CHECK LIST FOR SHUTTERING

Contract
Client
Concessionaire
IC
EPC Contractor

Bridge no Date:

Structure: RFI No: / /

Sub-Component:

Approved/
Sl no Item Rectification required Remarks
Accepted
Dimensions:
a. Length

b. Breadth/Thickness

c. Depth /Height
1
d. Diameter

e. Demoulding agent

f. Verticality

Supporting arrangement:
a. Supports
2
b. Bolting

Anchor coil
3
a.
Staging arrangement: (Approved drawing designator false work)
a. No. of supports

4 b. Spacing of supports

c. Position of supports

Shuttering position:
a. Line

5 b. Level

c. Placement inposition

Contractor's Representative Consultant's Representative

Name : Name :
Designation : Designation :
Sign : Sign :
Date : Date :
Page No.: 1 of
 / /

Remarks

work)

Consultant's Representative

Page No.: 1 of 1