Grade qc form

• Conducted on

  Date

• Prepared by

• Plant/plants supplying concrete:

• Contractor

• Homeowner

• Address

• Mix design:

• What is being poured?

• Yardage of pour

Weather

• Has it rained recently

  Yes

  No

  N/A

• Is it windy

  Yes

  No

  N/A

• Humidity?

  High

  Low

  Average

• Air temperature

Contractor practices

• What were the grade conditions?

  Select Dry Muddy Soft Frozen Underwater Dampened

  • Dry
  • Muddy
  • Soft
  • Frozen
  • Underwater
  • Dampened

• Did they cure?

  Yes

  No

  N/A

• Did they bless the slab?

  Yes

  No

  N/A

• Did they use steel trowel?

  Yes

  No

  N/A

• Is concrete protected from freezing?

  Yes

  No

  N/A

• Did they use misting?

  Yes

  No

  N/A

• Did they use an evaporation retardant?

  Yes

  No

  N/A

• Are there wind breaks?

  Yes

  No

  N/A

• What was the slump being placed?

Testing on site

• Name of technician:

• Testing firm:

• What tests were being performed?

  Select Air Unit weight Slump Temperature Beams Cylinders

  • Air
  • Unit weight
  • Slump
  • Temperature
  • Beams
  • Cylinders

• Were cylinders on site from a previous pour?

  Yes

  No

  N/A

• How were test cylinders/beams transferred?

Service

• How many trucks were hauling to job?

• Amount of trucks were:

  Not enough

  Just right

  Too many- trucks stacking up

• Any cold joint issues?

  Yes

  No

  N/A

• Any delays causing timed out trucks?

  Yes

  No

  N/A

• Was any out of spec concrete used in pour?

  Yes

  No

  N/A

• If yes explain:

Notes

• Notes: