Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar, 44000 Kuala Kubu Bharu, Hulu Selangor, Selangor

SRIPELANGI CONSTRUCTION SDN BHD PROJECT: CADANGAN MEMBINA DAN MENYIAPKAN
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar, MAKTAB RENDAH SAINS MARA (MRSM)
44000 Kuala Kubu Bharu, DI MUKIM SG. PANJANG, DAERAH SABAK
Hulu Selangor, Selangor. BERNAM, SELANGOR DARUL EHSAN.
REQUEST FOR INSPECTION FORM C&S
To : Ref. No :
Attention : Date :
Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time :
The following works are/will be ready for inspection at (time) on (date)
INSPECTION FORM FOR EARTHWORK

Location
Block : Structure/
Zone / grideline : Element :
Level :
NO INSPECTION ITEMS OK NOT N/A REMARK
1 Obtain Pre-comp Plan

2 Setting out
3 Ensure Correctness of TBM
4 Excavation
5 Back filling
6 Compaction
7 Field Density test
8 Final Level
9 Joint Survey with consultant
10 Plotting of As-Built Drawing
Inspection response : Remarks:
Inspection passed, works are allowed to proceed
Remedial work listed to be carried out. No further Inspection Required
Remedial work listed to be carried out. Re-inspection required

Contractor's rep C&S RE / COW
Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
Time : Date : Time : Date
INSPECTION FORM FOR EARTHWORK TO SLOPES

Location
Block : Structure/
Level :
1 Mobilization & demolisation

2 Survey works & as-built drawings
3 Cut to the required platform level including the formation of slopes
where required.
4 Fill to the required platform level including the formation of slopes
where required.
5 Removal of surplus earth to within site.
6 Close turfing to slopes.
7 Demolish any existing structure on site.
8 V-shape drain
9 New brick sump
10 Cascade drain

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR P.C. CULVERT DRAINAGE

Location
Block : Structure/
Level :
1 Approval material
2 Size / dimension
3 Visual Inspection
4 Install / laying of pipe culvert
a) base-lean base
b) level a gradient in order
c) alignment in order
d) concrete surround
e) joint connection
5 Backfilling
a) backfill material
b) compaction

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR PC DRAIN COVER

Location
Block : Structure/
Level :
1 Thickness of PC Slab
2 Size
3 Setting out
4 Final level

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM SEWER PIPE INSTALLATION

Location
Block : Structure/
Level :
1 Material
2 Class
3 Laying
a) Excavation
b) Bending
c) Alignment
d) Gradient
e) Level
f) Jointing
g) Testing
4 Back Filling
a) Approved material
b) Compaction

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR SEWER MAN HOLE

Location
Block : Structure/
Level :
1 P.C Manhole / Brick manhole

2 Approved Material
3 Internal Alumina render
4 150mm Concrete Encasement
5 Provision for further sewer connection
6 Dimension
7 Setting out
a) Location
b) Level
8 Base
9 Stainless steel manhole cover
10 Stainless steel step iron

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR ROAD WORK

Location
Block : Structure/
Level :

(Premix work)
1 PRIME COAT
Surface preparation
a) Clean
b) Dry
Rate application
2 TAKE COAT
Surface preparation
a) Clean
b) Dry
Rate application
3 BINDER COURSE
b) Compaction
c) Thickness
4 WEARING COURSE
b) Compaction
c) Thickness
5 FINISH ROAD LEVEL

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR ROAD WORK

Location
Block : Structure/
Level :
(Prior to Premix work)

1 SUB GRADE FORMATION
a) Cutting / Backfilling
b) Trimming / level
c) Compaction
d) Clean material
2 SUB - BASE
b) Compaction
c) Thickness
3 BASE COURSE
b) Compaction
c) Thickness

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR WATER RECTICULATION PIPE INSTALLATION

Location
Block : Structure/
Level :
1 Material
2 Class
3 Laying
a) Excavation
b) Bedding
c) Alignment
d) Gradient
e) Level
f) Jointing
g) Testing
4 Back Filling
b) Compaction

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CONCRETE REPLACEMENT CHECKLIST

Location
Block : Date
Zone / grideline : Estimated :
Conc Vol : m³
Level : Grade :
Structure / Element : Pour date/time :
NO ITEMS TO BE CHECKED BEFORE APPROVAL IS GIVEN Signature & Date

1 Setting out and alignment Contractor Consultant
2 Foundation (Clean up or compaction)
3 Forms - clean up or coatings (oil or sealer)
4 Foam insulation in place
5 Steel reinforcement
6 Waterstop
7 Metal tiles & anchorages
8 Equipment embedments (anchor bolts, etc)
9 Polythene sheeting in-place (paving)
10 Anti-termite
11 Electrical earthing
12 Pour clean-up (washed out, blow out)
13 Lighting for night placement
14 Vibrator & spares, other auxilliary equipment
15 Access for concrete trucks
16 Curing (water or membrane forming)
17 Opening / pipe sleeves for fire protection
18 Opening / pipe sleeves for communication
19 Opening / pipe sleeves for sanitary
20 Proper installation for electrical conduit
21 Proper installation for gas supply
We confirm that all the above work were in compliance with the contract documents. We request to proceed with the concreting work.
(Contractor's Representative) Name : Date :

For Consultant Use Only
Confirm
Architectural Consultant M&E Consultant (C&S Consultant)

Name : Name : Name :
Date : Date : Date :
TO BE COMPLETED BY CONTRACTOR AT COMPLETION OF CONCRETE POUR

Concrete batch number : Test Cube No :
Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION ON STATIC LOAD TEST

Location
Block : Structure/
Level :

PILE CONDITION
1 Pile installed date (> 14 days)
2 Pile head preparation / treatment
3 Sign of cracking
4 Straightness
5 Smoothness of Pile head
KENTLEDGE INSPECTION
1 Kentledge weight (.20% of test load)
2 Stability of Kentledge Support / Condition test platform
3 Levelling of Kentledge Support
4 Protection from rain water
5 Condition of dumpy level
6 Location of dumpy level
TESTING SET UP
1 Condition of dial gauges (Require 4 nos)
2 Calibration certificate for dial gauges
3 Support / stability of dial gauges
4 Condition of Pressure Jack
5 Calibration certificate for pressure jack
6 Load increment
7 Load test record
* To be recorded in the Load Test Record Form

Date : Date:
EMARK
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION ON PILING ( Precast and Spun Pile)

Location
Block : Structure/
Level :
PILE INSPECTION
1 Dimension
2 Overall integrity
3 Straightness
4 Sign of Cracking
5 Marking at 300 mm interval
6 Manufacturer date & name
7 Maturity of Pile (more than 28 days)
8 Pile reference number
9 Supplier test cube result
PILING RIG INSPECTION
1 Type / weight of hammer
2 Hammer drop height (mark at the rig)
3 Helmet condition
4 Cushion thickness (150mm)
PILING INSTALLATION
1 Setting out of pile
2 Drop height consistency
3 Verticality from two Plump-bobs location
4 Condition of pile during driving
5 Pile Driving Record for every 300mm depth
6 Record set at last 10 blows
7 Welding at Joint (Continuous)
8 Anti-rust paint
9 Location and pile deviation (< 75mm)
10 Condition of pile head after driving
11 Check pile group eccentricity
* To be recorded in the Load Test Record Form

Date : Date:
PILE DRIVING RECORD
Point : Date driven :

Pile length : Pile Size :
Pile type : Pile seriel no :
Type of driving : from to Type of pile shoe :
Temporary
Type of hammer : Compression : mm
Hammer weight : tonnes Final set (10 blows) : mm

Hammer drop : mm
Penetration No. of blow Penetration No. of blow Penetration No. of blow Penetration No. of blow Penetration No. of blow
(m) (m) (m) (m) (m)
I certify that the piling work was supervised by me and all data recorded above are correct and properly checked.
Remarks:
Agreed by:
Cleint's Supervisor: Engineer / Clerk of Work:

Contractor's Supervisor: Recorded by:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION PILECAP

Location
Block : Structure/
Level :
FORMWORK AND LEVEL
1 Dimension
2 Setting out lines (Control Panels)
3 Level
4 Plumb / Verticality
5 Box up / Opening
6 Cast in / insert items (RWDP)
7 Rigidity / Propping / Scaffold
8 Tightness of joint
9 Cleanliness
10 Mould oil
11 Drop / Step Down
REINFORCEMENT
1 Vertical Reber - size / nos / type
2 Horizontal Reber - size / nos / type
3 Link / Ties - size / nos / type
4 Dowels - size / nos / type
5 Spacing
6 Cover / Spacer
7 Laps
8 Condition of rebars
9 Cleanliness openings
10 Additional Rebars / Trimmer bars
11 Rigidity
12 M&E Services checked

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION ON NON SUSPENDED SLAB

Location
Block : Structure/
Level :
FORMWORK AND LEVEL
1 Compaction of soil
2 Anti termite
3 Crusher run
4 Polythene sheet
5 Lean concrete
6 Expansion joint location
7 Scupper drain
8 Level of concreting (mark on rebar)
9 Box up openings
10 Cleanliness
REINFORCEMENT
1 Rebar / BRC - size / nos / type
2 Anchorage
3 Spacing
4 Cover / spacer
5 Laps (1 full yield)
6 Condition of Rebars
M&E SERVICES

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION ON GROUND BEAM & SLAB

Location
Block : Structure/
Level :
FORMWORK AND LEVEL
1 Lean concrete
2 Dimension (Width and Depth)
3 Setting out Lines (Control points)
5 Cast in / Box up
6 Rigidity / Props formwork condition
7 Tightness of Joints
8 Cleanliness
9 Mould oil
10 Drop / step down
REINFORCEMENT
2 Link / ties - size / nos / type
3 Starter bar for column / stiffener
4 Anchorage
5 Spacing
6 Cover / Spacer
7 Laps
8 Condition of Rebars / Trimer bars
9 Additional Rebars / Trimer bars
M&E SERVICES

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION ON UPPER BEAM & SLAB

Location
Block : Structure/
Level :
FORMWORK AND LEVEL
1 Dimension (Width and Depth)
4 Cast in / Box up
7 Cleanliness
8 Mould oil
9 Drop / step down
REINFORCEMENT
2 Link / ties - size / nos / type
3 Anchorage
4 Spacing
5 Cover / Spacer
6 Laps
7 Condition of Rebars / BRC
8 Additional Rebars / Trimer bars
M&E SERVICES

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
CHECKLIST FOR INSPECTION ON COLUMN AND WALL

Location
Block : Structure/
Level :
FORMWORK AND LEVEL
1 Dimension
3 Level
4 Plumb / Verticality
5 Box up / opening
6 Cast in / Insert items (RWDP)
9 Cleanliness
10 Drop / step down
REINFORCEMENT
1 Vertical Rebar - size / nos / type
2 Horizontal Rebar - size / nos / type
3 Link / ties - size / nos type
5 Spacing
6 Cover / spacer
7 Laps
11 Rigidity

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : SETTING OUT

Location
Block : Structure/
Level :
NO DESCRIPTION YES NO N/A REMARK
1 Check boundry line

2 Check boundry stone
3 Check set back
4 Check T.B.M
5 Check grid line dimension
6 Check excavation area
7 Check pile position
8 Others

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : SEWERAGE WORKS

Location
Block : Structure/
Level :
NO INSPECTION ITEMS YES NO N/A REMARK
1 Check construction drawing for TBM, Manholes

2 Check the pipe sizes, depth and floe direction
3 Check excavation depth and report for unfavourable
4 Check the base of piping laying as specification
5 Check pipe laying, check the gradient
6 Check the placement of Rubber Ring seal between jointing
7 Check the plug is installed at 'T' inlet
8 Check the backfilling works, compaction to fill soil as per specified

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : RAFT FOUNDATION / FOOTING BASE

Location
Block : Structure/
Level :
NO DESCRIPTION YES NO N/A REMARK
1 Check the norm excavation depth

2 Check the construction drawing for location, size, type
3 Check base condition as specified
4 Check base level
5 Check base clean from soil, mud / water

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : PILECAP / STUMP

Location
Block : Structure/
Level :
1 Check cut off level

2 Check the lean concrete
3 Check cap / sump formwork : position, dimension plumb
Alignment, joint tightness, rigidity, cleanliness, mould
4 Check cap reinforcement :
Check size, numbers, spacing, cleanliness loop, positioning,
of bar, dist.bar
5 Check the column, stump reinforcement, bar, links, position
6 Other : to ensure backfilling works, compacting to fill as per
specified

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : GROUND FLOOR SLAB

Location
Block : Structure/
Level :
1 Ensure all plumbing / electrical conduit work is completed and

check before placing of hardcore
2 Ensure hardcore base are levelled and compacted accordingly
3 Checked hardcore and sand blinding thickness and compaction level
4 Ensure DPC and anti termite chemical povided (if any)
5 Check reinforcement cover, size number, spacing, lap (if any)
6 Check cleanliness

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : R.C COLUMN

Location
Block : Structure/
Level :

FORMWORK AND LEVEL
1 Dimension
2 Setting out lines
3 level
4 Plumb / Vertically
5 Box up / opening
6 Cast in / insert items (RWDP)
7 Rigidity / Propping / Scaffold
8 Tightness of joints
9 Cleanliness
10 Drop / step down
REINFORCEMENT
1 Vertical Rebar - size / nos / type
2 Horizontal Rebar - size / nos / type
3 Link / ties - size / nos type
5 Spacing
6 Cover / spacer
7 Laps
11 Rigidity

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : ROOF BEAM

Location
Block : Structure/
Level :
1 Cleanliness
2 Check lean concrete, level, etc
3 a) Check formwork dimension, level, alignment joint tightness,
rigidity, mould oil
b) Check cateline of beam / centerline
c) Fixed in the right position and alignment
d) Size of beam. Length and strutting
4 a) Check reinforcement, cover, correct every bear size, quantity,
length and spacing
b) Check anchorage / laps / bent
c) Check link, strups / securely tying
5 Other : Check if any opening

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : R.C. STAIRCASE

Location
Block : Structure/
Level :
1 Check clearance height / tread / riser.

2 Check formwork, dimension, level alignment, joint tightness rigidity,
props, struts, cleanliness and mould oil.
3 Fixed in the right position.
4 a) Check reinforcement, cover, every bar size, quality, length
spacing, laps, bent.
b) Check link, strups, security tying, anchorage, starter bar.
5 Others.

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : STEEL ROOF TRUSS FABRICATION / INSTALLATION

Location
Block : Structure/
Level :
1 Treatment
2 Uniformity, straightness quality of members
3 Member sizes
4 Truss profile - Pitch of truss
5 Alignment
6 Verticality
7 Connection detail
8 Vertical bracing
9 Diagonal bracing
10 Horizontal bracing
11 Wall plate
12 Base / Timber bracket
13 Provision for tie member connections
14 Timber batten

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR FIRE HYDRANT

Location
Block : Structure/
Level :
1 Material approval
2 Position
3 Piping and connection
4 Valve and chamber
5 Painting

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR SURFACE DRAINAGE

Location
Block : Structure/
Level :
1 Alignment & setting out

2 Size / dimension
3 Visual inspection
4 Install / laying of pipe culvert
a) Concrete base
b) Level a gradient in order
c) Alignment in order
d) Concrete surround
e) Joint / connection
5 Brickwork & plastering

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR ROAD KERB

Location
Block : Structure/
Level :

2 Concrete work
3 Kerb shape
4 Texture

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : COLD WATER PIPE (EXTERNAL)

Location
Block : Structure/
Level :
1 Trench excavation - depth, dimension

2 Backfill material - sand / granular material
3 The cleanliness of qzipe
4 Check cracks for flaws & externally of pipe
5 Ends of pipe free from ensis oil, rust, dirt
6 Alignment of pipe
7 To check position of specials
8 Electric arc welding equipment
9 Welding
10 Air test on weld (joint)
11 Mechanical coupling & flange adaptor
- deadlines og joint ends
- to apply drying primer & external shertling mould
12 Flange joint - bolt tightening
- painted with 2 coats of bituminous paint
13 Pressure test & leakage test
14 Thrust block for bend, taper, tee
15 Valve chamber - size
16 Crossing over culvert
17 JBA marker

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
ELEMENT : TREATMENT PLANT (VCP PIPE)

Location
Block : Structure/
Level :
1 Pipe & fitting inspected for damage, size

2 Trench excavation - depth
3 Alignment of sewer pipe
4 Pipe embedment - bedding material
5 Invert level of pipe
6 Backfill of trench
7 Position of manhole
8 Invert level of manhole
9 Junction connection
10 Manhole - the slope of benching
- joints to pipe
- transition at entry & exits
- joints in the structure
- quality of concute finish
- water tightness of manhole cover & surround
11 After backfill - exfiltration test (water test)

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR CRIBWALL

Location
Block : Structure/
Level :

A FOOTING
2 Plaement of steel bar
3 Concreting of RC footing
B CRIBWALL
1 Installation of cribwall component including HEADER & STRETCHER
2 Placement of geotextile
3 Vrusher run infilling within cribwall block

Date : Date:
To : Ref. No :
Attention : Date :
Name : Name :
Company : Company :
INSPECTION FORM FOR RUBBER WALL

Location
Block : Structure/
Level :
1 Approval material
2 Size / dimension
3 Visual inspection
4 Concrete base
5 Level and gradient in order
6 Alignment in order
7 Joint & connection

Date : Date:

Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar, 44000 Kuala Kubu Bharu, Hulu Selangor, Selangor

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar, 44000 Kuala Kubu Bharu, Hulu Selangor, Selangor

Uploaded by

Copyright:

Available Formats

SRIPELANGI CONSTRUCTION SDN BHD PROJECT: CADANGAN MEMBINA DAN MENYIAPKAN

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR EARTHWORK

NO INSPECTION ITEMS OK NOT N/A REMARK

1 Obtain Pre-comp Plan

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR EARTHWORK TO SLOPES

NO INSPECTION ITEMS OK NOT N/A REMARK

1 Mobilization & demolisation

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR P.C. CULVERT DRAINAGE

NO INSPECTION ITEMS OK NOT N/A REMARK

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR PC DRAIN COVER

NO INSPECTION ITEMS OK NOT N/A REMARK

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM SEWER PIPE INSTALLATION

NO INSPECTION ITEMS OK NOT N/A REMARK

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR SEWER MAN HOLE

NO INSPECTION ITEMS OK NOT N/A REMARK

1 P.C Manhole / Brick manhole

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR ROAD WORK

NO INSPECTION ITEMS OK NOT N/A REMARK

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required

REQUEST FOR INSPECTION FORM C&S

The following works are/will be ready for inspection at (time) on (date)

INSPECTION FORM FOR ROAD WORK

NO INSPECTION ITEMS OK NOT N/A REMARK