Title Page

  • Conducted on

  • Prepared by

Information

  • Date and Time

  • Project

  • Project Number

  • Type of Placement

  • Elevation Control

  • Reference points ( column line or wall) being used to pull square from edge forms/drains.

  • Contractor responsible for slabs

  • Area and location

  • Project superintendent

  • Weather concerns?

Placement Verification and Sign Off

  • Sub grade verified?

  • Bulkheads straight and pins set below bulkhead? Diamond dowels at 18” OC 1/4” thick?

  • Bulkheads shot in with auto level?

  • Bond breaker installed on bollards, penetrations, exterior walls?

  • Meeting with lead finisher and slab crew?

  • Concrete supplier onboard?

  • Submittals approved by A/E?

  • High/low points, recesses, and pitch verified pre placement?

  • High low points, pitch verified post placement? 1/8” in 10’ Tolerance?

  • Slab specifications for tolerances understood by all parties involved?

  • Slab specifications for curing understood by all parties involved?

  • Embed verification

  • Flooring Contractor Approval

  • Electrical Approval

  • Plumbing Approval

  • Engineers Approval

  • Owners Rep Approval

  • Testing Agency Approval

Concrete Information

  • Mix Design

  • Slump

  • Air

  • W/C Ratio

  • Compressive Strength

  • Total Yards

  • Truck Spacing

  • Admixtures

  • Truck Tickets

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.