DISIMP

(4) CHECK LIST FOR CONCRETE AND STONE MASONRY WORKS

FORM No. Name

FORM CW -01 DAILY REPORT FOR CONCRETE BATCHING PLANT

FORM CW -02 CONCRETE PRODUCTION REPORT AT BATCHING PLANT

FORM CW -03 CHECK LIST FOR PRE-PLACEMENT OF STRUCTURAL CONCRETE

FORM CW -04 CHECK LIST FOR PRE-PLACEMENT OF CANAL LINING CONCRETE

FORM CW -05 CONCRETE LINING PLACEMENT SCHEDULE

FORM CW -06 APPROVAL FOR COMMENCEMENT OF CONCRETE

FORM CW -07 CONCRETE DELIVERY ACCEPTANCE SHEET

FORM CW -08 CONCRETE PLACEMENT RECORD AT SITE

FORM CW -09 CHECK LIST FOR DURING PLACEMENT OF STRUCTURAL CONCRETE

FORM CW -10 CHECK LIST FOR DURING PLACEMENT OF CANAL LINING CONCRETE

FORM CW -11 CHECK LIST FOR STONE MASONRY WORKS

Note; Forms for concrete tests are contained in the Part C Concrete Works

LIST A (4)
 FORM CW-01

DISIMP CONTRACT NO.:

Sub Project : CONTRACTOR :
Series No. : _________
CONCRETE BATCHING PLANT
DAILY REPORT

Contract No. :
Date :
Plant No. :
Aggregate Source : Coarse _____________________ Sand ________________________
Cement Brand :
Admixture Brand :
Concrete Type : A, B, C, D
Design Mix. (per m ) 3
: W : ______ kg C : ______ kg S : ______ kg
G : ______ kg Admix. : ______ kg (liter)

TEST BATCH DATA

Mix. Time Slump Temp. Unit Air Actual Weight (kg) Yield
No. (cm) °C Weight (%) Sand C. Agg. (mm) Water Cement Admixture m³/batch
per m³ 80 - 40 40 - 20 20 - 5

CONCRETE PRODUCTION DATA

Mix. Total Per Batch

Batched Waste Used
No. No. Water Cement Aggregate Admixture Volume (m3) (m3) (m3)
Batches (kg) (kg) (kg) (kg) m3/batch

Time checked: Water/cement batch :

Aggregates batch :
Admixture dispenser :

Sign:

Name:
The Contractor
Inspected by :

Sign: Sign :

Name: Name :
Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

Sign: Sign :

Name: Name :
The Consultant The Engineer
 DISIMP CONTRACT NO.:

Sub-Project: CONTRACTOR:
CONCRETE PRODUCTION RECORD AT BATCHING PLANT

Date: Day: Shift: Day/Night Sheet: of

Docket No.
Fleet No.
Location
Volume
Concrete Type
Cement (kg/m3)
Batch Size
Time of Batching
Time of Pouring
Slump (mm)
Batch Plant/Site
Temperature (oC)
Batch Plant/Site
Specimen
Batch Plant/Site
Ice (kg/m3) Moisture in
Water (kg/m3) Sand (%)
Comments:

Inspected by :

Sign: Sign: Sign :

Name: Name: Name :

The Contractor Inspector of the Consultant Inspector of the Project

FORM CW-02
Technically approved by: Accepted by :

Sign: Sign :

Name: Name :
The Consultant The Engineer
Designated Engineer Designated Engineer
 FORM CW-03
DISIMP CONTRACT NO. :
Sub-Project : CONTRACTOR :

CHECK LIST FOR PRE-PLACEMENT OF STRUCTURAL CONCRETE

Date Weather : Rain, Clouded, Fine
Contract No. Contractor
Structure Area/Block No. :
Ref. DWG. No. Concrete Type : A, B, C, D

Check item Yes No N/A Check time Note

1 Soil Foundation
a) Levels fo foundation
b) Removal of loosed rock/material
c) Clearing of surface of foundation
d) No standing or running water or no other objectionable materials
e) Adequacy of dampness on surface
f) Installation of rock anchors, if required

2 Placed concrete (previous pour)

a) Chipped and cleaned
b) Crack prevention re-bar arrangeed if crack developed

3 Formwork Preparation
a) Form at proper position
b) Form braces properly
c) Forms clean
d) Approved coating materials of forms
e) Waterstops properly placed
f) Waterstops joints fastened together
g) Construction joints clean
h) Forms sufficiently tight to prevent leakage
i) Work quantity calculated

4 Reinforcement Bar Placing

a) Bars placed in accordance with approved re-bar drawings with proper
spacing blocks
b) Lap joint length enough
c) Bars fastened together properly
d) Bars free of mud, oil, grease or other contaminant
e) Have all embeded items been placed
f) Work quantity calculated

5 Vibrator Equipment Available

6 Concrete Plant Inspector's report received and properly filled out

7 Received Concrete at point of placement

a) Proper mix
b) Contractor ready to place

8 Approve to place

9 Pre-placement remarks :

10 Attended Engineer of the Contractor :

Sign:

Name:
The Contractor
Inspected by :

Sign: Sign :

Name: Name :
Inspector of the Consultant Inspector of the Project

Tecnically approved by : Accepted by :

Sign: Sign :

Name: Name :
The Consultant The Engineer
Designated Engineer Designated Engineer
 FORM CW-04 (New)
DISIMP CONTRACT NO.:
Sub-Project: CONTRACTOR:
Serial. No. :

CHECK LIST FOR PRE-PLACEMENT OF CANAL LINING CONCRETE

Date : Weather : F, C, R
Contract No : Contractor :
Name of Canal: Station No. to
Portion of Lining: Right, Left, Bottom Nos. of lining panel.:
Ref. DWG. No.: Concrete Type : B

Yes No N/A
1. Trimming Work of Lining Foundation
a) Foundation properly battered ( ) ( ) ( )
b) Undulation of trimmed foundation surface within tolerance ( ) ( ) ( )
c) Elevation of trimmed canal bottom within tolerance ( ) ( ) ( )
d) Canal width within tolerance ( ) ( ) ( )
e) Canal bottom and side slope free of loosed rock/material ( ) ( ) ( )

2. Form Work
a) Side form for concrete properly installed ( ) ( ) ( )
a) Forms properly braced ( ) ( ) ( )
b) Forms sufficiently tight to prevent loss of cement/mortar ( ) ( ) ( )
c) Acceptable tolerance in dimensions ( ) ( ) ( )
d) Acceptable tolerance in elevation ( ) ( ) ( )
e) Inside forms clean ( ) ( ) ( )
f) Approved coating materials on forms ( ) ( ) ( )

3. Reinforcement Bar Placing

a) Bars free of mud, oil, grease, or ather contaminant ( ) ( ) ( )
b) Bars placed in accordance with approved drawing and ( ) ( ) ( )
proper spacing block.
c) Lap joint length enough ( ) ( ) ( )

4. Weep Hole and Flap Valve

a) Hole for weep hole properly dug ( ) ( ) ( )
b) Filter materials for weep hole properly filled and spread ( ) ( ) ( )
c) Material and fabrication of weep-holes and flap valve acceptable ( ) ( ) ( )
d) Weep-holes and flap valve properly installed ( ) ( ) ( )

5. Joint filler firmly fixed to the face of completed concrete ( ) ( ) ( )

6. Curing Agent
a) Curing agent available ( ) ( ) ( )
b) Material of curing agent acceptable ( ) ( ) ( )

7. Vibrator equipment available ( ) ( ) ( )

8. Concrete plant Inspector's report received and properly filled out ( ) ( ) ( )

9. Authorization to place ( ) ( ) ( )

10. Remarks :

11. Attended on behalf of the Contractor :

Sign:
Name:
The Contractor

Inspected by :

Sign: Sign :
Name: Name :
Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

Sign: Sign :
Name: Name :
The Consultant The Engineer

Designated Engineer Designated Engineer

 FORM CW-05
DISIMP CONTRACT NO.:
Sub-Project: CONTRACTOR:
Serial No. :

CONCRETE LINING PLACEMENT SCHEDULE

Date :
Date : Weather : F, C, R
Contract No. : Contractor :
Name of Canal Station No. : to
Portion of Lining : Right, Left, Bottom Nos. of lining panel :
Ref. DWG. No. : Concrete Type :
Structure
Schedule Date
Starting Time
Finishing Time
Concrete Type
Estimated Volume
Location
Station
Block No.
Lift No.
Foundation Earth Rock Concrete
Batcher Plant No.
Remark
Sketch

Sign:
Name:
The Contractor
Inspected by :
Sign: Sign :
Name: Name :
Inspector of the Consultant Inspector of the Project

Techanically approved by Accepted by :

Sign: Sign :
Name: Name :
The Consultant The Engineer
Designated Engineer Designated Engineer
 FORM CW-06
DISIMP

APPROVAL FOR COMMENCEMENT OF CONCRETING

DATE / / 200

SHIFT DAY NIGHT

S M T W TH F S
THE ENGINEER : DAY

Brite Clear Overcast Rain Snow

CONTRACTOR : WEATHER
Sun

To 0 0-10 10-20 20-30 30 up

STRUCTURE : TEMP. (º C)
Report No.
Still Moder High
LOCATION : WIND
Dry Moder Humid
DRAWING NO. : HUMIDITY

CONCRETE CLASS:

Result
Check Items Contractor Engineer

Date Time Name Date Time Name

Foundation Preparation in FORM EX-02

Formwork in FORM CW-03

Reinforcement in FORM CW-03

Others in FORM CW-03

Schedule of commencement & completion:

- commencement: Time: Date:

- completion: Time: Date:

Estimated concrete volume : :

DISTRIBUTION: 1. Contractor, 2. Engineer's Field Office, 3. File

Sign:

Name:

The Contractor

Inspected by :

Sign: Sign :

Name: Name :

Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

Sign: Sign :

Name: Name :

The Consultant The Engineer

Designated Engineer Designated Engineer

 FORM CW-07
DISIMP
CONCRETE DELIVERY ACCEPTANCE SHEET
DESTINATION: :
DATE : LOCATION :
PLANT NO. : STRUCTURE :
DOCKET NO. : POUR NO. :
BATCH NO. :

Concrete Design Slump Quantity Accumulated

Type (mm) (m') Quantity (m')

At Batching Plant At Site

Slump (mm) Temp. (º C) Specimens (nos) Slump (mm) Temp. (º C) Specimens (nos)

Time of Time of Time Started Time Departed

Batching Arrival at Site Discharging from Site

At Batching Plant Technically At Site Technically

Dispatched by: Approved / Not Approved : Received by: Approved / Not Approved :

Contractor The Consultant The Contractor The Consultant

Remarks Designated Engineer Designated Engineer

After Signing at BP: 1st sheet: Contractor at BP / 2nd sheet: Engineer at BP

After Signing at Site: 3rd sheet: Contractor at site / 4th sheet: Engineer at site

DISIMP FORM CW-07

CONCRETE DELIVERY ACCEPTANCE SHEET
DESTINATION: :
DATE : LOCATION :
PLANT NO. : STRUCTURE :
DOCKET NO. : POUR NO. :
BATCH NO. :

Concrete Design Slump Quantity Accumulated

Type (mm) (m') Quantity (m')

At Batching Plant At Site

Slump (mm) Temp. (º C) Specimens (nos) Slump (mm) Temp. (º C) Specimens (nos)

Time of Time of Time Started Time Departed

Batching Arrival at Site Discharging from Site

At Batching Plant Technically At Site Technically

Dispatched by: Approved / Not Approved : Received by: Approved / Not Approved :

The Contractor The Consultant The Contractor The Consultant

Remarks Designated Engineer Designated Engineer

After Signing at BP: 1st sheet: Contractor at BP / 2nd sheet: Engineer at BP

After Signing at Site: 3rd sheet: Contractor at site / 4th sheet: Engineer at site
 FORM CW-08

DISIMP CONTRACT NO.:

Sub-Project: CONTRACTOR:

CONCRETE PLACEMENT RECORD AT SITE

Date: Day: Shift: Day / Night Sheet :______ of _______

Concrete Report at Batching Plant Concrete Report at Shutter

Batch At Batching Plant At Shutter Specimens

Time between batching and start
Remarks
of pour
Docket No. Truck No. Mix Description Quantity Slump Temp. Slump Temp. Time Pour Time Pour Dish. Vol Taken
(m3) (mm) (º C) (mm) (º C) Start End (m3) (min.) (No.)

Method of Placing Concrete:

Location of Pour:

Inspected by :

Sign: Sign: Sign :

Name: Name: Name :

The Contractor Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

FORM CW-08
Sign: Sign :

Name: Name :

The Consultant The Engineer

Designated Engineer Designated Engineer

 FORM CW-09

DISIMP CONTRACT NO. :

Sub-Project : CONTRACTOR :

CHECK LIST ON PLACEMENT OF STRUCTURAL CONCRETE

Date Weather : R, C, F
Contract No. Contractor
Structure Area/Block No. :
Ref. DWG. No. Concrete Type : A, B, C, D

Yes No N/A
1 Concrete Test
a) Slump within tolerances ( ) ( ) ( )
b) Time limitation (1.5 hrs. from plant) ( ) ( ) ( )
c) Air contents within limits (6% ± 2%) ( ) ( ) ( )
d) Concrete temperature (below 32oC) ( ) ( ) ( )
e) Cylinders taken (min. 3 nos) ( ) ( ) ( )

2 Concrete Placement
a) Means of placing
- Crane & bucket ( ) - Chute ( )
- Pumping ( ) - Conveyor belt ( )
- Buggy ( ) - Other ( )
b) Distance of concrete free fall
- Limited to 1.2 m max. from truck ( ) ( ) ( )
- Segretation occuring due to free fall ( ) ( ) ( )
c) Vibrating requirements
- Backup vibrator on site ( ) ( ) ( )
- No horizontal movement of concrete ( ) ( ) ( )
- Sufficient vibrating for consolidation ( ) ( ) ( )
- Vibrate around re-bar and embedments ( ) ( ) ( )
- Penetrate into previous layer by 15 cm ( ) ( ) ( )
- Vibrating in one position for no more than 15 se. ( ) ( ) ( )
d) Finish
- Brooming ( ) - Steel trowel finish ( )
- Rough ( ) - Float finish ( )
e) Concrete placed : m3
f) Min. requirement day for removal of form : days
g) Min. requirement day for curing : days

3 During Placement Remarks :

4 Attended on behalf of the Contractor :

The above works were carried out in accordance with the checklist mentioned above.
Sign:
Name:
The Contractor
Inspected by :
Sign: Sign :
Name: Name: :
Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

Sign: Sign :
Name: Name: :
The Consultant The Engineer
Designated Engineer Designated Engineer
 FORM CW-10

DISIMP CONTRACT NO.:

Sub-Project: CONTRACTOR:
Serial No. :
CHECK LIST ON PLACEMENT OF CANAL LINING CONCRETE

Date : Weather : F, C, R
Contract No : Contractor :
Name of Canal: Station No.: to
Portion of Lining: Right, Left, Bottom Nos. of lining panel:
Ref. DWG. No.: Concrete Type : B

Yes No N/A
1. Concrete Test
a) Slump within tolerance ( ) ( ) ( )
b) Time limitation (1.5 hrs.from mixing plant) ( ) ( ) ( )
c) Air contents within limits (6% ± 2%) ( ) ( ) ( )
d) Concrete temperature (below 32oC) ( ) ( ) ( )
e) Cylinders taken (min. 3 nos.) ( ) ( ) ( )

2. Concrete Placement
a) Means of placing
- Crane & bucket ( ) - Chute ( )
- Pumping ( ) - Conveyor belt ( )
- Buggy ( ) - Other ( )
b) Distance of free fall of concrete ( ) ( ) ( )
- Limited to 1.2 m max.from truck ( ) ( ) ( )
- Segregation occurring due to free fall
c) Concrete vibration
- Backup vibrator on site ( ) ( ) ( )
- No horizontal movement of concrete ( ) ( ) ( )
- Properly levelled lining surface before finishing by trowel ? ( ) ( ) ( )
- Properly finished by trowel ? ( ) ( ) ( )
- Properly provided lining grooves ? ( ) ( ) ( )

d) Finish
- Brooming ( ) - Steel trowel finish ( )
- Rough ( ) - Float finish ( )
e) Concrete placed : m3
f) Minimum time before removal of form : days
g) Minimum time of curing : days

3. Remarks :

4. Attended on behalf of the Contractor :

The above works were carried out in accordance with the checklist mentioned above.
Sign:
Name:
The Contractor
Inspected by :
Sign: Sign :
Name: Name :
Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

Sign: Sign :
Name: Name :
The Consultant The Engineer
Designated Engineer Designated Engineer
 FORM CW-11

DISIMP CONTRACT NO.:

Sub-Project: CONTRACTOR:
Serial. No. :

CHECK LIST FOR STONE MASONRY WORKS

Date : Weather : Fine, Clouded, Rain
Contract No : Contractor :
Name of Canal: Name of Structure:
Portion of structure: Block/Lift No.
Ref. DWG. No.: Masonry Type : A

Check item Yes No N/A Check time Note

1. Water
a) Free from impurities

2. Sand
a) Washed before use
b) Free from organic matters and other contamination
c) Sieved by 5 mm sieve before use

3. Stone
a) Free from crack/seam
b) Appropriate max. stone size (40 cm and 2/3 of wall thickness)
c) Clean from adhesive material/ need washing

4. Mortar
a) Proper cement/sand mix proportion for joint mortar

5. Placing of Masonry
a) Sufficient dewatering at site
b) Moistened stones before use
c) Compaction of joint mortar using trowel sufficiently
d) Hitting and consolidation of stone by steel hammer
e) Width of joints in face stone not exceeding 3 cm

6. Pointing of Surface Joint Mortar

a) Chipped joint mortar to a depth of 3 cm
b) Proper cement/sand mix proportion (1 : 2)
c) Cleaned surface of joint mortar using wire brush
d) Sufficient filling of surface joint mortar

7. Remarks :

8. Attended on behalf of the Contractor :

The above works were carried out in accordance with the checklist mentioned above.
Sign:

Name:
The Contractor
Inspected by :

Sign: Sign :

Name: Name: :
Inspector of the Consultant Inspector of the Project

Technically approved by : Accepted by :

Sign: Sign :

Name: Name: :
The Consultant The Engineer
Designated Engineer Designated Engineer