Title Page

  • Site conducted

  • Document Reference

  • Conducted on

  • Prepared by

  • Block

  • Level

  • Description

Signatures

Essex Cladding Supervisor

  • Name/Signature

  • Date

Essex Cladding QA

  • Name/Signature

  • Date

Lingyun Representative

  • Name/Signature

  • Date

OSHEA Representative *optional

  • Name/Signature

  • Date

Control/Check

  • Are brackets free of any damage, bent or other<br>issues? If NO provide details.

  • Check if brackets are installed as per drawing.<br>(Correct bolts and washers, line&level within<br>acceptable tolerances, serrated washers<br>engaged correctly with base bracket serration,<br>spring washers aren’t damaged, use of correct<br>shims) (if applicable*)

  • Bolts to be checked with torque set 60/23 Nm &<br>sprayed.

  • Pull Out Testing for embeds/anchor bolts<br>(if required) & torqued at 110 Nm.

  • Photo record made. Photos have to be attached to this completed form.

  • Additional document is required: Floor plan marking the brackets

  • Comments/Remarks

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