Rogers-O'Brien Construction Company

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Project #

• Pour# & Location

• Scheduled Pour Date

  Date

• Date Checked

  Date

Concrete Specifications

• Mix #

• PSI

• Slump

• Finish Type

• Curing Method

• Method of Placement

Formwork

• Are forms on proper location (grade and alignment)?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Have Forms been braced and installed with any acceptable shop plans?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Are forms clean and free of derby?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

Reinforcing

• Is all reinforcing steel clean (free of rust scale, reals in epoxy or galvanized coating)?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Has the reinforcing steel been placed as per contract documents?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Is there proper clearance, as specified in contract documents, between reinforcing steel and formwork?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Has reinforcing steel been tied and supported (chairs) as per contract documents?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

Post-Tension

• Have all the exposed strands been properly taped and protected?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Has all post-tension been placed correctly as per approved shop drawings (group count, color,drape)?

  Yes

  No

  N/A

• Date corrected (If No)

  Date

• Does all post-tension meet the specified cover?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Is post-tension properly supported as called out in approved shop drawings (reinforcing, chairs, tendon)?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

• Have all post-tension heads been properly nailed to formwork (flush to prevent concrete from seeping in)?

  Yes

  No

  N/A

• Date Corrected (If No)

  Date

Set-Ins

• Have all embed plates been installed correctly as per contract documents (type, location, elevation)?

  Yes

  No

  N/A

• Have all dowel bars been installed correctly as per contract documents (bar size, location)?

  Yes

  No

  N/A

• Have all sleeves been installed correctly as per contract documents (drains, pipe sleeves)?

  Yes

  No

  N/A

Set up Verification - Have the follow personnel been set up

• Lab Engineer

  Yes

  No

  N/A

• Concrete supplier

  Yes

  No

  N/A

• Concrete Pumping Company

  Yes

  No

  N/A

• Finishers

  Yes

  No

  N/A

• City Inspector

  Yes

  No

  N/A

Sign-offs - Have the following personnel inspected and approved the pour

• Testing Lab

  Yes

  No

  N/A

• Engineer of Record

  Yes

  No

  N/A

• R-O Superintendent

  Yes

  No

  N/A

• R-O Quality Manager

  Yes

  No

  N/A