FIVE STAR CONSTRUCTION COMPANY

CONCRETE PRE POUR CHECKLIST.

PROJECT NAME: Rain Water Chanel Work SERIAL NO:

PROJECT LOCATION: Coca Cola LHR plant DATE OF POUR:

GENERAL CONTRACTOR FIVE STAR CONSTRUCTION CO. TIME OF POUR:

POUR LOCATION

CONCRETE INFORMATION:

Requested by :

SITE ENGINEER
Concrete Vibrator Cylinder Set

Concrete Block Spacers Concrete Strength

Line and Grade alignment (form setting,

Concrete Volume
elevations, etc)

Concrete Ratio FormWork

Curing Level

Steel Reinforcement

By Signing below, I agree that I have inspected the areas noted to receive concrete are complete and
ready for concrete placement
SIGNATURE CONFIRMATION
RE

SITE SUPERVISOR

Project Engineer

NOTES: CONCRETE PLACEMENT