Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Concrete Data
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Contractor(s)
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Location(s)
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Pour Date & Start Time
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End Date & Time
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Estimated Volume
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Actual Volume
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Is The Concrete Mix Design Approved?
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Mix Design Class
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KYTC Mix #
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#8 Stone
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Fly-Ash
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Retarder (%)
- 0%
- 1%
- 2%
- 3%
- 4%
- 5%
- 6%
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Temperature Control
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Notes
Surface Preparation
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Has debris been removed from deck, diaphragm. approach and moment slabs?
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Are deck pans cleaned and any voids filled with filler?
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Is styro-foam taped down properly were broken or removed?
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Are deck drains covered and any holes filled?
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Notes:
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WCC - Foreman/Superintendent
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WCC - QC Engineer
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KYTC Representative
Reinforcement & Joints
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Has any nicked or cut epoxy coated rebar been touched up?
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Is the rebar the proper size?
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Are the top and bottom mats per plan?
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Are the ties spaced properly and tied tightly?
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Is the top mat tied down every 8sq ft?
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If splices are used, does it meet the minimum splice length?
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Expansion joints installed per plan?
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Notes:
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WCC - Foreman/Superintendent
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WCC - QC Engineer
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KYTC Representative
Contractor Equipment & Material Preparation
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Has a internal dry-run been performed?
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Has a dry-run been performed with KYTC representative?
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Is there burlap on site? (New burlap must be soaked for minimum of 24hrs and used burlap a minimum of 12hrs)
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Is there an approved curing compound on site?
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Has the barrier wall steel been protected from curing compound application?
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Is epoxy bonding agent required? If so is it on site?
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Is there an approved washout pit onsite and accessible?
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Are the materials to construct a bulkhead onsite and accessible?
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Is there an adequate water supply and hose for wetting and curing the deck onsite?
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Is there adequate lighting for night work?
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Is there plywood available for transporting concrete samples?
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Notes:
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WCC - Foreman/Superintendent
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WCC - QC Engineer
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KYTC Representative
Pre-Pour Meeting Items
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Has a pre-pour meeting occurred?
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Is there a back up plan in place for rain or inclement weather?
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Is there a cold/hot weather plan?
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Is there a backup equipment plan e.g. vibrators, generators, pump truck, finishing machine?
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Notes:
Approvals For Placement
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WCC - Foreman/Superintendent
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WCC - QC Engineer
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KYTC Representative
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