Title Page
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Project Name:
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Project No.
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Slab Level:
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Pour Number:
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Select date
1. PREPARATION OF GROUT
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All tendons checked for passage of air
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Any tendons need drilling
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Mixture
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Cement type GP to AS3972 to be used
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Any additives used (Viscocrete 10 or approved other)<br>If 'other', please provide detail
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Water to cement ratio up to 0.45
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(Maximum 9 litres of water per 20Kg of cement)
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Water was measured
2. GROUTING PROCEDURE
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Type of ducting used:
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Check for looped tendons
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Check intermediate points
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Bucket operator confirms grout quality expelled
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Check ducts are clear and have free passage of air
3. GROUTING RESULTS
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Operators have checked perimeter for any leaks of grout
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All tendons grouted and complete
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Cable numbers not yet grouted
4. IF INCOMPLETE, WHY WAS DECK NOT FULLY GROUTED (Ignore if grouting complete)
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4a. Follow up required before signing off?
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Send form to Construction Manager for review
COMMENTS / NOTES
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Pump Operator (Print Name and Sign)
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Bucket Operator (Print Name and Sign)
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Nozzle Operator (Print Name and Sign)
CONFORMANCE
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It is hereby confirmed that all post-tensioning tendons to the above noted slab / deck have been fully grouted
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Main Contractor (Print Name and Sign)
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Fortec Leading Hand (Print Name and Sign