03.quy Trinh Cac Buoc Nghiem Thu

D N U T XY DNG HM NG B QUA O C QL1
LIN DANH T VN GIM ST APAVE - DOHWA - TEDI SOUTH

VP Chnh: Tng 3, S 196 Trn Hng o, P.3, TP. Tuy Ha, Tnh Ph Yn
Tel.: 057-381-4985 ; 057-381-4986 ; 057-381-4987 ; Fax: 057.381.4987
QUY TRNH CC BC NGHIM THU

TRONG GIAI ON XY DNG
(Ban hnh ln 2)
D N
U T XY DNG HM NG B QUA O C
A IM
QUC L 1A - TNH PH YN & KHNH HA
CH U T
CNG TY C PHN U T O C
CH U T
T VN QUN L D N
T VN GIM ST
NH THU THI CNG
Tuy Ha, Ph Yn, thng 12/2013
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KIM SOT TI LIU

Thng tin ti liu
Thng tin
M s ti liu
TVGS A-D-T/04
Ngi qun l ti liu

Ngy pht hnh
19/12/2013
Ngy lu sau cng
19/12/2013
Tn File
Quy trnh cc bc nghim thu
Lch s ti liu
Ln pht hnh
Ngy pht hnh
S trang v nhng thay i
[1]
01/11/2013
38 trang
[2]
19/12/2013
50 trang
Ph duyt ti liu
Trch nhim
Bin son
Sot xt
Ph duyt
H v tn
L Quang Tn
Tn Hoan
Mai Triu Quang
Chc v
QA/QC
NG G D N
T VN TRNG
Ch k
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MC LC
TT
NI DUNG
Trang
NI DUNG QUY TRNH CC BC NGHIM THU
C S THIT LP QUY TRNH NGHIM THU
II
MC TIU/ C S CA CNG TC NGHIM THU
III
IU KIN SN PHM THI CNG C NGHIM THU
IV
QU TRNH THC HIN CC BC NGHIM THU
Nghim thu vt liu, sn phm ch to sn/c sn, thit b trc khi s dng
IV.1
vo cng trnh
M s:
IV.2
Nghim thu cng vic xy dng
IV.3
Nghim thu b phn cng trnh xy dng, giai on thi cng xy dng
10
IV.4
Nghim thu hon thnh hng mc cng trnh xy dng, cng trnh xy dng
a vo s dng.
13
CC PH LC KM THEO
16
B1
PH LC 1 - S CC BC NGHIM THU
16
B2
PH LC 2- DANH MC BIU MU KIM TRA/NGHIM THU CNG

TRNH
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A. NI DUNG QUY TRNH CC BC NGHIM THU

I. C S THIT LP QUY TRNH NGHIM THU:
Quy trnh ny c thit lp da trn cc c s di y:
- Ngh nh s 15/2013/N-CP ngy 06 thng 02 nm 2013 ca Chnh ph v qun l
cht lng cng trnh xy dng;
- Quyt nh s 1070/Q-BGTVT, ngy 23/4/2013 ca B trng B Giao thng vn
ti, ban hnh quy nh v kim tra, kim sot tin , cht lng cng trnh xy
dng, giai on thc hin d n u t xy dng cng trnh giao thng.
- Thng t s 10/2013/TT-BXD ngy 25/7/2013 ca B Xy dng quy nh chi tit
mt s ni dung v qun l cht lng cng trnh xy dng;
- Tham kho cc vn bn qun l xy dng, cht lng, u t hin hnh ca Nh
nc.
- H s thit k D n u t xy dng Hm ng b qua o C;
- Cc Hp ng thi cng xy lp gia Ch u t v cc Nh thu thi cng;
- H s xut ca cc Nh thu thi cng;
- Hp ng T vn Qun l d n;
- Hp ng T vn gim st s 27/2012/HTV-C, ngy 20/11/2012 c k kt
gia CNG TY CP U T O C v nh thu t vn Lin danh gia APAVE
INTERNATIONAL DOHWA TEDI SOUTH - APAVE ASIA PACIFIC.
II. MC TIU/ C S CA CNG TC NGHIM THU:
Qu trnh tin hnh u t v xy dng phi qua cc bc: Chun b u t, chun
b xy dng, thc hin u t v a cng trnh vo khai thc s dng cho n ht thi
gian bo hnh cng trnh.
Cng tc nghim thu chng t rng cng vic c tin hnh v lm xong,
cht lng cng vic t theo cc yu cu ra trong hp ng v ti liu km theo, t
cc quy chun v tiu chun c xc nh v theo ng k hoch tin . Cng vic
hon thnh trong iu kin nh thu kim sot/qun l cht lng cn thn, c s
gim st cht ch ca T vn gim st v ch u t, ng s lng v cng trnh bo
m cc iu kin s dng an ton, tin dng, khng lm suy gim cc yu t mi
trng.
c thanh ton, sn phm xy dng ca Nh thu trc ht phi c y
cc th tc nghim thu chng t rng cng vic hon thnh, m bo cht lng v
tun th cc quy nh.
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Vic nghim thu thc hin theo quy nh ca Ngh nh 15/N-CP ca Chnh ph
v qun l cht lng cng trnh xy dng v mt s vn bn php l hin hnh ca
Nh nc.
Cng tc nghim thu hon thnh theo cc quy trnh sau:
-
Nghim thu cng vic xy dng;
Nghim thu b phn cng trnh xy dng, giai on thi cng xy dng;
Nghim thu hon thnh cng trnh/hng mc cng trnh xy dng.
C s nghim thu cng tc xy dng l:

+ Cc yu cu ca b H s mi thu/Cam kt trong H s xut;
+ Hp ng kinh t k thut k kt gia Ch u t v cc Nh thu,
+ H s TK BVTC c ph duyt;
+ Cc vn bn qun l Nh Nc trn lnh vc u t v xy dng lin quan;
+ Cc tiu chun k thut, nh mc kinh t k thut lin quan.
H s nghim thu bao gm:
Bin bn nghim thu;

Bn v hon cng i vi cc hng mc c nghim thu;
Cc ti liu lm cn c nghim thu;
Bin bn nghim thu v bn tnh gi tr khi lng c nghim thu l nhng ti liu
bt buc c trong h s thanh ton cng vic, giai an thi cng, hng mc cng
trnh v cng trnh hon thnh.
III. IU KIN SN PHM THI CNG C NGHIM THU

Nhng cng vic xy lp, b phn kt cu, thit b, my mc, b phn cng trnh,
giai on thi cng, hng mc cng trnh v cng trnh ch c nghim thu khi sn
phm hon ton ph hp vi H s thit k c duyt, tun theo nhng yu cu ca
tiu chun TCXDVN 371:2006 v cc Tiu chun qui phm thi cng v nghim thu k
thut chuyn ngnh lin quan.
i vi cng trnh hon thnh nhng vn cn cc tn ti v cht lng m nhng
tn ti khng nh hng n bn vng v cc iu kin s dng bnh thng ca
cng trnh th c th chp nhn nghim thu ng thi phi tin hnh nhng cng vic
sau y:
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- Lp bng thng k cc cc tn ti v cht lng (theo mu) v quy nh thi

hn sa cha, khc phc nh thu thc hin;
- Cc bn c lin quan c trch nhim theo di v kim tra vic sa cha, khc
phc cc cc tn ti ;
- Tin hnh nghim thu li sau khi cc cc tn ti v cht lng c sa cha
khc phc xong.
Nghim thu cng trnh ci to c thit b, my mc ang hot ng phi tun theo
ni quy, tiu chun k thut vn hnh v cc quy nh v an ton, v sinh ca n v
sn xut.
Cc bin bn nghim thu trong thi gian xy dng v bin bn nghim thu bn
giao a cng trnh vo s dng l cn c thanh ton sn phm xy lp v quyt ton
gi thnh cng trnh xy dng xong.
i vi cc cng vic xy dng c nghim thu nhng thi cng li hoc cc
my mc thit b lp t nhng thay i bng my mc thit b khc th phi tin
hnh nghim thu li.
Cc cng vic xy dng, kt cu xy dng, b phn cng trnh xy dng trc khi
b che lp kn (n du) phi t chc nghim thu.
i vi cc cng vic xy dng, kt cu xy dng, b phn cng trnh xy dng
khng nghim thu c phi sa cha hoc x l gia c th phi tin hnh nghim thu
li theo phng n x l k thut c n v thit k v ch u t ph duyt.
Cc hng mc cng trnh, b phn cng trnh, cng vic xy dng sau khi sa
cha hoc x l gia c nhng vn khng p ng c yu cu bn vng v cc yu
cu s dng bnh thng ca cng trnh th s khng c nghim thu.
IV. QU TRNH THC HIN CC BC NGHIM THU
Trong qu trnh thi cng cng trnh (mi hoc ci to) phi thc hin cc bc
nghim thu sau:
- Nghim thu vt liu, thit b, nhn lc, phng th nghim, sn phm ch to sn s
c a vo s dng trong cng trnh.
- Nghim thu tng cng vic xy dng;
- Nghim thu b phn cng trnh xy dng, giai on thi cng xy dng;
- Nghim thu hon thnh hng mc cng trnh xy dng, cng trnh xy dng bn
giao a vo s dng.
Thnh phn trc tip tham gia nghim thu l i din cho pha Nh thu, i din
T vn gim st, i din ch u t v mt s bn c mi (nu c). Ngoi Nh thu,
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T vn gim st, nhng ngi cn thit tham gia s c mi theo yu cu ca ch u

t theo tng giai on nghim thu.
Vic tin hnh nghim thu tng bc ti cc gi thu thuc D n Hm
ng b qua o C nh sau:
IV.1 Nghim thu vt liu, thit b, nhn lc, phng th nghim, sn phm ch
to sn/c sn trc khi s dng vo cng trnh
Thnh phn trc tip tham gia nghim thu:
- i din ch u t (nu cn/c);
- T vn QLDA.
- T vn gim st thi cng xy dng cng;
- Ngi ph trch k thut thi cng trc tip ca Nh thu v i din Nh thu ph
(cung cp vt liu, sn phm ch to, n v th nghim (nu c);
Trch nhim ca cc thnh phn tham gia nghim thu:
+ Kim tra H s ti liu v ngun gc xut x ca vt liu, thit b, sn phm ch
to,
+ Kim tra H s ti liu lin quan n i tng nghim thu;
+ Kim tra/xem xt iu kin nghim thu khi nhn c phiu yu cu ca nh
thu xy lp;
+ Trc tip tin hnh nghim thu khi xt thy cc i tng nghim thu iu kin.
H s/Ti liu cn c trc khi tin hnh nghim thu:
- Cc chng ch k thut xut xng/chng ch v cht lng ca vt liu, sn phm
ch to sn/c sn;
- Kt qu th nghim mu ly ti hin trng (nu thit k, ch u t hoc tiu chun,
qui phm yu cu);
- L lch ca cc thit b, cc vn bn bo him, bo hnh thit b (nu c), cc ti liu
hng dn k thut, tiu chun k thut vn hnh thit b my mc ca nh sn xut;
Ni dung v trnh t nghim thu:
a) Kim tra ti ch i tng nghim thu v kch thc v hnh thc;
b) Kim tra cc chng ch k thut xut xng/chng ch v cht lng ca vt liu, sn
phm ch to sn/c sn;
c) Kim tra h s/ti liu v l lch ca cc thit b, cc vn bn bo him, bo hnh
thit b (nu c), cc ti liu hng dn k thut, tiu chun k thut vn hnh thit
b my mc ca nh sn xut;
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d) Kim tra cc ti liu th nghim;

e) Trong khi nghim thu trng hp cn thit c th tin hnh thm cc cng vic kim
nh sau:
- Yu cu nh thu xy lp ly mu kim nghim th nghim b sung;
- Th nghim li i tng nghim thu;
- Thm tra mc ng n ca cc kt qu th nghim c lin quan n cht lng
i tng nghim thu do nh thu xy lp thc hin v cung cp.
f) i chiu cc kt qu kim tra, kim nh (nu c) vi ti liu thit k c duyt,
cc yu cu ca cc tiu chun, qui phm k thut chuyn mn khc c lin quan, cc
ti liu hng dn hoc cc tiu chun k thut vn hnh thit b my mc nh
gi cht lng.
g) Trn c s nh gi cht lng Ban/T nghim thu a ra kt lun:
-
Trng hp th nht: Chp nhn nghim thu cc i tng xem xt v lp

bin bn theo mu c quy nh. Nhng mu Bin bn/h s ghi nhn kt qu
nghim thu phi c Ch u t ph duyt (theo mu chung ca d n)
Trng hp th hai: Khng chp nhn nghim thu khi cc i tng kim tra sai
vi thit k c duyt hoc khng p ng c nhng yu cu ca tiu chun
nh gi cht lng cng trnh v nhng yu cu ca cc tiu chun k thut
chuyn mn khc c lin quan. Ban/T nghim thu lp bin bn v ni dung sau:
+ Ghi r tn v s lng cc i tng khng chp nhn nghim thu;
+ Thi gian nh thu xy lp khc phc hoc thi gian phi a cc i tng
khng chp nhn nghim thu ra khi cng trng.
IV.2 Nghim thu cng vic xy dng

- i din ch u t (nu cn/c);
- Ngi ph trch k thut thi cng trc tip ca Nh thu v i din Nh thu ph
(nu c);
thu xy lp;
+ Trc tip tin hnh nghim thu khi xt thy cc i tng sau y (theo phiu yu
cu) iu kin nghim thu:
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Nhng cng vic xy dng hon thnh v/hoc
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Nhng cng vic lp t thit b tnh hon thnh v/hoc

Nhng kt cu, b phn cng trnh s lp kn (n du).
H s/Ti liu v iu kin cn c trc khi tin hnh nghim thu:

a) i tng nghim thu thi cng hon thnh trc ;
b) Bin bn nghim thu ni b v phiu yu cu nghim thu ca nh thu thi cng xy
dng cng trnh.
c) C y cc h s, ti liu:
- H s TK BVTC c ph duyt;
- Bin bn nghim thu vt liu, sn phm ch to sn/c sn, thit b trc khi thi
cng/s dng;
- Cc phiu kt qu th nghim mu kim nghim c lin quan ly ti hin trng;
- Cc kt qu th nghim, o lng, o c, quan trc m nh thu thi cng xy lp
thc hin ti hin trng xc nh cht lng v khi lng i tng cn
nghim thu;
- Bn v hon cng (nu cn/c);
- Nht k thi cng, nht k gim st v cc ti liu vn bn khc xc lp trong
qu trnh xy lp c lin quan n i tng nghim thu.
d) Thi hn nghim thu:
Theo quy nh ti Thng t s 10/2013/TT-BXD cc n v c trch nhim phi t
chc nghim thu trong vng 24 gi k t khi nhn c phiu yu cu nghim thu
ca nh thu thi cng xy dng, hoc thng bo l do t chi nghim thu bng vn
bn cho nh thu.
a) Kim tra ti ch i tng nghim thu: cng vic xy dng, thit b lp t tnh ti
hin trng, s liu quan trc, o c, th nghim;
b) Kim tra cc h s/ti liu nu trn;
c) Trong khi nghim thu, trng hp cn thit c th tin hnh thm cc cng vic kim
nh sau:
-
Kim tra s ph hp gia khi lng, cht lng cc cng vic hon thnh vi s
liu ghi trong bin bn, ti liu trnh nghim thu;
- Yu cu nh thu xy lp ly mu kim nghim t i tng nghim thu cng

trnh th nghim b sung (nu thy nghi ng);
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Kim tra mc ng n ca nhng kt lun ghi trong bin bn nghim thu vt

liu, sn phm ch to sn/c sn, thit b trc khi thi cng/s dng, v cc kt
qu th nghim c lin quan n cht lng i tng nghim thu do nh thu
xy lp thc hin v cung cp.
d) i chiu cc kt qu kim tra vi ti liu thit k c duyt, yu cu ca cc tiu

chun k thut chuyn mn khc c lin quan, cc ti liu hng dn hoc cc tiu
chun k thut vn hnh thit b my mc nh gi cht lng.
e) Trn c s nh gi cht lng Ban/T nghim thu a ra kt lun:
-

bin bn theo cc mu c Ch u t ph duyt.
Trng hp th hai: Khng chp nhn nghim thu khi cc i tng thi cng
cha xong, thi cng sai hoc c nhiu ch sai vi thit k c duyt, hoc khng
p ng c nhng yu cu ca tiu chun nh gi cht lng cng trnh v
nhng yu cu ca cc tiu chun k thut chuyn mn khc c lin quan.
Ban/T nghim thu lp Bin bn (v ghi vo s nht k thi cng) v ni dung sau:
+ Nhng cng vic phi lm li/th nghim li, hoc/v
+ Nhng thit b phi lp t li/kim nghim li, hoc/v
+ Nhng sai st hoc h hng cn sa li;
+ Thi gian lm li, sa li;
+ Ngy nghim thu li.
f) Sau khi i tng c chp nhn nghim thu cn tin hnh ngay nhng cng
vic xy dng tip theo. Nu dng li (khng nghim thu), th tu theo tnh cht
cng vic v thi gian dng li ch u t hoc n v gim st thi cng c th xem
xt v quyt nh vic nghim thu li i tng .
Ring i vi cng tc thi cng o hm: T vn gim st hin trng theo di, o
c, nghim thu v ghi chp chi tit tt c cc cng vic gm: Khoan, t thuc n,
bc xc, chc ri, gia c neo, b tng phun v bo co ngay vi Trng t vn
gim st quyt nh kp thi v chiu di o, kt cu chng , bin php x l
nghim thu cho vng o tip theo.
IV.3 Nghim thu b phn cng trnh xy dng, giai on thi cng xy dng
- i din Ch u t (KS Gim st ca CT);
- Ngi ph trch k thut thi cng trc tip ca Nh thu chnh v i din Nh
thu ph thi cng, i din nh thu ph cung cp vt liu, sn phm ch to, n
v th nghim (nu cn/c);
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- i din T vn QLDA;
- i din c quan qun l nh Nc (nu Ch u t mi);
- i vi nhng cng trnh (hoc hng mc) quan trng c chuyn gia nc ngoi,
cn c i din chuyn gia thit k v chuyn gia thi cng tham gia vo cng vic
nghim thu. Cc i din ny do c quan qun l chuyn gia nc ngoi ti cng
trnh ngh, Ch u t quyt nh.
+ Cn c vo qui m cng trnh v tham kho cc ti liu tiu chun cng nh yu cu
cng ngh ca cng trnh phn chia b phn cng trnh xy dng, giai on thi
cng xy dng;
thu chnh xy lp;
+ Trc tip tin hnh nghim thu khng mun hn 1 ngy, khi xt thy cc i tng
sau y (theo phiu yu cu) iu kin nghim thu:
B phn cng trnh xy dng hon thnh, hoc/v

Giai on thi cng xy dng hon thnh, hoc/v
Thit b chy th n ng khng ti, hoc/v
Thit b chy th lin ng khng ti, hoc/v

a)
i tng nghim thu thi cng hon thnh;
b)
Bin bn nghim thu ni b v phiu yu cu nghim thu ca nh thu chnh thi

cng xy lp;
c)
Tt c cc cng vic xy dng ca i tng nghim thu u c kim

tra/nghim thu theo qui nh nu;
d)
C y s cc h s/ti liu:
- Bin bn nghim thu vt liu, sn phm ch to sn/c sn, thit b trc khi thi
cng/s dng;
- Cc bin bn kim tra/nghim thu cng vic xy dng c lin quan;
- Cc bin bn kim tra/nghim thu lp t tnh thit b c lin quan;
- Cc bin bn kim tra/nghim thu nhng kt cu, b phn cng trnh lp
kn/n du c lin quan;
- Cc phiu kt qu th nghim mu/kim nghim c lin quan ly ti hin trng;
- Cc kt qu th nghim, o lng, o c, quan trc m nh thu thi cng xy
lp thc hin ti hin trng xc nh cht lng, khi lng i tng cn
nghim thu;
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- Bn v hon cng;
- Nht k thi cng, nht k gim st ca ch u t v cc ti liu vn bn khc
xc lp trong khi xy lp c lin quan n i tng nghim thu.
a) Kim tra ti ch i tng nghim thu: b phn cng trnh xy dng, giai on thi
cng xy dng, thit b chy th n ng khng ti, thit b chy th lin ng
khng ti;
b) Kim tra cc h s/ti liu nu trn;
c) Trong khi nghim thu, trng hp cn thit c th tin hnh thm cc cng vic kim
nh sau:
-
Kim tra s ph hp gia khi lng, cht lng cc i tng nghim thu vi s
liu ghi trong bin bn, ti liu trnh nghim thu;
Yu cu nh thu xy lp ly mu kim nghim t i tng nghim thu cng

trnh th nghim b sung (nu thy nghi ng);
Th nghim li i tng nghim thu (nu thy nghi ng);
Kim tra mc ng n ca nhng kt lun ghi trong bin bn nghim thu vt

liu, sn phm ch to sn/c sn, thit b trc khi thi cng/s dng, bin bn
nghim thu lp t tnh thit b c lin quan, cc kt qu th nghim c lin quan
n cht lng i tng nghim thu do nh thu xy lp thc hin v cung cp.
d) i chiu cc kt qu kim tra, kim nh vi ti liu thit k c duyt, yu cu

ca cc tiu chun k thut chuyn mn khc c lin quan, cc ti liu hng dn
hoc cc tiu chun k thut vn hnh thit b my mc nh gi cht lng.
e) Trn c s nh gi cht lng Ban/T nghim thu a ra kt lun:
-

bin bn theo mt trong cc mu do ch u t quy nh.
Trng hp th hai: Khng chp nhn nghim thu khi cc i tng cha thi
cng xong, thi cng sai hoc c nhiu ch sai vi thit k c duyt, hoc khng
p ng c nhng yu cu ca tiu chun nh gi cht lng cng trnh v
nhng yu cu ca cc tiu chun k thut chuyn mn khc c lin quan.
Ban/T nghim thu lp Bin bn (v ghi vo s nht k thi cng) v ni dung sau:
+ Nhng cng vic phi lm li/th nghim li, hoc/v
+ Nhng thit b phi lp t li/kim nghim li, hoc/v
+ Nhng sai st hoc h hng cn sa li;
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+ Thi gian lm li, th li, sa li;

+ Ngy nghim thu li.
IV.4 Nghim thu hon thnh hng mc cng trnh xy dng, cng trnh xy
dng a vo s dng.
a)
Pha ch u t:
-
Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy
dng cng trnh ca ch u t;
b) i din T vn QLDA;
c) Pha nh thu T vn gim st:
-
Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy
dng cng trnh ca nh thu T vn gim st thi cng xy dng cng trnh.
d) Pha nh thu thi cng xy dng cng trnh:

- Ngi i din theo php lut v ngi ph trch thi cng trc tip ca nh thu
thi cng xy dng cng trnh, v/hoc
- Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy
dng cng trnh ca Tng thu (i vi hnh thc hp ng tng thu).
e)
Pha nh thu thit k xy dng cng trnh tham gia nghim thu theo yu cu ca
ch u t xy dng cng trnh:
- Ngi i din theo php lut v Ch nhim thit k.
f)
i vi nhng cng trnh (hoc hng mc) c chuyn gia nc ngoi th cn c i

din chuyn gia thit k v chuyn gia thi cng tham gia vo cng vic nghim thu.
Cc i din ny do c quan qun l chuyn gia nc ngoi ti cng trnh ngh,
Ch u t quyt nh.
g)
i din c quan qun l nh Nc c thm quyn;
h)
i vi nhng cng trnh c yu cu phng chy cao hoc c nguy c nhim mi

trng cn c i din ca c quan qun l nh nc v phng chy chng chy, v
mi trng tham gia nghim thu.
i)
i din ch qun l/ch s dng cng trnh tham gia chng kin nghim thu (i
vi phn BT v Ti nh c);

Trc tip tin hnh nghim thu bn giao a vo s dng nhng i tng sau:
a) Thit b chy th lin ng c ti;
b) Hng mc cng trnh xy dng hon thnh;
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c) Cng trnh xy dng hon thnh;

d) Cc hng mc hoc cng trnh cha hon thnh nhng theo yu cu ca ch u t
cn phi nghim thu bn giao phc v cho nhu cu s dng.
Thi gian bt u tin hnh cng tc nghim thu khng mun hn 3 ngy k t khi nhn
c phiu yu cu nghim thu ca nh thu chnh xy lp; hoc nhn c vn bn yu
cu ca ch u t.
Cng tc nghim thu phi kt thc theo thi hn quy nh ca ch u t.
a) i tng nghim thu thi cng hon thnh;
b) Tt c cc cng vic xy dng, b phn cng trnh xy dng, giai on thi cng xy
dng ca i tng nghim thu u c kim tra/nghim thu theo qui nh;
c)
Cc kt qu th nghim, hiu chnh, vn hnh lin ng c ti h thng thit b cng

ngh;
d)
Cc vn bn chp thun ca c quan qun l nh Nc c thm quyn v phng

chng chy n; an ton mi trng; an ton vn hnh theo quy nh;
e)
C y cc h s, ti liu hon thnh xy dng (Bn v hon cng Nht k thi

cng, nht k gim st ca ch u t v cc ti liu vn bn khc xc lp trong
khi xy lp) c lin quan n i tng nghim thu do nh thu lp v cung cp cho
ch u t cng vi phiu yu cu nghim thu; Danh mc cc h s ti liu hon
thnh thng nht gia Nh thu, TVGS, T vn QLDA (nu c) v ch u t.
f)
h s php l ca i tng nghim thu do ch u t lp theo danh mc h s

php l ;
g)
Bng k nhng thay i so vi thit k c duyt, lp theo mu ;
h)
Bng k cc h s ti liu chun b cho nghim thu, lp theo mu ;
i)
Bin bn nghim thu ni b ca nh thu thi cng xy lp;
j)
Cc Bo co v cht lng cng trnh ca Nh thu TVGS v ca Ch u t;
k)
i vi trng hp nghim thu a vo s dng cc hng mc cng trnh, nhng

cng trnh cha thi cng hon thnh th phi c quyt nh yu cu nghim thu bng
vn bn ca ch u t km theo bng k cc vic cha hon thnh, lp theo mu;

- Kim tra ti ch hng mc cng trnh hoc cng trnh xy dng hon thnh;
- Kim tra cc h s, ti liu nu ;
- Kim tra vic chy th thit b lin ng c ti;
- Kim tra nhng iu kin chun b a cng trnh vo s dng;
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- Kim tra v nh gi cht lng cng tc xy lp, thit b, my mc, vt liu, cu

kin ch to sn s dng vo cng trnh trn c s nh gi cht lng xy
dng chung ca i tng nghim thu;
- Kim tra s ph hp ca cng sut thc t so vi cng sut thit k c duyt;
- Trong khi nghim thu trng hp cn thit c th tin hnh thm cc cng vic kim
nh sau:
Yu cu cc nh thu xy lp ly mu kim nghim t i tng nghim thu

cng trnh th nghim b sung, th nghim li thit b kim tra;
Yu cu ch u t chy th ng b h thng thit b my mc kim tra;

Thnh lp cc tiu ban chuyn mn v kinh t, k thut kim tra tng loi
cng vic, tng thit b, tng hng mc cng trnh v kim tra/kim ton kinh
ph xy dng;
i chiu cc kt qu kim tra, kim nh vi ti liu thit k c duyt/yu cu ca

cc tiu chun k thut chuyn mn khc c lin quan, cc ti liu hng dn hoc cc
tiu chun k thut vn hnh thit b my mc nh gi cht lng.
Trn c s nh gi cht lng Ch u t a ra kt lun:
-

bin bn theo mu quy nh.
Trng hp th hai: Khng chp nhn nghim thu hng mc, cng trnh khi pht
hin thy cc tn ti v cht lng trong thi cng xy lp lm nh hng n
bn vng, an ton v m quan ca cng trnh hoc gy tr ngi cho hot ng
bnh thng khi s dng.
Trong trng hp ny Ban nghim thu phi tin hnh lp Bng k (theo mu) cc
tn ti v cht lng cc bn c trch nhim thc hin. Ph tn sa cha,
khc phc do bn gy ra phi chu.
Trong trng hp cn thit, Ch u t c quyn thu t vn c lp phc tra v
kim tra cng tc sa cha cc tn ti v cht lng.
Sau khi cc tn ti v cht lng c sa cha v khc phc xong, T vn
phc tra lp bin bn nghim thu theo qui nh ca tiu chun ny v bo co
Ch u t t chc nghim thu li.
Sau khi nghim thu, Ch u t c trch nhim gi h s ti cp c thm quyn xin

php c bn giao a hng mc, cng trnh xy dng xong vo s dng. Thi hn
xem xt v chp thun khng qu 10 ngy lm vic sau khi nhn h s hon
thnh hng mc, cng trnh theo qui nh.
Sau khi c quyt nh chp thun nghim thu bn giao a hng mc, cng trnh
xy dng xong vo s dng ca cp c thm quyn, ch u t phi tin hnh ngay
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cng tc bn giao cho ch s hu, ch s dng hng mc, cng trnh theo qui nh ca
tiu chun TCVN 5640:1991.
Tt c cc h s ti liu hon thnh hng mc cng trnh xy dng, cng trnh xy
dng phi c nh thu xy dng lp, ng quyn/b, s lng theo yu cu ca Ch
u t.
B. CC PH LC KM THEO
1. PH LC 1 - LC CC BC NGHIM THU
2. PH LC 2 - DANH MC BIU MU KIM TRA/NGHIM THU XY DNG
CNG TRNH
HT
PH LC 1
S CC BC NGHIM THU
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PH LC 2
DANH MC BIU MU KIM TRA/NGHIM THU XY DNG CNG TRNH
No.
STT
A
M s:
CHECKLISH FORM
DANH MC KIM TRA/NGHIM THU
CODE OF MINUTE
S M HIU BIN BN
REMARKS
GHI CH
ADMINISTRATION FORM
(FORM HNH CHNH)
SITE INSTRUCTION
(Ch th cng trng)
APAVE-DOHWATEDI/HDC/AD-001
SITE INSTRUCTION SUMMARY

(Tng hp ch th cng trng)
DOCUMENT SENDING/RECEIVING RECORD

(Bin bn giao nhn h s)
EXECUTION STARTING NOTICE

(Thng bo khi cng)
DESIGN CHANGE SUMMARY

(Tng hp cc thay i thit k)
NON CONFORMED WORK REPORT

(Bo co cng vic khng ph hp)
NON-CONFORMED WORK REPORT SUMMARY

(Tng hp bo co cng vic khng ph hp)
NON-CONFORMED WORK RELEASE REPORT

(Bo co gii quyt xong cng vic khng ph hp)
NON-CONFORMED WORK RELEASE REPORT SUMMARY

(Tng hp bo co gii quyt xong cng vic khng ph hp)
MINUTE OF TECHNICAL SOLVING

(Bin bn x l k thut)
MINUTE OF HAND-OVER SUPERVISING SHIFT

(Bin bn bn gia ca lm vic ca gim st)
MINUTE OF DISCUSION
(Bin bn lm vic)
WORK ASSIGNMENT SHEET

(Phiu giao vic)
CONSULTANT DAILY
(Nht k ca gim st)
INSPECTION REPORT- CHECK CONCRETES & BRICKS

(Bo co kim tra - Kim tra vt liu b tng - gch xy)
INSPECTION REPOR - MONITORING STEEL SAMPLE TESTING

(Bo co kim tra - Chng kin th nghim mu thp)
INSPECTION REPORT - MONITORING CONCRETE SAMPLE TESTING

(Bo co kim tra - Chng kin th nghim b tng)
INSPECTION REPORT - CONCRETE SAMPLING AND TESTING

(Bo co kim tra - Ly mu v th nghim mu b tng)
INSPECTION REPORT - RECORD OF MATERIAL SAMPLING

(Bo co kim tra - Bin bn ly mu vt liu)
INSPECTION REPORT - CHECK EQUIPMENTS-MATERIALS

(Bo co kim tra - Kim tra thit b - vt t)
INSPECTION REPORT - CHECK CONSTRUCTION EQUIPMENTS

(Bo co kim tra - Kim tra thit b thi cng)
INSPECTION REPORT - CHECK CONCRETE MIXING STATION

(Bo co kim tra - Kim tra trm trn b tng)
INSPECTION REPORT - CHECK LABORATORY

(Bo co kim tra - Kim tra phng th nghim)
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WEEKLY REPORT
(Bo co tun)
DAILY REPORT
(Bo co ngy)
BRIDGE FORM
(Form nghim thu cu)
BORED PILE
(Cc khoan nhi)
LIST OF ACCEPTANCE MINUTES FOR CONSTRUCTION WORK
(Danh mc bin bn nghim thu hng mc thi cng)
APAVE-DOHWATEDI/BP-001
Landmark Handover Record on-site, Landmark Sitemap, if there.

(Bin bn bn giao mc, mng ti hin trng, S chuyn mc, nu c)
CHECKING POSITION HOLE AND PILE CASING(Bo co kim tra v tr l khoan

v lp t ng vch)
DRILLED HOLE LOGGING

(Phiu theo di l khoan)
TESTING OF BENTONITE SLURRY

(Kim tra cht lng dung dch bentonite)
CHECKING BORED PILE LENGTH (AFTER DRILLING, FINAL CLEARING)

(Kim tra chiu di Cc khoan nhi (sau khi khoan, lm sch sau cng))
CHECKING REPORT QUANTITIES OF STEEL CAGES

(Bo co kim tra khi lng cc on lng thp)
CHECKING REPORT OF COMBINATION AND JOIN OF STEEL CAGES

(Bo co kim tra t hp v mi ni lng ct thp cc khoan nhi)
CHECKING REPORT SUMMARY QUANTITIES OF STEEL CAGES

(Bo co kim tra tng hp khi lng lng thp)
Checking report for installation of ducts for bored pile testing

(Bo co kim tra lp t ng siu m cc)
CHECKING OF CONCRETE PREPARATION WORK

(Bo co kim tra cng tc chun b b tng)
REPORT ON CONCRETE PLACING AND TAKED SAMPLE

(Bo co b tng v cng tc ly mu)
CONCRETE CHECK SHEET

(Bng theo di b tng)
RECORD OF SONIC LOGGING TEST

(Bin bn kim tra siu m)
INSPECTOR FOR MUD TESTING AT THE PILE TIP

(kim tra khoan mn u cc)
REPORT ON -GROUTING THE DUCT (SONIC)

(Bo co bm va lp ng SONIC)
SUMMARY OF ABUTMENT/PIER BORED PILES

(Bng tng hp cc khoan nhi ca M/Tr)
With document
(H s km theo)
Internal acceptance document of the Contractor
(H s nghim thu ni b ca Nh thu)
Grout compressive strength test result
(Kt qu th nghim cng chu nn ca va bm ng sonic)
Concrete compressive strength test result
(Kt qu th nghim cng chu nn ca b tng)
REPORT OF SONIC LOGGING TEST
(Bo co kt qu siu m cc khoan nhi)
Checklist checking machines and equipment in the construction
(Danh mc kim tra my mc, thit b trong cng tc thi cng)
Summary Report Working Time At Site
(Bo co tng hp thi gian thi cng ti hin trng)
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II
DRIVEN PILE
(Cc ng)
PRODUCTION PILE
(Sn xut cc)
Checking of Production precast concrete piles at pile
(Tng hp sn xut cc )
APAVE-DOHWATEDI/HDC/DP-001
Inspection ofRebar and formwork driven pile

(Kim tra vn khun v ct thp cc ng)
Checking of Total rebar driven pile

(Tng hp ct thp cc ng )
Checking ofPreparation wok concrete driven pile

(Chun b b tng cc ng )
Checking of Concreting driven pile

(Kim tra b tng & ly mu cc ng )
Checking of compressive strength testing of concrete

(Th nghim cng b tng)
Checking of The test driven pile - before release

(Kim tra hon thnh cc ng )
PILE CONSTRUCTION ORDER

(Cc bc thi cng ng cc)
Checking of construction preparation work
(Kim tra chun b cc ng )
Checking of Coordinate&Level (Kim tra ta v nh v cc )
Checking of location pile

(Kim tra v tr ng cc )
Checking of pile priving recrd

(Kim tra theo di ng cc )
Checking of Total Driving pre-cast concrete piles at pile

(Kim tra tng hp s liu cc ng)
Checking of Load test at the site pile

(Phiu th ti h cc cng)
Checking of Pile Driving tes record

(Kim tra ng cc th)
BUILDING FOUNDATION PILE

(Xy dng mng cc)
Inspection for Foundation Hole Elevation with framework
(Bin bn kim tra o h mng c khung vay)
APAVE-DOHWATEDI/HDC/DP-015a
Inspection for Foundation Hole Elevation without framework

(Bin bn kim tra o h mng khng c khung vay)
APAVE-DOHWATEDI/HDC/DP-015b
Inspection for Pile Position, Level of Pile Top

(Bin bn kim tra v tr, cao u cc)
Inspection Formwork of Pile Cap

(Vn khun b mng)
Inspection of piles reinforced concrete

(Bin bn kim tra Chun b b tng lt mng)
Inspection for Bedding Concrete and taked sample

(Bo co b tng lt lt mng v cng tc ly mu)
Inspection of Structure completed of bedding concrete

(Bin bn kim tra kt cu hon thnh lp b tng lt mng)
Inspection of Formwork Coordinate & Elevation

(Bin bn kim tra ta , kch thc hnh hc h mng hoang thanh)
Minutes of acceptancee for construction work

(Bin bn kim tra cng vic hon thnh)
With document Test results, Internal acceptance of the Contractor

(Cc h s km theo kt qu th nghim, nghim thu ni b ca Nh thu)
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III
GIRDER
(Dm)
LIST OF ACCEPTANCE MINUTES FOR CONSTRUCTION WORK
(Danh mc bin bn nghim thu hng mc thi cng)
APAVE-DOHWATEDI/HDC/GI-001
Inspection for bottom formwork of girder

(Bin bn kim tra vn khun y ca dm)
Checking report summary quantities of beam reinforcement

(BC kim tra tng hp khi lng ct thp dm)
Checking position of duct GENTER

(BC kim tra v tr tim ng GEN)
Checking report quantities Duct GENTER and gentre join

(BC kim tra khi lng ng GEN, mi ni ng GEN)
Checking report side formwork of girder

(BC kim tra vn khun thnh ca dm)
Checking of Concrete Preparation Work

(BB kim tra chun b b tng)
Inspection for girder concreting

(BB kim tra b tng dm)
Checking report Girder after removing formwork

(BC kim tra dm sau khi tho vn khun)
Checking of post Tensioning preparation

(BC kim tra cng tc chun b cng ko d ng lc)
Checking report of installation longgitudinal PC strands

(BC kim tra lp t cp d ng lc)
Control for main cable

(iu chnh cho cp d ng lc dc)
Chart tension cable

(Biu cng ko tng b cp)
Inspection for Camber Monitoring of PC-I Girder after Post tentioning

(Kt qu quan trc vng ca dm I BTDL sau khi cng ko cp)
Checking report fill anchorages

(BC kim tra bt u dm)
Report on grouting the Duct for longitudinal cable (BC bm va ng GEN cp dc)
Inspection for Girder Ends Concreting

(BB kim tra b tng bt u dm)
Inspection for Camber Monitoring of PC-I Girder after 7.28 days

(Kt qu quan trc vng ca dm I BTDL sau 7 ngy v 28 ngy)
Checking report fill anchorages

(BC kim tra kt qu dm I hon thnh)
With document
(H s km theo)
Internal acceptance document of the Contractor
(H s nghim thu ni b ca Nh thu)
Grout Flow test result (Kt qu th nghim linh ng ca va)
Grout Expansion & Bleeding test result
(Kt qu th nghim trng n & lng ca va)
Grout compressive strength test result
(Kt qu th nghim cng chu nn ca va)
Girder concrete compressive strength test result
(Kt qu th nghim cng chu nn ca b tng dm)
Checklist checking machines and equipment in the construction beams
(Danh mc kim tra my mc, thit b trong cng tc thi cng dm)
IV
FOUNDATION
(B mng ca m, tr)
List of Acceptance Minutes for Pile Cap construction
(Danh mc nghim thu thi cng b mng)
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M s:
Inspection for Foundation Hole Elevation with framework

(Bin bn kim tra o h mng c khung vay)
APAVE-DOHWATEDI/HDC/PC-002a
Inspection for Foundation Hole Elevation without framework

(Bin bn kim tra o h mng khng c khung vay)
APAVE-DOHWATEDI/HDC/PC-002b
Inspection for Pile Position, Level of Pile Top

(Bin bn kim tra v tr, cao u cc)

(Bo co b tng lt v cng tc ly mu)

(Bin bn kim tra kt cu hon thnh lp b tng lt)
Inspection of Formwork Coordinate & Elevation

(Bin bn kim tra ta , kch thc hnh ha vn khun)
Checking report summary quantities of reinforcement

(Bo co kim tra tng hp khi lng ct thp )
Checking of concrete preparation work

(Bin bn kim tra chun b b tng b mng)
Inspection for Concrete and taked sample

(Bo co kim tra b tng b mng v cng tc ly mu)
Inspection of Structure completed

(Bin bn kim tra kt cu hon thnh)
Acceptance minutes of construction work

(Bin bn nghim thu cng vic xy dng)
With document (Test results, Internal acceptance of the Contractor)

Cc h s km theo (kt qu th nghim, nghim thu ni b ca Nh thu)
ABUTMENT
(M CU)
List of Acceptance Minutes Abutment construction ..
(Danh mc nghim thu thi cng M...)
APAVE-DOHWATEDI/HDC/AB-001
Checking report summary quantities of reinforcement for first section

(Bo co kim tra tng hp khi lng ct thp cho t thn th nht)
Inspection for Rebar and Formwork of first section

(Bin bn nghim thu ct thp v vn khun ca t thn th nht)
Inspection for Position, Elevation of Formwork of first section

(Bin bn kim tra v tr, cao vn khun ca t thn th nht)
Inspection of Construction Preparation Work for first section

(Bin bn kim tra chun b b tng t thn th nht)
Inspection for Concreting of Abutment body first section

(Bin bn kim tra b tng t thn th nht)
Checking report summary quantities of reinforcement for second section

(Bo co kim tra tng hp khi lng ct thp cho t thn th hai)
Inspection for Rebar and Formwork of second section

(Bin bn nghim thu ct thp v vn khun ca t thn th hai)
Inspection for Position, Elevation of Formwork of second section(Bin bn kim tra v

tr, cao vn khun ca t thn th hai)
Inspection of Construction Preparation Work for second section

(Bin bn kim tra chun b b tng t thn th hai)
Inspection for Concreting of Abutment body second section

(Bin bn kim tra b tng t thn th hai)
Checking report summary quantities of reinforcement for third section

(Bo co kim tra tng hp khi lng ct thp cho t thn th ba)
Checking report summary quantities of reinforcement for Abutment.

(Bo co kim tra tng hp khi lng ct thp cho ton m ...)
Inspection for Rebar and Formwork of wing walls, wing sides, head wall
(Bin bn nghim thu ct thp v vn khun ca tng cnh, tng tai, tng u m)
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Inspection for Position, Elevation of Formwork wing walls, wing sides, head wall
(Bin bn kim tra v tr, cao vn khun Tng cnh, Tng tai, Tng u m)
Inspection of Construction Preparation Work for third section

(Bin bn kim tra chun b b tng t thn th ba)
Inspection for Concreting of Abutment body third section

(Bin bn kim tra b tng t thn th ba)
Inspection for construction Abutment had been completed

(Bin bn kim tra xy dng m hon thnh )
Minutes of Acceptance for construction work


VI
PIER BODY
(Thn Tr)
List of Acceptance Minutes for Pier body construction
(Danh mc nghim thu thi cng thn tr)
APAVE-DOHWATEDI/HDC/PCO-001

Inspection for Rebar and Formwork of first section

Inspection for Position, Elevation of Formwork of first section H1= m)

(Bin bn kim tra v tr, cao vn khun ca t thn th nht H1= m)

Inspection for Concreting of Pier body first section

(Bin bn kim tra b tng t thn tr th nht)


(Bo co kim tra tng hp khi lng ct thp cho ton thn tr)
Inspection for Rebar and Formwork of second section

Inspection for Position, Elevation of Formwork of second section, H2= m)

(Bin bn kim tra v tr, cao vn khun ca t thn th hai, H2= m)

Inspection for Concreting of Pier body second section

(Bin bn kim tra b tng t thn tr th hai)
Inspection for Pier body completed

(Bin bn kim tra thn tr han thnh )


VII
M s:
PIER CAP
(X M TR)
List of Acceptance Minutes for Pier cap construction
(Danh mc nghim thu thi cng x m tr)
Checking of Pier Cap Bottom Formwork position & dimension

(Vn khun y x m tr)
Checking of Pier Cap success Formwork position & dimension

(Vn khun thnh x m tr)
Inspection for Pier Cap Rebar and Formwork (Bin bn nghim thu ct thp v vn
khun x m)
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VII
IX
M s:
Total Rebar of Pier Cap, retaining walls, Diaphragm anchor block, Bearing seat support
(Tng hp ct thp x m tr, tng tai nh x m, neo, k gi)
Checking of Pier cap Construction Preparation Work for concrete

(Chun b b tng)
Checking of Concreting of Pier Cap

(Bin bn kim tra b tng x m )
Checking of Pier Cap Concrete

(Bin bnkim tra x m tr hon thnh)
RETAINING WALLS
(TNG TAI NH X M)
Checking of retaining walls Formwork position & dimension
(Vn khun tng tai nh x m)
APAVE-DOHWATEDI/HDC/RW-001
Inspection of retaining walls Rebar and Formwork

(Bin bn nghim thu ct thp v vn khun tng tai nh x m)
Total Rebar of retaining walls ear

(Tng hp ct thp tng tai nh x m )
Checking of retaining walls Construction Preparation Work for concrete

(Chun b b tng tng tai nh x m)
Checking of Concreting ofear to retaining walls

(Bin bn kim tra b tng tng tai)
Checking of retaining wals Sampling of Placed Concrete

(Bin bn kim tra hon thnh tng tai nh x m)
BEARING SEAT SUPPORT

( K GI )
Checking of retaining Bearing Seat support Formwork position & dimension
(Bin bn kim tra vn khun k gi)
APAVE-DOHWATEDI/HDC/SB-001
Inspection fo retaining Bearing Seat support Rebar and Formwork

(Bin bn nghim thu ct thp v vn khun k gi)
Total Rebar of retaining Bearing Seat support

(Tng hp Ct thp k gi )
Checking of retaining Bearing Seat support Construction Preparation Work for concrete
(Chun b b tng k gi)
Checking of Concreting ofear to retaining Bearing Seat support

(Bin bn kim tra b tng k gi)
Checking of retaining Bearing Seat support

(Bin bn kim tra k gi hon thnh)
DIAPHRAGM ANCHOR BLOLK

( NEO)
Checking of retaining Diaphragm anchor Formwork position & dimension
(Kim tra vn khun neo)
APAVE-DOHWATEDI/HDC/DA-001
Inspection fo retaining Diaphragm anchor Rebar and Formwork

(Bin bn nghim thu ct thp v vn khun neo)
Total Rebar of retaining Diaphragm anchor

(Tng hp Ct thp neo )
Checking of retaining Diaphragm anchor block Construction Preparation Work for

concrete
(Chun b b tng neo)
Checking of Concreting ofear to retaining Diaphragm anchor

(Bin bn kim tra b tng neo )
Inspection for Casting Grouting Diaphragm anchor

(BB kim tra c va Sikagrous neo)
Inspection for Sampling Grouting Diaphragm anchor

(BB kim tra c va Sikagrous neo)
Checking of retaining Diaphragm anchor block

(Bin bn kim tra neo hon thnh)
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XI
XII
CROSS BEAM/
(DM NGANG)
List of Checking Minutes for diaphragm construction
(Danh mc bin bn kim tra thi cng dm ngang)
APAVE-DOHWATEDI/HDC/D-001
Checking Minutes for diaphragm formwork

(Kim tra vn khun dm ngang)
Checking Minutes Total diaphragm rebar (Tng hp ct thp dm ngang)
Checking Minutes for diaphragm Rebar and Formwork

(Bin bn nghim thu ct thp v vn khun dm ngang))
Checking Minutes for diaphragm Construction Preparation Work

(Bin bn k/tra cng tc chun b thi cng dm ngang)
Checking Minutes of concrete Construction Work

(BB k/tra cng tc b tng)
Checking Minutes for diaphragm completed

(Bin bn nghim thu dm ngang hon thnh)
Diaphragm concrete Compressive Strength Test result

(Kt qu th nghim cng nn b tng dm ngang)
PC CONCRETE SLAP
(TM VN KHUN C SN)
List of Acceptance Minutes for PC. Slab Type ...
(Danh mc nghim thu thi cng tm vn khun BTCT c sn loi .)
APAVE-DOHWATEDI/HDC/PC.S-001
Checking report summary quantities of reinforcement for Slab Type

(Bo co kim tra tng hp khi lng ct thp tm vn khun loi .)
Inspection for Re.bar and Formwork of PC. Slab type.

(Bin bn nghim thu ct thp v vn khun ca tm vn khun loi ...)
Inspection of Construction Preparation Work for PC. Slab type...

(Bin bn kim tra chun b b tng tm vn khun loi .)
Inspection for Concreting of PC.Slab type...

(Bin bn kim tra b tng tm vn khun loi .)


XIII
INSTALLING BEAMS
LP T DM
Crane, installing PC I-33m girder
Cu lp dm I-33m BTCT DUL
Danh mc bin bn kim tra nghim thu cu lp dm I-33m BTCT DUL
List of acceptance of construction work for crane, installing PC I-33m girder
APAVE-DOHWATEDI/HDC/CG-001
Bo co kim tra chun b cu, lp dm I-33m BTCT DUL c sn

Checking of preparation for crane, installing PC.I-33m Girder
Bo co kim tra hon thnh cu, lp dm I-33m BTCT DUL

Checking report of PC I-33m girder crane, installing completed
Bo co tng hp hon thnh cu, lp dm I-33m BTCT DUL

Summary report of PC I-33m girder crane, installing completed.
Nghim thu hon thnh b phn cng trnh, giai on thi cng xy dng
Acceptance of construction parts, construction stages
Launching, installing PC I-33m girder

Lao, lp dm I-33m BTCT DUL
M s:
Danh mc bin bn kim tra nghim thu lao, lp dm I-33m BTCT DUL
List of acceptance of construction work for launching, installing PC I-33m girder
APAVE-DOHWATEDI/HDC/LG-001
Bo co kim tra chun b lao, lp dm I-33m BTCT DUL c sn

Checking of preparation for launching, installing PC.I-33m Girder
Bo co kim tra hon thnh lao, lp dm I-33m BTCT DUL

Checking report of PC I-33m girder launching, installing completed
Bo co tng hp hon thnh lao, lp dm I-33m BTCT DUL

Summary report of PC I-33m girder launching, installing completed.
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Nghim thu hon thnh b phn cng trnh, giai on thi cng xy dng
Acceptance of construction parts, construction stages
XIV
XV
BRIDGE COMPLETION/
(HON THIN MT CU)
Danh mc bin bn kim tra nghim thu kt cu bn trn
List of acceptance of construction work for Superstructure
APAVE-DOHWATEDI/HDC/S.ST-001
Bo co kim tra lp t tm vn khun BTCT c sn

Checking report installing PC.Slab
Bo co kim tra lp t bn lin tc nhit

Checking report installing Link Slab
Bo co kim tra tng hp ct thp bn mt cu, nhp s

Checking report summary quantities of reinforcement span No...
Bo co kim tra tng hp ct thp mt cu trn bn lin tc nhit, nhp s

Summary quantities of link slab reinforcement span No...
Bin bn kim tra chun b trc khi b tng mt cu, nhp sChecking of
concrete preparation work for span No.
Bo co kim tra b tng mt cu v cng tc ly mu, nhp s

Checking report on concrete placing and taked sample, span No...
Bo co kim tra tng hp ct thp khe co gin ti v tr

Checking summary quantities of reinforcement expansion joints span No
Bo co kim tra lp t khe co gin rng lt ti v tr.

Checking report installing cog expansion joint at.
APAVE-DOHWATEDI/HDC/S.ST-009a
Bo co kim tra lp t khe co gin cao su ti v tr ...

Checking report installing ruler expansion joint at.
APAVE-DOHWATEDI/HDC/S.ST-09b
Bin bn kim tra chun b trc khi b tng khe co gin

Checking of concrete preparation work for expansion joint
Bo co kim tra b tng khe co gin mt cu v cng tc ly mu.

Checking report on concrete placing and taked sample
Bo co kim tra lp t ng thot nc mt cu trn 1 nhp

Checking report installing drainage pipe on surface for one span
Bo co kim tra lp t ng PVC lun cp in trn 1 nhp

Checking report installing PVC pipe for electric cables for one span
Bo co kim tra tng hp ct thp lan can, b ct n, nhp s

Summary quantities of parapet, light column reinforcement of span No...
Bin bn kim tra v tr, cao vn khun lan can, b ct n

Inspection for position, elevation of formwork of parapet
Bin bn kim tra chun b trc khi b tng lan can, b ct n nhp s...
Checking of concrete preparation work for parapet, light column span No
Bo co kim tra b tng lan can, b ct n v cng tc ly mu.

Checking report on parapet concrete and taked sample
Bo co kim tra cu kin lan can thp trc khi lp t

Checking report handrail before install.
Bin bn kim tra lp t lan can, tay vn trn 1 nhp

Checking report installing handrail for one span
Bin bn kim tra lp t h thng chiu sng cho 1 nhp

Checking report installing highlight system on one span
Bin bn kim tra xy dng mt cu hon thnh nhp s

Inspecion for construction surface bridge had been completed of span No..
WATTERPROOFING/
(CHNG THM MT CU)
Bin bn kim tra chun b thi cng chng thm bn mt cu.
Checking of concrete preparation work waterproofing surface bridge
Kim tra nghim thu phun lp chng thm mt cu
Checking for construction material waterproofing on surface bridge
M s:
TVGS A-D-T/ 04
Ngy ban hnh :
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APAVE-DOHWATEDI/HDC/WB-001
APAVE-DOHWATEDI/HDC/WB-002
Ln ban hnh : 02
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XVI
REDUCE LOAD SLAB

(BN QU - SN GIM TI)
List of Acceptance Minutes for reduce load slab
(Danh mc nghim thu thi cng bn qu )
APAVE-DOHWATEDI/HDC/RLS-001
Inspection for density of sand backfill after Abutment

(Bin bn kim tra cht cc lp p ct sau m)
Inspection for dimention, elevation Foundation before bedding concrete

(Bin bn kim tra kch thc hnh hc, cao mng trc khi b tng lt)
Checking of concrete preparation work

(Bin bn kim tra chun b b tng lt mng)

(Bo co b tng lt v cng tc ly mu)

Checking report summary quantities of reinforcement for RL.Slab

(Bo co kim tra tng hp khi lng ct thp cho bn qu )
Inspection for Rebar and Formwork of reduce load slab

(Bin bn nghim thu ct thp v vn khun ca bn qu )
Inspection for Position, Elevation of Formwork of reduce load slab

(Bin bn kim tra v tr, cao vn khun ca bn qu )
Checking of concrete preparation work of reduce load slab

(Bin bn kim tra chun b b tng bn qu )
Inspection for Concrete reduce load slab and taked sample

(Bo co kim tra b tng bn qu v cng tc ly mu)
Inspection of Structure completed

(Bin bn kim tra kt cu hon thnh)
Acceptance minutes of construction work (Bin bn nghim thu cng vic xy dng)

ROAD FORM
(FORM NG)
CC BIU MU CHUNG
(General forms)
II
M s:
Nhn s ca nh thu
(Manpower of contractor)
APAVE-DOHWATEDI/HDC/R-GF-001
Bin bn kim tra nhn s ca nh thu

(Manpower inspection sheet)
Bin bn kim tra thit b ca nh thu

(Equipment inspection sheet)
Danh mc thit b
(List of equipment)
Bo co hng ngy ca gim st hin trng(nh thu,t vn) Daily report
Phiu yu cu kim tra,nghim thu(RFI) Request for inspection
CC BIU MU NGHIM THU NG CC TRE

( Form acceptance of driving bamboo pile )
Bin bn kim tra cng tc chun b trc khi ng cc tre
(Inspection sheet for preparation work before driving bamboo pile)
APAVE-DOHWATEDI/HDC/R-DB-001
Bin bn kim tra ng cc tre

(Inspection sheet for driving bamboo pile)
Bng tng hp khi lng ng cc tre

(Bill of quantities for driving bamboo pile )
Bin bn nghim thu cng vic xy dng

(Minutes of acceptance for construction work )
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III
IV
M s:
UNSUITABLE MATERIALS
(Vt liu khng thch hp )
INSPECTION SHEET FOR SAMPLING UNSUITABLE MATERIALS
(Bin bn kim tra ly mu vt liu khng thch hp)
APAVE-DOHWATEDI/HDC/R-UM-001
SITE INSPECTION SHEET FOR TEST PIT

(Bin bn kim tra hin trng h thm)
INSPECTION SHEET FOR EXCAVATING UNSUITABLE MATERIALS

(Bin bn kim tra o vt liu khng thch hp)
INSTRUCTION MANUAL FOR DEFENING UNSUITABLE MATERIALS

( Quy trnh xc nh vt liu khng thch hp )
CC BIU MU NGHIM THU PHT QUANG HIN TRNG V T P

(Form acceptance of Site Clearing and Embankment)
Bin bn giao mc mng ( )
Do n v CT, TVTK, NT,

TVGS lp
Bin bn kim tra cng tc cm cc mc

(Inspection sheet for setting out side)
APAVE-DOHWATEDI/HDC/R-SE-001
Bin bn kim tra cng tc dn dp pht quang

(Inspection sheet of site clearing)
Bin bn kim tra d b cy ci

(Inspection sheet for removal tree)
Bin bn kim tra cng tc ph d

(Inspection sheet for demolition)
Bin bn kim tra kho st, o c sau khi pht quang hin trng v ph d
(Inspection sheet for topographic survey after site clearing and demolition )
Bin bn kim tra cng tc o lp t mt cha hu c

(Inspection sheet for excavating regolith)
Bin bn kim tra thi cng tri vi a k thut - Giai on I

(Inspection sheet for geotextile placement - Stage I )
Bin bn kim tra thi cng tri vi a k thut - Giai on 2

(Inspection sheet for geotextile placement - Stage II )
Bin bn kim tra thi cng p nn ng

(Inspection sheet for construction embankment )
Bin bn nghim thu chuyn giai on - cng tc pht quang, dn dp v ph d

(Minutes of acception for site clearing and demolition construction stage )
Bin bn nghim thu chuyn giai on - cng tc o lp t mt (Minutes of acception

for excavating regolith construction stage )
Bin bn nghim thu chuyn giai on - cng tc o vt liu khng thch hp

(Minutes of acception for excavating unsuitable materials construction stage )
Bin bn nghim thu chuyn giai on - cng tc o t hu c

(Minutes of acception for excavating organic soil construction stage )
Bin bn nghim thu chuyn giai on - cng tc o x l t yu

(Minutes of acception for excavating soft soil construction stage )
Bin bn nghim thu giai on thi cng p nn ng-p ct

(Minutes of acception for embankment construction stage - Sand Embankment )
Bin bn nghim thu chuyn giai on - cng tc p t K95

(Minutes of acception for K95 embankment construction stage )
Bin bn nghim thu chuyn giai on - cng tc p t K98

(Minutes of acception for K98 embankment construction stage )
Bng tng hp cc lp ct p
(Summary table of sand embankment layer )
Bng tng hp cc lp t p K95

(Summary table of K95 embankment layer )
Bng tng hp cc lp t p K98

(Summary table of K98 embankment layer )
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VI
VII
VIII
M s:
CC BIU MU NGHIM THU TNG LN N MN

(Form sample acceptance of slike rock to blast )
Bin bn kim tra khi lng tng ln n mn - nn o thng thng
(Inspection sheet for slike rock quantity to blast - common cut section)
APAVE-DOHWATEDI/HDC/R-SR-001
Bin bn kim tra khi lng tng ln n mn - nn o c bit

(Inspection sheet for slike rock quantity to blast - special cut section)
Bin bn kim tra khi lng tng ln n mn - mu m t

(Inspection sheet for slike rock quantity to blast - description)
EXCAVATION
(O NN NG)
INSPECTION SHEET FOR SETTING OUT BEFORE EXCAVATING
(Bin bn kim tra cm cc trc khi thi cng nn o)
APAVE-DOHWATEDI/HDC/R-EX-001
INSPECTION SHEET FOR SETTING OUT CUTTING SECTION

(Bin bn kim tra cng tc cm cc c o)
INSPECTION SHEET FOR CUTTING SECTION

(Bin bn kim tra c o)
INSPECTION SHEET FOR SETTING OUT FINISH EXCAVATION

(Bin bn kim tra cm cc nn o hon thin )
INSPECTION SHEET FOR FINISH EXCAVATION

(Bin bn kim tra nn o hon thin)
MINUTES OF ACCEPTION OF EXCAVATION CONSTRUCTION STAGE

Bin bn Nghim thu Giai on Nn ng o
INSTRUCTION MANUAL FOR EXCAVATION

(Quy trnh hng dn cng tc o nn ng)
CC BIU MU NGHIM THU BO V MI TALUY

(Form acceptance of slope Protection)
Bin bn kim tra hon thin mi taluy t
(Inspection sheet for complete slope)
APAVE-DOHWATEDI/HDC/R-SL-001
Bin bn kim tra h mng chn khay mi taluy

(Inspection sheet for foundation pit cutoff dike)
Bin bn kim tra lp dm m chn khay

(Inspection sheet for broken stone bed cutoff dike)
Bin bn kim tra chun b trc khi xy chn khay

(Inspection sheet for preparation work before stone masonry cutoff dike)
Bin bn kim tra khi xy chn khay

(Inspection sheet for stone masonry cutoff dike)
Bin bn kim tra lp dm m mi taluy

(Inspection sheet for broken stone bed slope)
Bin bn kim tra chun b trc khi xy mi taluy

(Inspection sheet for preparation work before stone masonry slope)
Bin bn kim tra khi xy mi taluy

(Inspection sheet for stone masonry slope)
Bin bn kim tra khe ln taluy

(Inspection sheet for settling joint slope)
Bin bn kim tra p t h mng chn khay (Inspection sheet for embankment
foundation pit cutoff dike )

(Minutes of acceptance for construction work )
CC BIU MU NGHIM THU MNG CP PHI DM

(Form acceptance of Subbase - Base aggregate )
Bin bn kim tra lp mng di cp phi dm
(Inspection sheet for graded aggregate subbase )
APAVE-DOHWATEDI/HDC/R-GA-001
Bin bn kim tra lp mng trn cp phi dm

(Inspection sheet for graded aggregate base )
Bin bn Nghim thu Giai on thi cng mng cp phi dm
(Minutes of acception of graded aggregate construction stage)
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IX
M s:
CC BIU MU NGHIM THU MT NG B TNG NHA

(Form sample acceptance of Pavement AC)
Bin bn ly mu ti hin trng
(Minutes of material sampling)
APAVE-DOHWATEDI/HDC/R-PAC-001

(Acceptance of minutes for comstruction work )
Phiu kim tra nghim thu phun lp nha thm bm /dnh bm

(Checklist for prime coat/tack coat)
Kim tra trm trn b tng

(Alphan mixing plant inspection checklist )
Phiu kim tra cng tc b tng nha

(Checking list for Paving AC )
Bo co hng ngy ti trm trn

(Alphan plant daily report )
Theo di cng tc thm ti cng trng

(Delivery trucks monitoring at paving site )
Tng hp kt qu th nghim kim sot cht lng b tng nha hng ngy
(Summary of daily AC mix quality control testing )
Kt qu th nghim khoan mu mt ng
(Pavement coring test)
Kt qu kim tra cao b tng nha

(Result of survey at top of AC/ATB)
Kt qu kim tra bng phng thc 3 m

(Result of surface smoothness checking )
BOX CULVER
CNG HP
CHECKING RECORD OF STRUCTURE COMPLETED
(Bin bn kim tra b phn kt cu hon thnh)
APAVE-DOHWATEDI/HDC/R-BC-001
INSPECTION CHECK LIST

(Danh mc kim tra)
CHECKING RECORD OF FOUNDATION EXCAVATION

(Bin bn kim tra o h mng )
ACCEPTANCE MINUTES OF STEEL GENERAL

(Bo co kim tra tng hp ct thp )
CHECKING RECORD OF CULVERT BODY BLINDING STONE

(Bin bn kim tra lp dm m mng cng )
CHECKING RECORD OF FORMWORK

(Bo co kim tra vn khun b tng bn y )


CHECKING OF CONSTRUCTION PREPARATION WORK

(Bo co kim tra cng tc chun b thi cng)
REPORT ON CONCRETE PLACING

(Bo co cng tc b tng )
ACCEPTANCE MINUTES OF BOX CULVERT COMPLETE

( Bin bn nghim thu ng cng hon thnh )
CHECKING OF BLINDING STONE OF APRON AND WING WALL

FOUNDATION
( Bin bn kim tra dm m sn cng v mng tng cnh )
CHECKING RECORD OF WING WALL'S FORMWORK

(Bo co kim tra vn khun b tng tng cnh)
CHECKING RECORD OF CONCRETE OF APRON AND WING WALL

FOUNDATION( Bin bn kim tra b tng sn cng v mng tng cnh )
CHECKING RECORD OF WINGWALL CONCRETE

( Bin bn kim tra b tng tng cnh )
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Checking record embankment inside box culvert

(Bin bn kim tra p tr t mang cng)
XI
PIPE CULVER
CNG TRN
Acceptance minutes for Work item completed
(Bin bn nghim thu hng thi cng hon thnh)
APAVE-DOHWATEDI/HDC/R-PC-001
Pile culvert
(Cng trn)
Inspection check list
(Danh mc gim st thi cng)
Acceptance for work item completed

(Nghim thu kt cu hon thnh)
Acceptance minutes of steel general

(Bo co kim tra tng hp ct thp)
Acceptance minutes of piles culvert general

(Bo co kim tra tng hp ng cng
Acceptance minutes of pile culvert formwork

(Bin bn nghim thu vn khun t cng)
Checking of construction preparation work

(Bo co kim tra giai on chun b thi cng)
Report on concrete placing

(Bo co b tng )
Culvert body (Installation)

(Thn cng- lp t)
Foundation hole culvert body
(H mng thn cng)
Blinding stone culvert body

( dm m thn cng)
Checking record of formwork

(Bo co kim tra vn khun mng cng)
Checklist for pre-cast pipe culvert sections

(Phiu kim tra cng trn c sn chuyn ti cng trng)
Acceptance minutes of installation culvert

(Nghim thu lp t ng cng)
Acceptance minutes of connection joint

(Nghim thu mi ni)
Culvert apron
(Sn cng)
Foundation hole of apron culvert, wing wall
(H mng sn cng, tng cnh)
Blinding stone culvert apron

( dn m m sn cng)
Checking record of concrete of apron and wing wall foundation

(Bin bn kim tra b tng sn cng v mong tng cnh )
Head wall - Wing wall

(Tng u- tng cnh)
Cchecking record of head wall's formwork
( Bo co kim tra vn khun tng u)
Checking record of wing wall's formwork

(Bo co kim tra vn khun b tng tng cnh)
Checking record of headwall concrete

( Bin bn kim tra b tng tng u )
Checking record of wingwall concrete

( Bin bn kim tra b tng tng cnh )
Soil Backfilling of pile culvert

(p t mang cng)
Inspection sheet for backfilling of pipe culvert
(p t mang cng)
M s:
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Quality test
(Kt qu th nghim)
XII
RETAINING WALLS
TNG CHN CC LOI
For Retaining Wall with foundation pipe bore(i vi tng chn c mng l cc
khoan nhi)
List of Acceptance Minutes Retaining wall construction ..
(Danh mc nghim thu thi cng tng chn...)
Inspection for foundation hole excavation

(Bin bn kim tra o h mng)
Inspection for pile position, Level of pile top

(Bin bn kim tra v tr cao u cc)
Inspection for bedding concrete and take sample

(Kim tra b tng lt v cng tc ly mu)
Inspection for completed of bedding concrete

Inspection of Formwork coordinate & elevation of RW foundation

(Bin bn kim tra cao v kch thc hnh hc vn khun ca b mng tng chn)
Checking report summary quantities of reinforcement for foundation

(Bo co kim tra tng hp khi lng ct thp cho b mng)
Checking of concrete Preparation Work

(Bin bn kim tra chun b b tng b mng)
Inspection for Concreting and taked sample of foundation

(Bin bn kim tra b tng v cng tc ly mu b mng)

Inspection for Reinforcement bar and Formwork of first section

Inspection for Position, Elevation of Formwork of first section, H1=..m

(Bin bn kim tra v tr, cao vn khun ca t thn th nht, H1=..m)

Inspection for Concreting and taked sample of R.W body first section
(Bin bn kim tra b tng v cng tc ly mu ca t thn th nht)

Inspection for Reinforcement bar and Formwork of second section

Inspection for Position, Elevation of Formwork of second section, H2=.m

(Bin bn kim tra v tr, cao vn khun ca t thn th hai, H2=m)

Inspection for Concreting and taked sample of R.W body second section
(Bin bn kim tra b tng v cng tc ly mu ca t thn th hai)
Inspection for construction Retaining wall had been completed

(Bin bn kim tra xy dng Tng chn hon thnh )


For Nomal Retaining Wall

(i vi tng chn thng thng)
Use full form above minutes unless minute No. RW-003
p dng ton b cc bin bn trn tr cc bin bn s RW-003
M s:
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M s:
ELECTRICAL FORM/
(FORM IN)
INSTALLATION OF ELECTRICAL CONDUIT/SLEEVE
(Lp t ng bo v dy dn/ ng xuyn)
APAVE-DOHWATEDI/HDC/E-001
INSTALLATION OF ELECTRICAL EQUIPMENT

(Lp t thit b in)
INSTALLATION OF SOCKET OUTLET & SWITCH

(Lp t cm v cng tc in)
INSTALLATION OF LIGHTING
(Lp t n)
INSTALLATION OF CABLES/ WIRES

(Lp t dy/ cp in)
BUSDUCT IN RISER
(Busduct trong h k thut in)
INSTALLATION OF ELECTRICAL WAY(H thng ng dn in)
INSTALLATION OF ELECTRICAL DISTRIBUTION BOARD

(T in)
INSTALLATION OF OPENINGS
(L ch)
GENERATOR UNIT
(H thng my pht in)
ATS
(H thng t ATS)
MV SWITCHGEAR
(My ct trung th)
INSTALLATION OF TRANSFORMER
(My bin th)
GARAGE BARRIER
(Thanh chc xe ra vo)
EARTHING SYSTEM
(H thng ni t)
CHECKING EQUIPMENTS - MATERIALS

(Kim tra thit b vt t)
AUDIO SYSTEM
(H thng m thanh)
TELEPHONE SYSTEM
(H thng in thoi)
CCTV SYSTEM
(H thng camara (CCTV))
ANTENNA SYSTEM
(H thng Antena
TESTING & COMMISIONING RECORD SOCKET OUTLET

(Bin bn kim tra v chy th lp t cm)
TESTING & COMMISIONING RECORD HIGH VOLTAGE SWITCH GEAR

(Bin bn kim tra v chy th t in cao th)
TESTING & COMMISIONING RECORD HIGH VOLTAGE CABLES

(Bin bn kim tra v chy th cp in cao th)
TESTING & COMMISIONING RECORD MAIN CABLES, BUSDUCT ROUTING

(Bin bn kim tra v chy th cp in chnh, Busduct
TESTING & COMMISIONING RECORD TELEPHONE, DATA SYSTEM

(Bin bn kim tra v chy th h thng in thoi, Data)
TESTING & COMMISIONING RECORD ELECTRICAL PANEL

(Bin bn kim tra v chy th t in)
TESTING & COMMISIONING RECORD GENERATOR SYSTEM

(Bin bn kim tra v chy th h thng my pht in)
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TESTING & COMMISIONING RECORD LIGHTING FIXTURE

(Bin bn kim tra v chy th lp t n)
TESTING & COMMISIONING RECORD TRANFORMER

(Bin bn kim tra v chy th my bin th)
CENTRIFUGAL CONCRETE PILE AND PILE FOUNDATION - HV

(Tr v mng tr BTLT - Trung th
TIGHTENING BASE AND CABLE - HV

(Mng no v dy no - Trung th)
GIRDER - PORCELAIN - CABLE CLIP - HV

(X - S - Lo dy - Trung th)
CABLE CONNECTION - HV
(u ni dy dn - Trung th)
CABLE PULLING - HV
(Ko dy - Trung th)
EARTHING OF LINES
(Tip a ng dy)
CHIMNEY OF GENERATOR SYSTEM

(Lp t ng khi my pht in)
TEST FORM
(BIU MU TH NGHIM
CC BIU MU KT QU TH NGHIM TEMBANKMENT TEST FORM
II
III
M s:
TESTING & COMMISIONING RECORD CCTV SYSTEM

(Bin bn kim tra v chy th h thng Camera)
KT QU TH NGHIM DUNG TRNG KH TI A

MOISTURE DENSITY RELATION
ADT-HDC-MDR001
KT QU TH NGHIM XC NH THNH PHN HT

SIEVE ANALYSIS
ADT-HDC-SA002
KT QU TH NGHIM CH S DO
(ATTERBERG LIMITS)
ADT-HDC-PI003
KT QU TH NGHIM XC NH CBR
CALIFORNIA BEARING RATIO
ADT-HDC-CBR004(1)
ADT-HDC-CBR004(2)
ADT-HDC-CBR004(3)
TNG HP TH NGHIM XC NH CBR

ADT-HDC-CBR004(4)
CC BIU MU KT QU TH NGHIM CT P
SAND TEST FORM
SIEVE ANALYSIS
ADT-HDC-SA005
(ATTERBERG LIMITS)
ADT-HDC-PI006

ADT-HDC-MDR-007
CC BIU MU KT QU TH NGHIM CP PHI DM

SUBBASE - BASE TEST FORM
SIEVE ANALYSIS
ADT-HDC-SA008
KT QU TH NGHIM HAO MN LOS ANGELES

(LA)
ADT-HDC-LA009
ADT-HDC-CBR010(1)
ADT-HDC-CBR010(2)
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IV
ADT-HDC-CBR010(3)
TNG HP TH NGHIM XC NH CBR

ADT-HDC-CBR010(4)
(ATTERBERG LIMITS)
ADT-HDC-PI011
KT QU TH NGHIM HM LNG HT THOI DT

ELONGVATION AND FLAKINESS CONTENT
ADT-HDC-EAC012

ADT-HDC-MDR013
CC BIU MU KT QU TH NGHIM CT LIU MN CHO B TNG

V VA XI MNG
CONCRETE TEST FORM
KT QU TH NGHIM MU CT TH
TESTING RESULLTS OF SAND
ADT-HDC-TROS-014
KT QU TH NGHIM MU CT MN
TESTING RESULLTS OF SAND
ADT-HDC-TROS-015
CC BIU MU KT QU TH NGHIM CT LIU TH CHO B TNG

XI MNG
CONCRETE MATERIAL FORM
Kt qu th nghim mu dm
Testing results of stone
VI
VII
VIII
ADT-HDC-TRS-016
CC BIU MU KT QU TH NGHIM CHO B TNG V VA XI MNG

CONCRETE FORM AND MOTOR CEMENT FORM
Kt qu th nghim cng chu nn ca B tng
Testing results of concrete's strength
ADT-HDC-TCS-018
Kt qu th nghim cng chu nn ca mu va

Testing results of motor's strength
ADT-HDC-TCS-020
CC BIU MU KT QU TH NGHIM VT LIU M MNG

BEDDING MATERIAL TEST FORM
(ATTERBERG LIMITS)
ADT-HDC-PI021
KT QU TH NGHIM XC NH THNH PHN HT SIEVE ANALYSIS
ADT-HDC-SA022
CC BIU MU KT QU TH NGHIM GC
ROCK TEST FORM
Kt qu th nghim cc ch tiu c l ca gc
Testing results of original stone
IX
CC BIU MU KT QU TH NGHIM HIN TRNG

SITE TEST FORM
Kt qu th nghim hin trng
Fiel density test
ADT-HDC-FDT024(1)
Kt qu th nghim hin trng

Fiel density test
ADT-HDC-FDT024(2)
BIN BN LY MU
TAKED SAMPLE
ADT-HDC-MOS023
XI MNG
CEMENT
TNG HP KT QU TH NGHIM XI MNG
XC NH MN CA XI MNG BNG SNG 0.09MM
XC NH DO TIU CHUN CA XI MNG
XC NH T TRNG CA XI MNG
XC NH THI GIAN NINH KT CA XI MNG
XC NH CNG CHU NN CA XI MNG
XI
ADT-HDC-STRC024
ADT-HDC-DFC025
ADT-HDC-DNCC026
ADT-HDC-DSGC027
ADT-HDC-DSTC028
ADT-HDC-DCCM029
B TNG XI MNG
CEMENT CONCRETE
THIT K THNH PHN HN HP B TNG XI MNG
THIT K THNH PHN HN HP B TNG XI MNG
M s:
ADT-HDC-TR00S-023
TVGS A-D-T/ 04
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ADT-HDC-CMG030
ADT-HDC-CMG031
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XII
VA
MOTOR CEMENT
THIT K CP PHI VA XI MNG
THIT K CP PHI VA XI MNG
XIII
ADT-HDC-MMD032
ADT-HDC-MMD032A
THP
STEEL
KT QU TH NGHIM CC CH TIU C L THP
XIV
ADT-HDC-RTBR033
KI M TRA HIN TRNG

CHECKING ON SITE
KT QU KIM TRA TI TRNG XE O
KT QA KIM TRA VNG N HI BNG CN BENKELMAN
KT QU KIM TRA BNG PHNG BNG THC 3M
XV
M s:
ADT-HDC-CATL034
ADT-HDC-RCPD035
ADT-HDC-RCPB036
B TNG NHA
ASPHALT CONCRETE
CNG THC TRN V KT QU THIT K HN HP B TNG NHA
ADT-HDC-FAC037
THIT KT THNH PHN CP PHI VT LIU

THIT KT THNH PHN CP PHI VT LIU
ADT-HDC-CAO038
ADT-HDC-CAO038A
KT QU TNH TON T TRNG CA CT LIU TRONG B TNG NHA
ADT-HDC-RCSG039
KT QU TH NGHIM CC CH TIU C L CA B TNG NHA

KT QA TH NGHIM T TRNG CA B TNG NHA
KT QU TH NGHIM CC CH TIU C L CA NHA NG
THNH PHN HT V CC CH TIU C L CA DM
THNH PHN HT V CC CH TIU C L CA DM
THNH PHN HT V CC CH TIU C L CA MT
THNH PHN HT V CC CH TIU C L CA CT
THNH PHN HT V CC CH TIU C L CA BT KHONG
KHI LNG RING V HP PH CA CT LIU TH
ADT-HDC-MTCSC040
ADT-HDC-MSG041
ADT-HDC-TRTB042
ADT-HDC-PMPCA043
ADT-HDC-PMPCA044
ADT-HDC-PMPCA045
ADT-HDC-PMPSA046
ADT-HDC-PMASA047
ADT-HDC-SGCA048
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Danh mc kim tra phn Hm

M i u
CODE NO.
V r, b ph
Location, Part
Quan trc gng hm
Tunnel facing
observation
Hng mc
Work Item
Khi ng
Quantity
Ch i u
Criterion
Hn g c - I e m
Kt qu -Result
Chp h un
Accept
T h i
Reject
Ghi ch
Remark
1. Mc thy chun c lp theo n g h dn

K h ut, b v c o v ch n h n .
Benchmark is marked according to
specification ,drawing and protected properly
from damage
2. S liu kho st tim hm, mt ct ngang
hm
th a h c t h i u ) c t c p t u n v
nm ro ng ai c o p p
Survey data of Tunnel center line, section
(excessive or insufficient)is acceptable in
according to allowable error
3. S liu quan trc a k thut gng Hm
c o c v gh ch p m tcc h h n h c.
Geological observation data on tunnel face is
kept exactly recorded
4. H chiu n mn c lp trc khi thc
hin d bo bi n d ng c hi u s u tr c
ngang hm . c h u n y ph i c cc
thn g in h h i u s u v v r k h a n,
loi k il n g t hu c n v k n tr h
t .
5. Lng thuc n cn i c kim tra trc
khi khoan l.
6. Trong qu trnh khoan, trn h rng nc
ngm , h/ t ph c quan rc x
l n t n.
Ngy kim tra
Date of Inspection
K s Nh thu
Contractor's Engineer
Ngy kim tra

Date of Inspection
K s TVGS
Consultant's Engineer
M s:
TVGS A-D-T/ 04
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M i u
CODE NO.
Hng mc
Work Item
V r
Location, Part
Khi ng
Quantity
Cng tc n mn
Blasting
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Accept Reject
Ghi ch
Remark
1. Trc khi tin hn h, h it lp k hoch c

th ao m c c l k ho n v ichi s u v v
tr, ng v lo i th u c n, oi p,t n h t
n k ho ch n h x h b i n d n
hm
c iu s d in
2. Cc l khoan c thc hin chn h c (
tr, ng, chiu su .
.)
3. Trong qu trnh khoan, trn h rng nc
ngm , h/ t qua n trc v x l
cn thn.
4. Trc hi hoan, i m ta l ng th c n
cn i.
5. Ngy n xut v ng g ic h t n phi c
kim ra.
6. Trc khi n, h thng gin chng Lattice,
gin p i c b o v.
7. Cn g c n p t h c n c thc
h c iu n m n l p.
8. Vic u n k p i n c b o v
mc h , n .
9. Phi
in
i m ta r r tn
in t eo
rn h ng n
i n b o v p
10. Sau khi n ong, ng n n c h ph p

vo m to n g s u m tt h gia n nh tnh .
11. Chn ng gy a o c kim tra nh
k xc nh cc liu thc h p.
K h t u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
Dm chng Lattice
Lattice Girder
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
1. Kc h h c dm chng Lattice c kim

tra khi a vo ng t ng.
Lattice Girder size checked when delivered

on site
2. Dm Lattice lp rp , c m i ni bu ln g
c i ng.
Lattice Girder to LatticeGirder, Bolt
connection is properly keeping
3. Dm
attic e p r p c ki tra b n
dn g, t ,n g l n.
Installed Lattice is checked for confirming
transformation, location, fall off, and
settle down.
K s Nh h u
Contractor's
Engineer
K n
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
B tng phun
Shotcrete
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
1. Trc khi phun b ng b mt, i rc

trn
t v hm cco b c.
Before shotcrete execution, falling rocks

are removed from the original surface.
2. Nc ngm c thot hi b mt.
Underground water is drained from the
surface
2. Ngay sau khi o , p b ng t 1 c
phun ln m t.
Right after excavation, 1st shotcrete is
done
3. Khi lng va n g c trn n g.
Quantity of fiber is right and properly
mixed
4. Chiu y l p b tn ph un tun th C d
k h ut.
Thickness of shotcrete is compliance in
specification clause
5. B ng p un b m c ht vo
t c c l p
vi hau
Shotcrete is close adhesion to the rock
surface and each layer
6. Phun b ng ct h c hi the o h d n k
thut .
Shotcrete execution is done according to
specification
K h t u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
Neo
Rock bolt
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
1. L t n o c l m s c hb i t c h i
lp eo.
Hole of rock-bolt is cleaned to remove dust

before rock bolt installation
2. Cc ct h o n v l p y v .
Holes are removed water and filled with
resin
3. Bc c iu d ne o n .
Space and Length of rock-bolt is propriety
4. Th ghi m k ne o tu th
h d n k
thut .
Pull-out Test result of rock bolt is in
accordance with specification.
K s Nh h u
Contractor's
Engineer
K n
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Phun va lp y ng
thp
Steel pipe grouting
Hng mc
Work Item
Khi ng
Quantity
Hn g c - I e m
Tiu h
Criterion
1. Th ghim kc h h c, loi, vt liu ng

c h ch n
Tests for pipe's dimension, type, material
are done
Approval of
Material
2. V r, ng k h, chi u s u k h a n c
thc i n t h o b v .
Drilling hole location, diameter, depth is
done principally according to drawing
Refer to
Drawing
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
3. n g h p s ch rs t v t p c t t c k i lp
t .
Steel pipes are cleaned rust, Foreign
materials before installation.
4. Cn g n t h gia l v ho g
cc h t g.
Strength of reinforce steel pipe is enough
and interval is rightly located
5. Trc hi hoan, hi g b l
v
n c m c s tli .
Before drilling, remaining
misfires are removed.
g th u n
explosives,
6. Ngay sau khi khoan, n g h p cc h n v o

v t n cn g m , t t n a .
Right after drilling, steel pipe is inserted and
caulking against underground water, soil
outflow
K h t u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
Chng thm
Waterproofing
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
1. Cht lng vi a khn g t tun h Ch

dn t u t
Non-Woven sheet quality is in accordance
with specification.
2. m cs d n ch o i hn g dt
Washer is used for Non-Woven sheet
3. Cht lng vi a khn g t tun h Ch
dn t u t
Quality of waterproofing sheet is in
accordance with specification.
4. Khn g l kh gi m n g ch ng thm v b
tn g hun
No void space between waterproofing sheet
and shotcrete
5. Ni h ng v i tu th h d n k thu
Overlapping is in accordance with
specification.
6. Vi hng d tp h kn ng t o t c.
Non-woven sheet covers drainage pipe well.
7. Nhn iu, ngy n xut, nh n xut, loi
c hi rn m ic u n v i hn g thm .
Trade mark, date of production, producer,
type are marked on the each Waterproofing
roll
8. Th ghi m n kh c thc in c o to n
b d n t c g h p chn g
Air compression tests are done for all
overlapping area
Ngy i m ta
Date of Inspection
TVGS A-D-T/ 04
1bar=1.02kgf/
K s Nh h u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy i m ta
Date of Inspection
M s:
1.5~2.0bar
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
V hm
Lining
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
1. Vn hun t p c d n l n c h u t ng
ln g hib t g .
Steel form is made for concrete pressure

from quantity of concrete
2. Trc hi p d ng, v kh u n th p c
kim ra lo i, k ch th c v nh tr ng
Before work, Steel form is checked (type,
size and condition)
3. Vn hun t p d g n v t c l p
theo s i u k h o s t
Steel form is in right position installed
according to survey data
4. Bu ln g i s i t ht
Bolt and Nuts are fastened enough
5. Vn hun b n c l p t nh r r a,
bm
h t v b
t t n v ch u c
p cb t g .
Side steel form installed for prevent of
mortar leaking, tightly closed to shotcrete
surface and sustain bear of resisting to
concrete pressure.
K h t u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
ng thot nc
Drainage pipe
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
1. V r, d c % ,d ng ca r n h t o t n c
ph p t c t n go ihi n tr n g
Location, % slope, shape of mole ditch is
proper in existing site conditions.
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
Xem Bn
Refer to
Drawing
2. Cht ng v ti u ch u n vi a k n g t
v ng l tu th h d n k thu .
Quality and standard for Non-woven Fabric
and perforated pipes are in accordance with
specification
3. Vt l u l c tu n th C d k hu t (H
hp ng v c p h lo ithn h p hn h t).
Filtering material is in accordance with
specification (Porous and grading mixture)
4. Ni ng c l th c h in n g.
Connections of perforated pipe are properly
executed
5. Dn g, c h t c v lo rn h tho t n c
tun h b n v
Shape, size&type of mole ditch are in
accordance with drawing.
K s Nh thu
Contractor's
Engineer
K n
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
Hng mc
Work Item
Phun va lp y
Grouting
Khi ng
Quantity
Tiu h
Criterion
Hn g c - I e m
Kt qu Result
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
1. Bi, du, nc v i mi c lm
ch
hon o n.
Dust, oil, water and grind dust are all

removed
2. Bn g h e h n ng vtr
Masking Tape is in right position
3. Hp h tt m c tr k.
Sealing Compound is well mixed enough.
4. B mt mi hng bng my h uyn d ng.
Surface is smooth enough with proper
machinery
5. Trn h , p l c p h n v kh g n h n g
n n h m b a .N go ira, rn p lc
ln h m g im qu hoc tng q
Grouting Injection sequence, pressure is done
without disturbing original ground. Besides
prevent to excessive declination pressure or
over load pressure on the lining
6. Phun va p y l r n gi a m tl ng v
hm
n n h ba nu
Backfilling injection fills are filled the void
enough where found between back face of
lining and original ground
7. Trc hi hun, i c ng ng i d
b.
Before injection, any obstacles are removed
8. Phun theo p c yu u.
Injection is done to the required pressure
K h t u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy i m ta
Date of Inspection
Ngy i m ta
Date of Inspection
M s:
TVGS A-D-T/ 04
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M I U
CODE NO.
V r, b ph
Location, Part
b tng bng my
Concrete pouring
work by machinery
Hng mc
Work Item
Khi ng
Quantity
Kt
Tiu h
Criterion
Hn g c - I e m
1. Xe trn b t g t ri n k ha i c t n h n
nn g u t v n k h n di n v th i
gian vn c u yn b tn .
u - e sult
Chp
T
thun
chi
Accept Reject
Ghi ch
Remark
2. c nh k h t h c vn
hu n di
n g t e o B n v (ca ,bn kn h .
3. i m ta v x
n g t it b v n
n g .
n k h ng ot
hn h
n kh n d
4. Kh ng h t g c a u c m b i n .
5. i m ta b n u m b n v tn h
khn g c h c u yn c.
6. i m ta h n t g r t on tr n
b t b tn .
7. Phun cht bo dng theo khi lng
qui n h au hi c b c h tr n b
mt .
8. im
9. Sn
t t c b ng l t kh
co .
ng l p k h n
10. Khon g ch , c iu r g,c hi s u k e

ni h ch n t h e h g d n n v .
11. Sau khi lp he i x ng,
tp h t v tr m kh e
s c
Ngy i m ta
Date of
Inspection
Ngy im tra
Date of
Inspection
M s:
TVGS A-D-T/ 04
K h t u
Contractor's
Engineer
K s T vn
Consultant's
Engineer
Ngy ban hnh :
19/12/2013
Ln ban hnh : 02
Trang : 50 / 50

03.quy Trinh Cac Buoc Nghiem Thu

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03.quy Trinh Cac Buoc Nghiem Thu

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D N U T XY DNG HM NG B QUA O C QL1

LIN DANH T VN GIM ST APAVE - DOHWA - TEDI SOUTH

QUY TRNH CC BC NGHIM THU

QUC L 1A - TNH PH YN & KHNH HA

NH THU THI CNG

Tuy Ha, Ph Yn, thng 12/2013

Ngy ban hnh :

KIM SOT TI LIU

Ngi qun l ti liu

Ngy lu sau cng

Quy trnh cc bc nghim thu

Ngy pht hnh

S trang v nhng thay i

Mai Triu Quang

Ngy ban hnh :

NI DUNG QUY TRNH CC BC NGHIM THU

C S THIT LP QUY TRNH NGHIM THU

MC TIU/ C S CA CNG TC NGHIM THU

IU KIN SN PHM THI CNG C NGHIM THU

QU TRNH THC HIN CC BC NGHIM THU

Nghim thu cng vic xy dng

PH LC 2- DANH MC BIU MU KIM TRA/NGHIM THU CNG

Ngy ban hnh :

A. NI DUNG QUY TRNH CC BC NGHIM THU

Ngy ban hnh :

Nghim thu cng vic xy dng;

Nghim thu hon thnh cng trnh/hng mc cng trnh xy dng.

C s nghim thu cng tc xy dng l:

Bin bn nghim thu;

III. IU KIN SN PHM THI CNG C NGHIM THU

Ngy ban hnh :

- Lp bng thng k cc cc tn ti v cht lng (theo mu) v quy nh thi

Ngy ban hnh :

T vn gim st, nhng ngi cn thit tham gia s c mi theo yu cu ca ch u

Ngy ban hnh :

d) Kim tra cc ti liu th nghim;

Trng hp th nht: Chp nhn nghim thu cc i tng xem xt v lp

IV.2 Nghim thu cng vic xy dng

Nhng cng vic xy dng hon thnh v/hoc

Ngy ban hnh :

Nhng cng vic lp t thit b tnh hon thnh v/hoc

H s/Ti liu v iu kin cn c trc khi tin hnh nghim thu:

- Yu cu nh thu xy lp ly mu kim nghim t i tng nghim thu cng

Th nghim li i tng nghim thu (nu thy nghi ng);

Ngy ban hnh :

Kim tra mc ng n ca nhng kt lun ghi trong bin bn nghim thu vt

d) i chiu cc kt qu kim tra vi ti liu thit k c duyt, yu cu ca cc tiu

Trng hp th nht: Chp nhn nghim thu cc i tng xem xt v lp

Ngy ban hnh :

B phn cng trnh xy dng hon thnh, hoc/v

H s/Ti liu v iu kin cn c trc khi tin hnh nghim thu:

i tng nghim thu thi cng hon thnh;

Bin bn nghim thu ni b v phiu yu cu nghim thu ca nh thu chnh thi

Tt c cc cng vic xy dng ca i tng nghim thu u c kim

Ngy ban hnh :

Yu cu nh thu xy lp ly mu kim nghim t i tng nghim thu cng

Th nghim li i tng nghim thu (nu thy nghi ng);

Kim tra mc ng n ca nhng kt lun ghi trong bin bn nghim thu vt

d) i chiu cc kt qu kim tra, kim nh vi ti liu thit k c duyt, yu cu

Trng hp th nht: Chp nhn nghim thu cc i tng xem xt v lp

Ngy ban hnh :

+ Thi gian lm li, th li, sa li;

d) Pha nh thu thi cng xy dng cng trnh: