INSPECTION REQUEST FORM FOR GROUTING WORKS

Unless otherwise approved,this inspection request form shall be submitted during the daily morning meeting among LTA,Contractor and QP(S) Contractor: SAMWOH CORPORATION PTE LTD SK E&C To: LTA Project:

NO:

ER296-CONSTRUCTION AND COMPLECTION OF SENTOSA GATEWAY TUNNEL FROM TELOK BLANGAH ROAD TO KEPPEL ROAD / KAMPONG BAHRU ROAD/ LOWER DELTA ROAD AND ASSOCIATED ROAD WIDENING WORKS INTERCHANGE

Date: Time:

The work described below has been inspected by our Site Engineer and is complete and ready for your inspection. A checklist is attached overleaf. Location Checked and Requested By: Chainage Activity Drawings Used for Construction Other Description Contractor's PM Name & Signature

The meeting noted that the information provided by the Contractor is adequate/not adequate*. QP(S) may proceed * delete where appropriate Request Rejected

INITIAL INSPECTION DECISION BY QP(S)

We have inspected the above referenced works and found them acceptable. You may proceed. However, please return the completed checklist upon completion of the remaining work. You cannot proceed. Please carry out corrective works as noted on the checklist and submit a fresh request for inspection. Other comments:

RE/RTO Name & Signature/ Date

FINAL INSPECTION BY QP(S)

_______________________________________ QP(S) Name & Signature/Date

Work approved to Start:_________________________ LTA

Work Completed on:________________________

The above process for request for inspection of work by Contractor and approval by QP(S) in noted.

LTA's representative/Date/Time

CHECKLIST FOR GROUTING WORK

Date/Time:
S/No 1

No.

Location:
Description of Works

chainage:
Checked by Contractor Confirmed by QP(S)

Check before commencement of grouting 1.1 Ensure minimum grout strenght achieved by trial/design mix 1.2 Clean ducts by blowing through with water and followed by compressed air 1.3 Ensure vents are clear,clean and can be properly closed 1.4 All Anchorage sealed to prevent loss of pressure during grouting 1.5 Equipment in working order and reserve mixing and pumping equipment available as a standby. 1.6 Correct design mix and sequence of adding constituents,mixing time and speed of agitator noted.

Check during grouting: 2.1 Check grouting pressure 2.2 Check filter for grout 2.3 Check leakages 2.4 Check quantity of grout used and time that elapses before emerging from vent holes 2.5 Take test cubes No. of sets : Reference:

Check during grouting: 3.1 All vent holes and opening properly sealed and permanent

4 5

Check suffcient temporary traffic devices if lane closure is required Others