PT Grout Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Signature

  Sign

Location and Type of Inspection > 1. Level and Location

• What level and pour number is being inspected?

  Yes

  No

  N/A

Location and Type of Inspection > 2. Grout Inspection Opening of Duct

• Tendon number to be opened

  Yes

  No

  N/A

• Permission given by client to cut in slab

  Yes

  No

  N/A

• Do you have all necessary SWMS, tools and equipment to jack hammer slab

  Yes

  No

  N/A

• Is Ducting completely full of grout

  Yes

  No

  N/A

• Are surrounding level have any excess grout spills

  Yes

  No

  N/A

• Mark up a plan with tendons opened in and highlighted in Orange any that need rectification, Green highlighter for acceptable tendons

  Yes

  No

  N/A

Location and Type of Inspection > 3. Grout Mix Inspection

• Who is on the pump?

  Yes

  No

  N/A

• Who is on the nozzle?

  Yes

  No

  N/A

• Who is on the bucket?

  Yes

  No

  N/A

• Using the Mud Balance on the grout, what is the Water Cement Ratio?

  Yes

  No

  N/A

Location and Type of Inspection > 4. Summary and Actions

• Audit Summary

  Yes

  No

  N/A