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NHAI Quality Assurance Manual
NHAI Quality Assurance Manual
NHAI Quality Assurance Manual
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Signed:
Date:
For System Supplier:
Name:
Signed:
Date:
For Contractor:
Name:
Signed:
Date:
For Department:
Name:
296
APPENDIX V
FORMS FOR REPORTS AND RECORDS
297
Appendix V
FORMS FOR REPORTS AND RECORDS
FORM V-1
DRAWING ISSUE FORM
Sheet No. of
DATE OF ISSUE
Day
Month
Year
DRAWING TITLE DRAWING
NO.
DRAWING REVISION NO.
NO. OF DRAWINGS ISSUED TO:
Client
Contractor
Site Office
Legend
Other
Information
Approval
Comment
Construction
PURPOSE OF ISSUE
Other
___________________________________________________________________
Attached drawings have been checked and agree with above list
Issued by: _______________________Receipt Acknowledged: ________________________
298
FORM V-2
INSPECTION REQUEST FORM (Initial/Resubmittal)
Package _______________________ Section _____________________________ Contractor
______________________
Schedule Activity
Location
Chainage BOQ Item Activity
Description Date Time
Inspection Result/Remarks
Requested by: _________ ________ Requested by: _________ ________ Requested by: _________ ________
Contractor Date/Time Contractor Date/Time Contractor Date/Time
Comments:
_____________________________________________________________________
Notes:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1. Contractor to submit Request
minimum of 48 hours in advance of
work requirements.
2. Consultants to return approved or
disapproved original and one copy to
the contractor before work proceeds.
Request to begin activity is: Request turned
APPROVED/DISAPPROVED
_________________________ ________________
Resident Engineer Contractor
Date/Time: Date/Time:
299
FORM V-3
DAILY REPORT
DATE: ________________ Weather A.M. _____________
PAGE: ________________ P.M. _____________
BILL NO. ______________________________________________________________________
ACTIVITIES (Item No., description, locations, quantity or work, etc.)
MANPOWER (Engineers, foremen, skilled laborers, operators, others)
EQUIPMENT (Type, No. working/idle)
PROBLEMS/ISSUES ENCOUNTERED (Disturbances, accidents, etc.)
REMARKS (Inspecting officers, site instructions, emergency work orders, etc.)
Prepared by: Noted:
Designation: Resident
Engineer
(Contractors Representative)
300
FORM V-4
MECHANICAL PLANT /MACHINERY INSPECTION REPORT
Contractor ____________________ Package No. ____________________________
Inspection Date ________________ Time ___________________________________
Plant Machine Type _________________ Model No. __________________________
Manufacturer ______________________ Manufacturer date __________________
General Conditions
Description Condition
O.K./Poor/Not O.K.
Remarks/Defects
Overall Appearance
Tyres/Drums/Tracks
Stearing Brakes
Operator/Understanding/Training
Environmental Condition
Specification Requirements
Spec. Clause No. Description
Specification
requirement
Rating
O.K./Poor/Not
O.K.
Remarks/Defects
Final Recommendations:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Noted by: Recommended by: Approved by:
Signature: _________________ _________________ ______________
Designation: Contractors Rep. Consultants Rep. Resident Engineer
Date _____________ Date _____________ Date ____________
Copy to:
1. Resident Engineer
2. Highway Engineer
3. Contractor
301
FORM V-5
SITE INSTRUCTION NO.
CONTRACTOR: ____________________________________________________
CONTRACT NO.: ___________________________________________________
To:
_________________________ Date: ____________________
Contractors Field Rep.
Site Instruction:
______________________________________
Resident Engineer Date
Received & Noted By
___________________________
Contractors Representative
C.C: TEAM LEADER, CONSULTANT
302
FORM V-6
O.K. CARD
CONTRACTOR:
LAYER : _____________________________________________
CHAINAGE : _____________________________________________
DATE : _____________________________________________
____________________________
Contractor Representative
CONSULTANT:
CH: Km _________________ to Km __________________
REMARKS
a) Level: ___________
b) Density: ___________
c) MC: ___________
d) Tolerance: ___________
F/E Supervisor
Remarks:
RE/ME
______________________ ____________________
(Contractor Representative) Approved/Not Approved