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