PROJECT :

QUALITY CONTROL FORM QCF 104 CLIENT :

INSPECTION RECORD OF REBAR,
FORMWORKS AND CONCRETE
_________
ITEM: ___________________________________________________________
DRAWING No. _______________________________ REV. ______ SH__ OF __
UNIT / AREA _______________________________
Found!"on E#$%!$d &$' Co#u'n
S"!$ Found!"on &$' E#$%!$d S#( W##
P)$*()"+!"on W!$) P"!
ITEM
No.
INSPECTION ITEMS
Not
Applicable
Acc. Not
Acc.
Signature and Date
Subcontractor Contractor Date
1 Lean concrete top
2 Coordinates cec!
"
.

#
o
r
$
%
o
r
!

c

e
c
!
Di$ension and Position
Stabilit& ' Plu$bness
Cleaning
#or$ Oil
(
.

)
e
i
n
*
o
r
c
e
$
e
n
t

c

e
c
!
Do%els bar + Pins
Lap splice
,ending
Spec. + Nr.s + Spacing
-elded $es
Cleaning
)e.bar bloc!s
/
.

A
n
c

o
r

b
o
l
t
s
Di$ension + Nbr.s
Location ' Ele0ation
Protection ' 1reasing
2
.

P
r
e
.
i
n
s
e
r
t
1eo$etr& and Di$ension
Location
3.
-ater stop
4.
#or$%or! re$o0al
5es

No

6.
#inal appro0al *or casting 5es

No

S7,CONT)ACTO) CONT)ACTO) CLIENT
NAME
SIGNATURE
DATE
,-,./,0-/.do+