HSQE 37 - Concrete Inspection Check Sheet

• Site conducted

  Select

• Conducted on

  Date

• Conducted By

• Location

• DWG No.

• Task Description

Part A - Pre-Concrete Checks

• Check Correct Drawings

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Initial Setting Out

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Formation

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Falsework

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Formwork

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Reinforcement

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Boxout/Stop Ends/ Water Bar

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Lines and Levels

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Encast Items

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Cleanliness/Formation

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Services

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Drainage

  Select Checked by Moortown Checked By Others NA

  • Checked by Moortown
  • Checked By Others
  • NA

• Checked by Moortown

  Sign

• Checked by Others

  Sign

Part B - Permission Requested to Pour Concrete

• Estimated Volume

• Mix Details

• Date of Request

  Date

• Requested By

  Sign

• Permission Granted to Place Concrete By:

  Sign

Part C - Concrete Pour Information

• Date Concrete Poured

  Date

• Concrete Delivery Ticket Nos

• Test Cubes Ref.

Items

• Volume Placed

• Placement Method

• Curing Method

• Stripping

• Slump

• Checked By Moortown:

  Sign

Part D

• 7 Day Cube Results

• 14 Day Cube Results

• 28 Day Cube Results

• Lines & Levels

• Visual Inspection

• Inspected By Client

  Sign

• Inspected By Moortown

  Sign