Embed / Template Receiving Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Project Name: Baffin Wind

• Project Number: 13140009

• Date / Time:

  Date

• Add media

  Media

• Inside to inside diameter of the ring is 12' 11 7/8" diameter. Verify in 6 locations.

  Yes

  No

• Outside to outside dimension of the ring is 14' 9 3/16" diameter. Verify in 6 locations.

  Yes

  No

• Inner to outer width of embed ring is within 10 5/8" +/- 1/8"

  Yes

  No

• Center to center dimension of interior holes is 13' 4 11/16" diameter. Verify in 6 locations.

  Yes

  No

• Center to center dimension of exterior holes is 14' 4 3/8" diameter. Verify in 6 locations.

  Yes

  No

• Tolerance of plus or minus 0.010" center to center for hole dimensions. Measured from both sides of welded seams to assure flush points.

• Outside edge of ring to edge of outer bolt hole is 1 9/16". Verify in 6 locations.

  Yes

  No

• Inner edge ring to edge of inner bolt hole is 1 17/32". Verify in 6 locations.

  Yes

  No

• Tolerance of plus or minus 0.010" center to center for hole dimensions. Measured from both sides of welded seams to assure flush points.

• Bolt holes are 1 3/4" diameter. Verify 20% random holes.

  Yes

  No

• Bolt holes are cut/drilled straight through the steel, not skewed.

  Yes

  No

• Verify ring is welded correctly and that welds are ground flat if near holes.

  Yes

  No

• Ant NCN's?

  Yes

  No

• If yes, are they closed?

  Yes

  No

Mortenson QA/QC Representative

• Representative:

  Select Chris Pozza Kristin Schmidt John Slaton James Grisham Kevin McClay Alex Wellinghurst

  • Chris Pozza
  • Kristin Schmidt
  • John Slaton
  • James Grisham
  • Kevin McClay
  • Alex Wellinghurst

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