Title Page

  • Conducted on

  • Prepared by

Concrete Items

  • Contractor

  • Plant:

  • Mix Design

  • Retarder?

  • Retarder dose rate:

  • Increase delivery time?

  • Midrange?

  • Slump min:

  • Slump max:

  • Slump requested:

  • Air minimum after placement:

  • Air max after placement:

  • Test frequency:

  • Stop pump during tests?

Service items

  • Direction to come in to site:

  • How many loads before waiting for first onsite test?

  • Date & time of pour:

  • Hold if weather issues?

  • Total yards?

  • Yards per hour:

  • Travel time:

  • Trucks needed:

  • Number of placement moves:

  • Yardage to hold at for moves:

  • Time to hold for moves:

  • Washout area:

  • Backup plant:

  • Method of placement:

  • Placement company:

  • Site foreman:

  • Site foreman phone number:

Internal items

  • Extra air on site

  • Extra water reducer on site

  • Run tests prior to pump to develop air and slump loss

  • Person observing, adjusting, and testing loads prior to pump:

  • Person observing the testing and placement after pump:

  • CPI:

  • Raw materials on hand prior to pour(if possible)

  • Back flush drums prior to loading

  • Check batch computer for proper batch weights

  • Test first load at plant and after any major changes

  • Keep good communication between site and plant

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