Name of the Company

PROJECT QUALITY PLAN QUALITY MANAGEMENT

Area Grid Member Quantity of Concrete
A:--1: Reinforcement is cleaned 2: Conformation of drawing 3: Binding / welding

FORMAT NO.

Block .. CONCRETE POUR CARD

Date :

SITE ..

: : : :
Yes/ No Yes/ No Yes/ No

Grade of Concrete :

Drawing No:
5: NO. of Chairs a: b: c: Yes/ No

6:Coverblock provided :

Dia of steel.
4: No. of Laps in a: b: c:

Checked

Certified

B:-Staging and Formwork

1: Staging Checked 2:Formwork to a Line : a:Level : b:Plumb : Yes / No Yes / No 3:Formwork free of Holes an Gaps 4:Shuttering Oil Applied Yes / No Yes / No

Checked

Certified

C:

Preparation of Construction joint

Yes / No

1:Prepared and Cleaned for Concreteing

D:-- Remarks
Before Pouring

After Pouring

Signature of Site Engineer

Sign. Of QC/BILL Eng

Sign of consultant/Clinte

C.M/P . M