Document No:

METHOD STATEMENT FOR FOUNDATION WORKS AND GROUNDING Rev. Date:

Page__ of __
Line Tower No:
Check List For Pad & Chimney Foundation
500 kV Jvari-Tskaltubo OHL Construction. Final.
Reference Drawing No. Rev.
Concrete Class Temperature of Wet Concrete Additives Source of Ready Mix
__________ Mpa _______°C Yes/No
F -Concrete Material (Y - for as per drawing, N - for not correct, NA - Not Applicable)
Item Observations/Source Comments
Mix Design
Gravel
Sand
Aditives
Water Cement Ratio (W/C)
G- Details of Concrete and Slump Test
Leg Pad Slump (mm) Chimney Slump (mm) Remarks
A
B
C
D
H - Cubes Taken (ID mark of the op surface of cube "P" - for pad; "C" - for chimney
Leg Date ID Date ID Date ID Date: ID
A
B
C
D
I - Form Work Removal
Leg Date Observation
A
B
C
D
Comments:

Accepted For Backfilling

Contractor Consultant Employer
Name Name Name
Date Date Date
Signature Signature Signature

Note:

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