SECL-CV420-A4 Foundation Check List

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FORMAT NO.

; CV-420

INSPECTION / TEST REPORT PROJECT NO.: 6648


AFI No.:
FOUNDATION CHECK LIST REPORT NO.:
DATE:

AREA/LOCATION : EQUIPMENT NAME :


EQUIPMENT NO. : DRAWINGS NO. : REV.:
The following items have been checked and cleared : YES N/A NO
i. Prior Works Accepted

1. Formwork
Location and orientation is correct
Top of foundation elevation :
Surface preparation

2. Reinforcement
Rebar is clean, free of rust, scale, oil or mud
Location, spacing are correct and secured with wire
Rebar sizes are correct
Reinforcement chairs on spacers are located

3. Embed Items
Anchor bolts size, washer and type are correct
Locations are correct(Cross dimension,
Protrusion from base is correct
Threaded ends are protected
Conduits are installed correctly
Ducts or conduits ends are capped
Block out are installed correctly
Block out sizes are correct
Earth cable is installed
Template Location and Orientation check

4. Material Certificate
Manufacturers material certificates and test results
have been received and accepted

5. Remarks
Quantity of concrete m3 Grade kg / ㎠

Cube Tests taken Y / N Cube No. : Truck No. :

NAME / SIGNATURE DATE REMARKS


SUBCONTRACTOR
CONTRACTOR(CIVIL)
CONTRACTOR(MECH)
OWNER
SAMSUNG ENGINEERING CO.,
LTD.
REV 0

SAMSUNG ENGINEERING CO.,


LTD.

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