Concrete Preplacement Checklist

• Project

  Select

• Conducted on

  Date

• Foundation Number

• Date of Placement

• Drawing No.

• Revision No.

• Mix Design

• Forms

  Sign

• Steel

  Sign

• Plumbing

  Sign

• Labor

  Sign

• Piping

  Sign

• Mechanical

  Sign

• Electrical

  Sign

• Instrumentation

  Sign

• Engineering

  Sign

• Other

  Sign

Checklist Items (Initial, Date, Remarks)

• Company Representative Notified of Placement Date

• Approved Supplier and Mix Design

• Curing and Protection

• Casing For Drilled Pier Onsite

• Hot and Cold Weather Concreting

• Excavation Depth and Size

• Suitable Drilled Excavation

• Forms -Line & Grade, Braced, Correct Dimensions

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

• Anchor Bolts Correct Protective Coating, Size and Location

• Joints, Chamfer Installed Per Details

• Concrete Delivery Ticket Inspected

• Placement and Consolidation Correct

• Maintain Tremie Depth Within the Concrete Pour

• Quality Testing Onsite for Testing

• Comments

• Sub-Contractor (Company)

• Sub-Contractor (Signature)

  Sign

• Sub-Contractor (Date)

  Date

• Contractor (Company)

• Contractor (Signature)

  Sign

• Contractor (Date)

  Date