Arizona Department of Transportation

DAILY OBSERVATION REPORT

Non-Reinforced Cast-in-Place Concrete Pipe Construction

Project:

Date:

A. Trenching

1. Pipe Diameter (ID): Wall Thickness: Pipe OD:

2. Location:

3. Laser controlled? Yes No

4. Soil Type?

a) Soil Subgrade: Stable , Soft , or Rocky

b) Ground Water Yes No

c) General observations/special requirements, i.e. dewatering/stablizing

5. Trench width - required measured

6. Pipe Grade -

B. Pipe Equipment

1. Pipe casting machine measurements checked? Yes No

2. Tamper/consolidation ring operable? Yes No

3. Observation of overall conditions of machine

4. Condition of forms and arch spreaders?

5. Condition of trench anchor?

C. Pipe Construction

1. Location (Roadway ID & Stationing)

2. Laser Controlled - Yes No

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3. Concrete mix design approval - Yes No

4. Concrete load tags checks - Yes No

Comments

5. Transit trucks check for proper mixing - Yes No

6. Slump testing comments

7. Cylinder sample comments

8. Pipe crown and invert probes

Station Required Measured Thickness Straightedge

Thickness Crown Invert Measurements

9. Curing method

10. Was the curing method checked afterwards to ensure adequacy? 24 hrs 48 hrs

D. Constructed Pipe - First observation after forms removed

1. Location

2. Form: lap allowable measured

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3. Rock pockets and construction joints

4. Grade

5. Finished to proceed? Yes No (pipe rejected)

6. Comments/repairs/overall quality of pipe

E. Constructed Pipe After Backfill

1. Location:

2. Circumferential cracking

3. Longitudinal cracking

4. Form lap finishing

5. Concrete cylinder break results

6. Cores required Yes No

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7. Core test data

Station Location Results

8. Joint Sealing: Elastomeric compound approved

Manufacturer's instructions on-hand
Manufacturer's instructions followed

9. Pipe accepted Yes No

Comments

QC ADMINISTRATOR: ADOT REPRESENTATIVE:

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