Mau 4:

BIN PHP GIM ST CHT LNG

A. CC FORM MU KIM SOT CHT LNG TI CNG TRNH

kim sot cht lng ca nh thu ti cng trnh, trc khi thi cng, cn b
gim st ca NewCC s lm vic vi nh thu qui nh tt c v qu trnh kim
sot cht lng ti cng trnh. Cn b ca NewCC s cung cp cho nh thu tt c
cc form mu v kim sot cht lng nh thu tun th. Sau khi hon thnh
mi bc, nh thu s t kim tra ni b sau s mi gim st kim tra. Ch khi
no c s ng thun ca cn b gim st cng ch k ln trn bin bn , th cc
im treo ( Hold Point) mi c d b v cng vic tip theo mi c tin
hnh.
Cc mu form v gim st cht lng cng trnh:
1. MATERIAL SITE RECEIVING INSPECTION -KIM TRA NHN HNG
HA TI CNG TRNG : kim tra hang ha vt t ca nh thu ti cng
trng xem c tng thch vi mu duyt hay h hng g khng
2. OFF-SITE INSPECTION REPORT-BIN BN KIM TRA NGOI CT:
kim tra cc hng mc nh thu lm ngoi cng trng , nh cc khung ko
thp ch to ti xng, h thng t in,.
3. SITE INSPECTION REPORT- BO CO KIM TRA TI CNG
TRNG
4. CONTRACTOR'S INSPECTION ADVICE- ngh kim tra ca nh thu
sau khi nghim thu ni b
5. SURVEY REPORT- Nghim thu trc t
6. FIELD INSPECTION REQUEST - PLACING CONCRETE WORKSNgim thu b tong
7. WORKS INSPECTION SHEET Nghim thu cng vic.

MATERIAL APPROVAL FORM

VN BN TRNH DUYT MU
Project (D n) :
From (T) :
To (n) :

Date (Ngy thng)

Ref. Nr.(S hiu):
:

Description Of Item(s) (M t hng mc):

Location(s) Of Use (V tr s dng):

Standard Meet / Consistent With

Make / Country Of Origin

Theo tiu chun/ Tng thch vi

c ch to/ Xut x

According To (Tun th theo):

Drawing Nr. (S hiu bn v)
Specifications (theo TCKT):
Other Correspondence(s) :
(Cc tun th khc):
Enclosure (nh km vi):
Catalogue(s) ( Hng dn k thut)

Test Report(s) (Kt qu test)

Specifications ( Tiu chun k thut)

Sample(s) (Mu vt liu)

Submitted Sample Item(s) Is / Are (mu trnh duyt cho hng mc c):
Approved
(Chp thun)
Approved On Condition, As Noted
(Chp thun c iu kin, nh ghi ch)
Selectively Approved, As Noted
(Chp thun c la chn, nh ghi ch)

To Be Amended & Re-submitted

(iu chnh v trnh mu li)
Rejected
(T chi)

Notes (Ghi ch):

Submitted By ( trnh bi) :

Name :

Comfirmed By (Xc nhn bi) :

Date :

Name :

Date :

Ref (S hiu):

MATERIAL SITE RECEIVING INSPECTION

KIM TRA NHN HNG HA TI CNG TRNG
PROJECT (D n):
Package (Gi thu) :
Subcontractors/ Supplier Name :
Nh thu ph/ Nh cung cp:
Description of items received:
M t hng ha nhn c:
Delivery No. :
Chuyn hng s:
CHECK
Kim tra

Purchase Order No.:

n t hng s:
RESULT OF CHECK
Kt qu kim tra
YES

Delivery Date :
Ngy giao:
REMARKS (if not saticfactory)
Ghi ch ( nu khng t)

NO

1. Items is complied with the Delivery

Docket
Hng ha tng thch vi s giao hng
2. Documentation ( e.g. test certificates)
available
Cc h s, chng ch test c nh km sn
hay khng
3. Items can be ready identified ( either by
type or marking)
Hng ha c ch thch sn ( bng ch
hay nh du)
4. Special handing or storage requirement/
shelf life expiry date.
Hng hoa c yu cu giao nhn c bit/
cn thi hn s dng hay khng

IF YES, DETAIL ( Nu c, ghi ch)

5. Items checked against approved sample

and satisfactory.
Hng ha c tng thch vi mu duyt
6. Items have no defects or damage.
Hng ha khng b li hay h hi

IF NO, DETAIL ( Nu h hi, ghi ch)

Remarks ( if check not satisfactory) (Ghi ch nu kim tra khng t)

signature : date:

OFF-SITE INSPECTION REPORT

BIN BN KIM TRA NGOI CT

FILE No.:

PROJECT (D n):
Package (Gi thu):
Subcontractor/Suplier Name :
Nh thu/ Nh cung cp:
Location (V tr):
Personel Contract at Off- Site Facility:
Cn b ca nh thu ti ni kim tra:
A. Work Inspected :
Hng mc kim tra:
CHECK (Kim tra)

YES

NO

(COMMENT IF NECESSARY)
Ghi ch nu cn thit

1. Shop Drawing available in Workshop

Bn v shop c sn, y xng:
2. ManufacturingProgramme avalable in Workshop
K hoch sn xut sn sng xng
3. Materials available in workshop
Vt t c sn xng
4. Equipment availability
Thit b sn xut c sn
5. Fabrication Quality acceptable
Cht lng sn xut chp nhn c
6. Critical dimension check
Kim tra cc kch thc quan trng
7. Workmanship, quality visually acceptable
Tay ngh, kim tra bng mt chp nhn c
8. Testing plans ready
K hoch test sn sng
Evaluation (nh gi)

B. Status Report (Bo co tnh trng hin thi)

1. Manufacturer's estimated completion date:
Ngy hon thnh d tnh ca nh nh xut
2. Percentage (%) Complete:
Phn trm hon thnh
3. Proposed delivery date to site:
Ngy d kin chuyn n cng trng:
Evaluation (nh gi)

SIGNED
K tn

POSITION
Chc v

DATE :
Ngy thng

Ref No.:

SITE INSPECTION REPORT

BO CO KIM TRA TI CNG TRNG
PROJECT (D N):
PACKAGE (GI THU):
To ( Name) (Gi n):
FROM (Name) (Ngi nhn):
ACTIVES INSPECTED (HNG MC KIM TRA):
REPORT OF OBSEVATIONS, DISCUSSIONS ETC:
(Bo co ca vic quan st, kim tra, tho lun)

ACTION (Hnh ng, gii php):

SIGNED
K tn

POSITION
Chc v

DATE :
Ngy thng

CONTRACTOR'S LOGO

CONTRACTOR'S INSPECTION ADVICE

ngh kim tra ca nh thu
ITP Ref No.:
K hoch kim tra s:
Hold point :
im dng kim tra
Withness Point :
im minh chng
Contractor (Nh thu):
Contractor's Representative (i din nh thu) :
Advice is given that the following work activity has been inspected by ..
(Yu cu cng vic sau y cn c kim tra bi:)
We are ensured that the Contract Drawings and Specification requirements have been achieved
(Chng ti m bo rng Cc yu cu ca bn v thi cng v tiu chun k thut t c)

Please inspect and accept prior to our proceeding

Vui lng kim tra v chp thun chng ti tin hnh cc cng vic tip theo

ACCEPTED BY NEW CC'S REPEPRESENTATIVE

Date:

Chp thun i din cng ty New CC

Ngy thng

Date of Inspection:
Ngy kim tra:

Owner (Chu au t):

Project Management (Quan ly d an)

Contractor's Logo

SR No./STT:
Page/Trang:

SURVEY REPORT
BAO CAO TRAC AT
Project / D an:
Package: Goi thau
Structure (ket cau)
Ref.dwg / Spec. (Tham khao)
Attachments (nh kem)
Method of inspection (PP kiem)
: Visual / Mat Survey / Trac ac Others / khac
No.
Deriation (sai so)
Description
Design (thiet ke)
Actual (thc te)
X
Y
Z
X
Y
Z
X
Y
Z
TT Cong viec/hang muc
1
2
3
4

OWNER / NEW CC

Contractor /Nha thau

Owner (Chu au t):

Project Management (Quan ly d an)

contractor's logo

FIR/PC No./STT:
Page/Trang:

FIELD INSPECTION REQUEST - PLACING CONCRETE WORKS

BIEN BAN NGHIEM THU- CONG TAC NGHIEM THU O BE TONG
Project / D an :
Package/ Goi thau:
Location / V tr :
Structure (ket cau)
Location (V tr)
Inspection date (Ngay nghiem thu)
Ref.dwg/Spec./Attached (Tham khao)
Method of inspection (PP kiem tra)
: Visual / Mat Survey / Trac ac Others / khac
Concrete grade (Mac be tong)
Concrete volume (khoi lng be tong)
The followings items need to be incpected (Cac cong tac sau can c nghiem thu)
No.
Description
TT
Cong viec / Hang muc
1 Reinforcement (Cot thep)
Size/Length (kch thc / chieu dai)
Positioning (V tr)
Splice (Moi noi)
Spacer (khoang cach)
Concrete cover (lp bao ve betong)
Cleanliness (ve sinh)
2 Formwork (Van khuon)
Alignment (thang hang)
Surface (be mat)
Tightness (kn nc)
Joint between panels (moi noi panel)
Supports (cay chong)
Chamfer (vat goc)
Box out (hop noi)
3 Embedded/Anchor bolts (ban e/bu long)
Alignment (thang hang)
Installation (lap at)
4 Waterstop (roan chan nc)
Type (loai)
Positioning/tightness/joint (v tr/kn/noi)
5 Others (cac cong tac khac)
Lean concrete (be tong lot)

OWNER
ACC. REJ. N/A

ACC.: Accepted (chap thuan) REJ.: Rejected (t choi)

Chu au t / NEW CC

NEW CC
ACC. REJ. N/A

N/A: Not available (khong hieu lc)

CONTRACTOR/ Nha thau

Remarks
Ghi chu

Owner (Chu au t):

Project Management (Quan ly d an)

Contractor's Logo

WORKS INSPECTION SHEET - NGHIEM THU CONG VIEC

Ref. WIR No.
PART A: TO BE COMPLETED BY CONTRACTOR
Phan A - Nha thau
Position (V tr)

Engineer Requesting Inspector (Ngi yeu cau)

Date/time of Inspection (Ngay gi nghiem thu)

Type of work to be inspected (Cong tac nghiem thu)

Location of Inspection (V tr)

Next step to follow (Cong tac tiep theo):

Attachments (nh kem)

Completed work according to drawings (Cong viec hoan thanh theo ban ve)

PART B: INSPECTION
Phan B: Nghiem thu
Comments on First Inspection (Nhan xet t lan nghiem thu au)

Yes (at)

No (Khong)

Re - Inspection to be held on (Cong viec se c nghiem thu lai luc)

Date/time (Ngay, gi)
Comments on Second Inspection (Nhan xet t lan nghiem thu th hai)

Work inspected and ready to be continued(Cong viec c nghiem thu va san sang cho bc tiep theo)
OWNER / NEW CC

CONTRACTOR/Nha thau