B80 Cl 5 Formwork RMS Surveillance Checklist ILC-MI-TP3-405-SC- B80 - Concrete Work for Bridges-

• Inspection Title. B80 Concrete work for Bridgework- Formwork. Ed6 / Rev 5

• Project Name: Tabulam New Bridge.

• Location: BRUXNER HIGHWAY TABULAM

• Contractor

• Prepared by

• Conducted on

  Date

5 FORMWORK

• Cl 5.1 Does formwork, including all temporary supporting members conform to AS 3610 requirements.

  Yes

  No

  N/A

5.2 FORMWORK DESIGN, DOCUMENTATION AND CERTIFICATION

• Cl 5.2.3 Do the designed formwork drawings clearly note all construction requirements including. <br>Design assumptions, foundation preparations, footing details and precamber diagrams. <br>Can the erection and inspection be carried out without reference to any other documentation.<br>Design any steel girders used for support and all associated bolted or welded splices in accordance with AS5100 <br>All bolts and fasteners must conform to specification RMS B240

  Yes

  No

  N/A

• For the purposes of this clause, the formwork for the various members of the bridge structure is divided into three Risk Categories as detailed in Table B80.9.

• 

• Table B80.10

  

• Cl 5.2.4 The submission of all formwork documentation and certification for each category must be in accordance with table B80.10. <br>Is the certifying engineer a member of the Engineers Australia or (equivalent) and experienced in the design and erection of formwork of at least similar complexity. <br>The certification for the erected formwork must state that the formwork has been erected in accordance with either the formwork documentation for Cat A, or certified design for Cat B and C <br><br>Any changes proposed to the certified design or erected formwork must be accompanied by documentation and certification conforming to this clause.

  Yes

  No

  N/A

• HOLD POINT (Does not apply to Category A formwork)
  Process Held: For Category B formwork – Placement of reinforcement. For Category C formwork – Erection of formwork.
  Submission Details: For Categories B and C, formwork documentation and Engineer's design certification in accordance with Clause 5.2.
  Release of Hold Point: The Principal will consider the submitted documents prior to authorising the release of the Hold Point. Where the Principal has concerns about the adequacy of the formwork documentation or certification, the Principal may order an independent verification of the formwork design at your expense before releasing the Hold Point.

• Cl 5.2.4 Has the principal released the Hold Point.

  Yes

  No

  N/A

5.3 SURFACE FINISH

• 5.3.1 Is the formwork designed and constructed to produce the class of finish stated in B80 Cl 5.3.1.

  Yes

  No

  N/A

TEST MEMBERS

• Cl 5.3.2 HOLD POINT, Process Held: Erection or prefabrication of formwork for members specified in Annexure B80/A4 or on the drawings.

• HOLD POINT (If test members are required)
  Process Held: Erection or prefabrication of formwork for members specified in Annexure B80/A4 or on the Drawings.
  Submission Details: Give the Principal two working days notice in writing of the proposed placement of concrete in the test member to permit observation of the process. Thereafter, give the Principal the opportunity to inspect the completed member.
  Release of Hold Point: The Principal will consider the method of construction and the finished test member, prior to authorising the release of the Hold Point.

• Cl 5.3.2 Has the Principal released the Hold Point.

  Yes

  No

  N/A

Cl 5.4 SITE RELATED REQUIREMENTS

• <br>Formwork for concrete intended for composite action with a member previously constructed must be designed as per clause 5.4

  Yes

  No

  N/A

Cl 5.5 CONSTRUCTION JOINTS

• Have the construction joints been located as per the drawings and been prepared correctly. <br>Are construction joints at the base of columns or walls at least of 100mm above the tops of the footings or pile caps. <br>Are construction joints on visible faces formed using suitably dressed timber beading, or by other means, so that the joints are straight and regular.

  Yes

  No

  N/A

Cl 5.6 MATERIALS FOR FORMWORK SURFACES.

• Is the formwork for exposed concrete surfaces steel plate conforming to AS/NZS 1594 or plywood conforming to AS/NZS 2271.<br>Are a all forms placed in a neat and symmetrical pattern.

  Yes

  No

  N/A

Cl 5.7 ERECTION OF FORMWORK.

• Cl 5.7.1 Has the formwork been strictly erected in accordance with certified formwork documentation and drawings. <br>Have commercial quality form release agents, oil or grease been used and applied correctly. <br>Have any traces of the form release agents been removed from reinforcement, tendons and embedments. <br>Has all loose wire, dirt, wood chips, hardened concrete or mortar, and all other foreign matter been removed. <br>Are the joints in the formwork mortar tight.

  Yes

  No

  N/A

• Cl 5.7.2 Has the erected formwork been checked by survey.<br>Are records being maintained to comply with Cl 5.7.2.

  Yes

  No

  N/A

Cl 5.8 TOLERANCES.

• Is erected formwork within tolerances as stated in Table B80.11 and conform to surface finish requirements of clause 5.3.

  Yes

  No

  N/A

• Table B80(a)

  

• Table B80 (b)

Cl 5.9 REMOVAL OF FORMWORK

• Cl 5.9.1 Has the formwork been removed in such a way to achieve the specified characteristics, prevent damage to the old or recently placed concrete, and maintain safety at all stages of removal.

  Yes

  No

  N/A

• Cl 5.9.2 Has the formwork been removed within the allowable timeframe ( Refer drawings or Table B80.12)

  Yes

  No

  N/A

• Table B80.12

Cl 5.10 REPAIRS TO FORMED SURFACES.

• Has a concrete repair method been approved by the principal.<br>Have the repairs been carried out promptly using the approved method and materials so that a general uniform appearance, texture and colour is achieved

  Yes

  No

  N/A

• Have operators demonstrated their competence to operate the plant/equipment to the satisfaction of the contractor. <br>

  Yes

  No

  N/A

• Has a SWMS been developed.

  Yes

  No

  N/A

• Has a certificate rigger checked that the structural members are secure before the load is released.

  Yes

  No

  N/A

• Is each and every item of plant being used for its designated and intended purposes.

  Yes

  No

  N/A

• Have the attachments for plant and processes been approved and used in accordance with their design and purposes.

  Yes

  No

  N/A

• Is the correct PPE being worn

  Yes

  No

  N/A

• Have scaffolds and falsework been erected safely and signed off by qualified personnel where applicable.

  Yes

  No

  N/A

• Are all accesses safe and sign posted.

  Yes

  No

  N/A

• Are Erosion and Sediment controls measures being installed and maintained.

  Yes

  No

  N/A

• Were any unsafe practices observed. <br>

  Yes

  No

  N/A

• Good safe practices observed.

  Yes

  No

  N/A

G36 ENVIRONMENTAL

• R44 Cl 1.7 Were erosion and sediment controls in place prior to the removal of any topsoil.

  Yes

  No

  N/A

• Has mud been prevented from being deposited on roadways.

  Yes

  No

  N/A

• Have any environmental incidents or potential incidents been observed.

  Yes

  No

  N/A

• Good environmental procedures observed.

  Yes

  No

  N/A

• Is the activity compliant.

  Yes

  No

  N/A

• Surveillance Officer

  Sign

• NCPN or memo number.

  Yes

  No

  N/A

• Follow up action

  Yes

  No

  N/A

• Product Non Conformance

  Yes

  No

  N/A

• System Non Conformance

  Yes

  No

  N/A

• Contractor generated NCR

  Yes

  No

  N/A

• Contractor generated a CAR

  Yes

  No

  N/A

Matters arising

• NCPN no

• Contractor's NCR No

• CAR no

• Closed out.

• RMS representative's name

  Sign