CHECKLIST FOR DESIGN REVIEW, AND INSPECTION OF FALSEWORK AND SHORING

JOB NAME

PROJECT MANAGER/SUPERINTENDENT
DESIGN AND REVIEW REQUIRED BEFORE CONSTRUCTION INSPECTIONS REQUIRED BEFORE LOADING

LOCATION / DISCRIPTION

CLASSIFICATION
(Conventional, Moderate Risk, High Risk)

DESIGNER
(Name/Firm)

DESIGNER REVIEW
(Name/Firm)

INSPECTIONS (Initial and Date When Complete)

JOB SUPT
Name

CHK CHK DESIGNER INT INT

*Project Manager / Superintendent is to submit the plan for Design, Design Review and the Designated Inspectors to the District Manager for approval

AND SHORING

Page ____ of ____

QUIRED BEFORE LOADING

al and Date When Complete)

DESIGNER REVIEWER

CHK INT

DM or ADM Appr.

nager for approval