump found with in the range
8 Required cubes casted
Placing/compaction/finishing/workmanship for concrete found
9
acceptable
10 Pre-stressing sheathing approved
11 Required equipment / lighting/communication provided
12 Concrete conveying arrangement found acceptable
13 Curing arrangement made
14 Safety measures adequate
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/09
Rev. No : 00
CHECK LIST FOR DECK SLAB CONCRETE WORKS
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Concerned drawing available
2 Strata / levels found acceptable
3 Mix and its materials approved
4 Formwork / scaffolding approved
5 Bar bending schedule / Reinforcement approved
6 Adequate cover blocks / chairs / spacers provided
7 Adequate approved strip for expansion joint provided
8 Slump found with in the range
9 Required cubes cast
Placing/compaction/finishing/workmanship for concrete found
10
acceptable
11 Grove cut at expansion joint satisfactory
12 Pre-stressing sheathing approved
13 Required equipment / lighting/communication provided
14 Concrete conveying arrangement found acceptable
15 Curing arrangement made
16 Safety arrangements are adequate
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/10
Rev. No : 00
CHECK LIST FOR MASONRY WORKS
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Concerned drawing available
2 Strata / levels found acceptable
3 Materials approved
4 Size/dressing of stones acceptable
5 Alignment / section as pe drawing
6 Bond / plumb stones provided
7 Workmanship acceptable
8 Mortar mix as per drawing / specification
9 Mortar cube moulds cast
10 Curing arrangement made
11 Necessary scaffolding arranged and safe
12 Monsoon protection to cover masonry available
13 Safety measures adequate
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/11
Rev. No : 00
CHECK LIST FOR REINFORCEMENT
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
1 Concerned drawing available
2 Materials approved
3 Bar bending schedule approved
4 Bar length, diameter as per working drawing and schedule
5 Lap length found satisfactory
6 Corrosion treatment of bars, if required, satisfactory
7 Adequate cover blocks/chairs/spacers provided
8 Bar tied with binding wire rigid and adequate
9 Safety measures are adequate
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/12
Rev. No : 00
CHECK LIST FOR TURFING
Location : Date :
Layer : RFI No. :
Sl. No. Description YES NO NA
Is the slopes to be turfed have been completed to the lines,
1
levels & sloped
2 Is the top soil has been laid
Is the top soil has been loosened and made free from
3
undesirable matter
4 Is the turfing material meets the specification and requirement
5 Is turfing material has been cut not earlier than 24 hours
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/ 14
Rev. No : 00
CHECK LIST FOR POST CONCRETE
Date :
RFI No. :
Location :
Structure :
Segment :
Quantity of concrete poured :
Achieved pouring time :
Date of pour :
Date of side shutter stripped :
Date of soffit shutter stripped :
POSITION / DIMENSIONS
Alignment : Satisfactory / Unsatisfactory
Levels : Satisfactory / Unsatisfactory
Dimensions : Satisfactory / Unsatisfactory
Non-conformance report No. : dated
CURING
Method :
Starting date :
Finishing date :
Checks :
SURFACE DEFECTS No defects/ Minor defects / Major defects
Non-conformance report no. Dated :
CRACKS No cracks/ cracks Date observed :
Nature of cracks : Hairline/ < 0.25 mm / > 0.25 mm
SPALLING No spalling / spalling
Non-conformance report no. Dated :
for cracking / spalling
SKETCH (indicate position / dimensions of crack / spalling)
Inspected by : Date : Signature :
Name : Date : Signature :
Project
Client
IE
Concessionaire
EPC Contractor
Format No : _____/CL/ 14
Rev. No : 00
CHECK LIST FOR PRESTRESSING WORKS
Name & No. of Bridge : Date :
RFI No.
Span No. Element/Grider No. :
Sl. No. Description YES NO NA
1 Tendon profile (Vertical)
2 Tendon profile (Horizontal)
3 Fixing of Anchorages as per drawing
4 Fixing of bursting reinforcement
5 Cut length of strands
6 Gripping length
7 No. of strands per tendon
8 Grout vent
9 Safety measures are adequate
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
Project
Client
IE
Concessionaire
EPC Contractor
QUALITY FOLLOW-UP
TEST RESULTS SUMMARY
Complianc
Test No. Mean SD Max Min
e
Slump (mm) Yes / No
Compressive strength - 7 days
Yes / No
(N/Sq.mm)
Compressive strength - 28 days
Yes / No
(N/Sq.mm)
Flexural strength - 28 days
Yes / No
(for PQC) (N/Sq.mm)
DATA TRANSFER
Date passed to structure records : Yes / No
Inspected by : Reviewed by :
Designation : Designation :
Date : Date :
