Form :

RELEASE FOR CONCRETE No :

PLACEMENT CHECKLIST
Revision :
CONTRACTOR : PROJECT :
AREA / REFERENCE : DRAWING No :
DESCRIPTION : Civil Work SPECIFICATION :
QA/QC DEPARTMENT : REPORT No. :
DATE : REV : 0
ITEM
No. CHECKLIST DECRIPTION YES NO N/A

1 Excavation and bedding

2 Alignment and orientation correct
3 Surface preparation and clean line acceptable
4 Form work is plumb Straight & complete
5 Shoring / re-shoring is acceptable
6 Blinding level is correct
7 Pile head treatment
8 Water proof membrane is installed correctly
9 Joints and weep holes
10 Reinforcing steel installation correct :
· size
· quantity
· clearance
· laps
11 VIBRATION & CURING DETAILS
Vibrator Acceptable
Desing Level Correct
Curing Mothe Correct
12 Mechanical / electrical embedments correct
13 Curring facilities, requirements
First Inspections Second Inspections Third Inspections (Tick Box)
REMARKS / EXCEPTIONS :

(Please refer to the applicable ITP for Respective Inspection Parties required)
Prepared, By
Construction Department
Date : Name Signature
Distribution : Client Commissioning System Ref :
Form Effective Date :
1.1
 CHECKLIST AFTER CONCRETE PLACEMENT INSPECTION
REPORT
Owner : Description :
Contractor : Drawing No. :
Project Title : Checklist No. :
Project No. : Revision :
Area : Date :
INSPECTION ITEM YES NO N/A

Revision Drawing
Alignment & Orientation Correct
Component Item
Detail Specification
Quantity
Installation System Correct
Design Level Correct
Surface Preparation & Clean Line Acceptable
Identification Marking Correct
DIMENSION : Acc Reject MEASUREMENT & DISTANCE Acc Reject N/A
Size All Dimension
Opening & Box Out
Steel Plate & Embedded
Pipe Sleeve
Corbel
Bundel Bars
Starter Bars
Lifting Hook
Lifting Pipe

FIRST INSPECTION SECOND INSPECTION THIRD INSPECTION

REMARKS/EXCEPTION :

Prepared, By
Construction Department
Date : Name Signature
1.2