Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Project information

  • Project Number

  • Enter date

  • Area / location of Pour.

  • PSI.

  • Slump

  • Air %.

  • Adds ( calcium, plasticizers, etc.)

  • Product name.

  • % applied

  • Do we have a proper place for storing concrete cylinders.

Sign off Area

  • Ryan Companies inspector

  • Special Inspector : Name

  • Company Name

  • City / County inspector sign off.

  • Plumbing sign off:

  • Rebar installer sign off.

  • Mechanical sign off.

  • Electrical sign off.

  • Form work / Finishers sign off.

  • City / County inspector sign off.

Footings / Pier Cap checklist

  • Select this if check list is for footing or Cap. (If No leave switch to Off.)

  • Verify that testing lab has checked bottom of footing and sign off.

  • Add media

  • Verify that all excavations are free of mud and standing water.

  • Add media

  • Verify that excavations corners are square and clean for neat pours.

  • Add media

  • Check reinforcing clearances at sides and bottom of footings and foundation walls.

  • What is the required clearance from earth to forms?

  • Add media

  • Verify that all dowels are aligned for wall or slab layout.

  • Add media

  • Are Embeds required in this pour

  • Did we check quantity?

  • How many in this pour.

  • Add media

  • Did we confirm type used is correct for each location?

  • Add media

  • Did we check orientation & placement?

  • Is water stop required this pour?

  • Type & locations?

  • Add media

  • Are anchor bolts required in this pour?

  • Checked proper size of anchor bolts

  • Checked bolt pattern and or bolt setting template?

  • Proper bolt projection & bolts are plumb?

  • Add media

  • Check top of footings and verify that they are level and correct elevation?

  • Add media

  • Are sleeves and or blackouts installed for future installation of electrical, plumbing, drain tiles etc.?

  • Add media

  • Are footing steps properly braced and formed?

  • Add media

  • Have all required rebar inspections taken place

  • Are all concrete delivery & inspections properly documented and scheduled?

  • End of section

Cast in place wall / Columns Pre-Pour check list

  • Select this if inspection is for walls or columns ( if NO leave switch to off)

  • Verify that all forms are cleaned / oiled / cavity is clear.

  • Add media

  • Ensure all reinforcing has proper clearances ( per design spec's) from forms and is checked.

  • Add media

  • Verify all blackouts & sleeves are in place, in proper location.

  • Add media

  • Verify that all block outs are properly braced.

  • Add media

  • Is chamfer required for this pour?

  • Check chamfer is in proper locations ( corners both horizontal and vertical etc)

  • Add media

  • Are there any brick ledges, pockets or reglets required in this pour?

  • Have we checked for proper location and elevation?

  • Add media

  • Bulkhead braced adequately?

  • Add media

  • Are anchor bolts required in this pour?

  • Proper size of anchor bolts

  • Checked proper location

  • Checked bolt pattern or bolt setting template?

  • Proper bolt projection & bolts are Plumb

  • Add media

  • Water stop required?

  • Type & location

  • Add media

  • Embeds required this pour?

  • Did we check quantity?

  • How many this pour?

  • Add media

  • Did we confirm type used is correct for each location?

  • Add media

  • Did we check orientation & placement?

  • Add media

  • Verify form work is constructed per design with whalers, ties stiff backs and bracing.

  • Add media

  • Pins / dogs / wedge bolts & clamps in place

  • Add media

  • All ties / she bolts in place and secured.

  • Add media

  • Pour elevation confirmed, marked

  • Add media

  • Are all deliveries & inspections properly document and scheduled?

  • End of section

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.