Concrete Preplacement Checklist - Foundations, Structures, Etc

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Foundation Number

• Drawing No.

• Revision No.

• Mix Design

Discipline Approvals

• Forms

  Yes

  No

  N/A

• Piping

  Yes

  No

  N/A

• Steel

  Yes

  No

  N/A

• Mechanical

  Yes

  No

  N/A

• Plumbing

  Yes

  No

  N/A

• Electrical

  Yes

  No

  N/A

• Labor

  Yes

  No

  N/A

• Instrumentation

  Yes

  No

  N/A

• Engineering

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Checklist

• Company Representative Notified of Placement Date

  Yes

  No

  N/A

• Approved Supplier and Mix Design

  Yes

  No

  N/A

• Curing and Protection

  Yes

  No

  N/A

• Casing For Drilled Pier On Site

  Yes

  No

  N/A

• Hot and Cold Weather Concreting

  Yes

  No

  N/A

• Excavation Depth and Size Correct

  Yes

  No

  N/A

• Suitable Drilled Excavation

  Yes

  No

  N/A

• Forms - Line & Grade, Braced, Correct Dimensions

  Yes

  No

  N/A

• Reinforcing Steel - Correct size, Splicing, Clearances and Spacing

  Yes

  No

  N/A

• Anchor Bolts Correct Protective Coating, Size and Location

  Yes

  No

  N/A

• Joints, Chamfer Installed Per Details

  Yes

  No

  N/A

• Concrete Delivery Ticket Inspected

  Yes

  No

  N/A

• Placement and Consolidation Correct

  Yes

  No

  N/A

• Maintain Tremie depth within the Concrete Pour

  Yes

  No

  N/A

• Testing On Site

  Yes

  No

  N/A

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