Pre Concrete Checklist

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Document Number

KAMOA COPPER SA KC-CON-CIV-CL-04


Revision Number
QUALITY MANAGEMENT SYSTEM 01
Page Number
PRE-CONCRETE INSPECTION 1 of 1
Contract No: Date of Concrete Cast:
Structure / Member / Description: Method of placing:
Area / Section Method of Curing:
Drawing Number Drawing Rev. Number
Concrete Class / Mix Design - Mpa Concrete Quantity: m³
Checked by (Sign)
# Item to be checked COMMENTS
CONTRACTOR KCSA SUPERVISOR
1 Latest Rev. Drawing
Survey Control
2 Position
Level
Reinforcing
Cover _________ mm
3 Cover Blocks PVC/Con
Size and Spacing Bars
Splice lengths
Formwork
Positioning
Dimension (l x b x ht)
Line and Level (plumb/ slope)
4 Finish
Box-outs
Corner Fillet
Clean and oiled
Support work
Access is into & out of is safe
Cast in Items
HD Bolts
Position
5 Type & size _________ mm
Projection _________ mm
Number _________ No
Fastening/Template
Slump required
6
Actual Slump
Joints
Type
7
Position
Preparation
8 Finishing requirements:
9 Area Made Safe
10 Cubes Required:
11 No. of sets:
APPROVAL FOR CONCRETE POUR
NAME DESIGNATION SIGNATURE DATE

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