LBS DIGITAL INFRASTRUCTURE CORPORATION

SITE NAME: PHO200189

ADDRESS: BRGY.DIVISORIA_SANTIAGO_ISABELA
TOWER DESCRIPTION: 45 M SST 300 KPH
MODE OF INSPECTION (Actual/Remote): REMOTE
Compliance
Item Description Remark
YES NO Photos Video
1 Site development: Photos and videos
1.1 1. Establishment of perimeter fence (must be fixed) / /

1.2 2. Establishment of NGL (must be fixed) / /

3. Lean concrete must be visible/clean / /

1.3
/ /
2 Footing: Photos and videos / /

2.1 1. Tower foundation rebar full view / /

2.2 2. Tower foundation depth of excavation from NGL / /

2.3 3. Tower foundation perimeter distance - length and width (Mat/Isolated) / /

2.4 4. Footing thickness / /

2.5 5. Footing formworks / /

2.6 6. Side concrete cover / /

2.7 7. Bottom concrete cover / /

2.8 8. TB1 size diameter, length, spacing and number of rebars (Photo and Video) / /

2.9 9. TB2 size diameter, length, spacing and number of rebars (Photo and Video) / /

2.10 10. BB1 size diameter, length, spacing and number of rebars (Photo and Video) / /

2.11 11. BB2 size diameter, length, spacing and number of rebars (Photo and Video) / /

2.12 12. BC1 spacing and number of rebars (Photo and Video) / /

3 Pedestal: Photos and videos

3.1 13. Tower pedestal distance from perimeter fence along X direction (Photo and vid / /

3.2 14. Tower pedestal distance from perimeter fence along Z direction (Photo and vid / /

3.3 15. VB1 size diameter, length, spacing and number of rebars (Photo and video) / /

3.4 16. ST1 measurement, spacing and number of rebar (photo and video) / /

3.5 17. ST2 measurement, spacing and number of rebar (photo and video) / /

3.6 18. Column formworks measurement (Perimeter) / /

3.7 19. Column height from footing / /

3.8 20. Column height from NGL / /

3.9 21. Column concrete cover / /

3.10 22. Column formworks and support installation / /

4 Tie Beam: Photos and videos

4.1 23. TB measurement, spacing and number of rebar (photo and video) N/A N/A

4.2 24. BB measurement, spacing and number of rebar (photo and video) N/A N/A

4.3 25. S/U measurement, spacing and number of rebar (photo and video) N/A N/A

4.4 26. Tie beam concrete cover N/A N/A

4.5 27. Tie beam formworks measurement (length and width) N/A N/A

5 Anchor bolt: Photos and videos

5.1 28. Anchor bolt center to center distance / /

5.2 29. Anchor bolt exposed height from finish column concrete / /

5.3 30. Anchor bolt levelling per column / /

5.4 31. Anchor bolt levelling all columns / /

5.5 32. Anchor bolt eccentricity from tower pedestal / /

5.6 33. Anchor bolt orientation for tower eccentricity / /

6 Concrete pouring preparation

6.1 34. Manpower / /

6.2 35. One bagger mixer minimum 2unit / /

6.3 36. Concrete vibrator / /

6.4 37. Cylinder molds (6 pcs - 6"x12") / /

6.6 38. Slump cone (75-100mm) / /

6.6 39. Chute installation and readiness / /

6.7 40. Concrete epoxy (if not monolithic) N/A N/A

6.8 41. If pouring is jobmix: N/A N/A

a. Portland cement
b. Sand
c. 3/4 Gravel
d. Supply of clean water
6.9 42. Tempo light incase activity during night time / /

Requested by: Approved by:

Vendor: LDIC Representative
Date: Rebar inspection date: