PRE-CONCRETE INSPECTION

CHECKLIST

CONCRETE STRUCTURE/ LOCATION : TRANSFORMER PAD EQUIPMENT STRUCTURAL STEEL DRAWING NO.
:
REFERENCE DRAWING : SKETS DRAWING BY PHR ENGINEER U/G ELECTRICAL DRAWING NO : N/A
CONCRETE REBAR & EMBED. DRAWING NO : U/G MECHANICAL DRAWING NO : N/A

DATE OF POURING : 13 Oktober 2023 REPORT NO : ADK-WUR-MD-QAQC-CV-IRFC-004

SPK NO : CCMSPHR/SPK/3700132652

1. FORMS 2. RE-BAR/ WIREMESH 3 SUB-FOUNDATION

SURVEY CHECKED GRADE PILES

ORIENTATION SIZE COMPACTION

LOCATION SPLICES CLEANLINESS

SIZE SPACING MOISTURE

ELEVATION CLEARANCE BLINDING LAYER

CLEAN AND OLIED CLEANLINESS ELEVATION

CHAMFER ADEQUATE SUPPORT U/G MECH & ELECT

STRAIGHT, LEVEL PLUMP

ADEQUATED BRACING

4. EMBEDMENTS
ANCHOR BOLTS (DIAMETER, LENGTH, TYPE) 5. MISC

ANCHOR BOLTS (LOCATION, PROJECTION) KEY WAYS

ANCHOR BOLT GROUNDING BLOCKOUTS

PRE SURVEY BOOK SURFACE ROUGHENED

THREAD PROJECTION BONDING AGENT

WELL PAD TYPE OF FINISH

ANGLE IRON SETS/ TEST SPECIMENT

INSERTS HOT/ COLD WATER PROTECTION

PIPES JOINTS

CONDUITS SPECIALS PLACING EQUIPT REQUIRED

GROUND WIRE/ EARTHING (TREMIS, PUMP, FORM VIBRATION SCREEDS)

WATER STOP LEAKSKAGE SYSTEM IN PLACE

DOWELL FINISHED SLOPE

JOINT FILLER

6. ORDER CONCRETE TO THE FOLLOWING SPECIFICATIONS

MIX DESIGN QUANTITY NO. OF TEST/ SET :

MAX AGGREGATE ADMIXTURES NO. OF REQUIRED :

SLUMP DELIVERY PER HOUR

7 REMARKS :

Prepared By : Reviewed/ Approved By :

QA/ QC PT.Adhi Karya QA/ QC PT.Tripatra Engineering

Yazit Albas Tomi #13137

Date : Date :