Refractory Concrete Inspection Record

Tag Description: Tag No.:

P. O. No.: Inspection Classification Area/Unit:

Subcontractor: Subcontractor Client Turnover System:

Work Package: Other Sub – System:

Item Description of Check Subcontractor Client

01 Receive operations/inspection complete

Refractory Brand:

02 Refractory used did not exceed shelf life recommended by vendor

03 Metal surface cleaned in accordance with specifications
04 All surfaces and forms sealed and pre-wetted
05 Anchors installed in accordance with project drawings, welding visually
inspected and random anchors hammer-tested
06 Mix procedure in accordance with manufacturer’s recommendations
Mixing Method:
07 Placement procedures inspected and in accordance with specifications
Placement equipment: Placement
method:
Placement completed in days for this equipment

08 Curing was observed to be performed in accordance with specifications

Curing Temperature Data:
Outside Ambient: In place refractory:
Inside Ambient: In place 24 hours:
Curing method used:
Drying performed by:
Firing performed by:

09 Refractory consistency (ball-in-hand) test performed during grouting

10 Hammer test soundness performed on cured concrete surface
11 In-place thickness measurements on fresh refractory
Sampling locations
Average thickness: inches

Remarks:

Company
Name:

Signature:

Date:

C001.doc