inspection before conrecting nghim thu tr-c khi btng

Project/ D n; Department/ hng mc DWWG.No./ S bn v Description / Tn cng vic Contractor / Nh thu Level/ Cao Date of insp./ Ngy nghim thu Description / Ni dung cng vic Inspected by / Nghim thu bi Contractor Consultant Nh thu T- vn gim st Description / Ni dung cng vic B. Re-bar work/ Ct thp B1. Size/ Kch th-c B2. Quantity/ S l-ng B3. Spacing/ Khong cch B4. Lap & hk/ C.di mi ni B5. Position/ V tr B6. Cov / Lp bo v D. Othes/ Cng vic khc D1. Constn.Jint/ Mch dng D2. Expan.Joint/ Khe gin D3. Opening/ kn kht a.Location/ V tr b. Dimension/ .knh D4. Cleaning/ V sinh Remarks / Ghi ch Inspected by / Nghim thu bi Contractor Nh thu

A. Formwork/ Vn khun A1. posistion/ V tr A2. Dimension/ .knh A3. Elevation/ Cao A4. Plumness/ Di A5. Bracing/ Ging chng A6. Surface/ B mt C. Embedded items/ Chi tit t sn C1. Anchor bolt/ Bulng neo a. Projection/ Chiu di ch b. Length/ Chiu di c. Diameter/ .knh d. Position/ V tr C2. Embedded plate/ Bn m C3. Water stop/ thanh cn n-c C4. Sleevese/ ng ch C5. Piping/ ng C6. Conduit/ Cp in Result of inspection/ Kt qu nghim thu Acceptable/ Chp nhn Not acceptable/ Khng chp nhn Contraction/ Nh thu thi cng Acceptable/ Chp nhn Acceptable/ Chp nhn Not accptable Khng chp nhn Main contraction/ Tng thu Not accptable Khng chp nhn

Acceptable/ Chp nhn Not accptable Khng chp nhn Consultant/ T- vn gim st Owner/ Ch u t-

Inspected by / Nghim thu bi Consultant T- vn gim st

ceptable/

p nhn t accptable ng chp nhn nsultant/

wner/ Ch u t-

Contractor / Nh thu Project/ Cng trnh Department/ hng mc Item/ Mc Inspectinon requets no. / Yu cu ln th: Request for inspection / phiu yu cu nghim thu Content of inspections/ Ni dung ng k nghim thu: Time of requetst Thi gian ng k Requested by Ng-i ng k To: . -Technical Department Gi: Phng k thut Inviting time Thi gian mi Received by Ng-i nhn Hour Gi Date Ngy Month Year Thng Nm Signature Ch k 2007 Hour Gi Date Ngy Month Year Thng Nm Signature Ch k 2007

After checking of documents for inspection Sau khi kim tra h s nghim thu Agreed to handover these documents to Consultant for inspection ng chuyn h s cho i din ch u t- (TVGS) nghim thu To: Supervision Consultant Gi: T- vn gim st Receipt time Thi gian nhn Inviting time Thi gian TC nghim thu Received by Ng-i nhn Hour Gi Hour Gi Date Ngy Date Ngy Month Year Thng Nm Month Year Thng Nm Signature Ch k

Notes/ Ghi ch: Inspection request have to submit in two sets/ Phiu mi -c lp thnh 2 t One of set for the file of HLCC/ T s 1 cho HCC One of set for handover to conultant (after agree for inspection)/ T s 2 cho T- vn gim st (sau khi kim tra iu kin nghim thu) Inspection request have to submit 6 hour before inspection, Contractor have to handover these requests Phiu mi nghim thu phi gi tr-c 6h, nh thu phi m s giao nhn phiu mi nghim thu

Tn Cty

cng ho x hi ch ngha vit nam c lp - t do - hnh phc H Ni, ngy thng nm Ha Noi, date

Bin bn s: Nghim thu ni b cng vic xy dng Acceptance minutes no: internal inspetion repots of civil works of contractor
Cng trnh: Project: Hng mc/ Department: Mc: Tn cng vic nghim thu/ Decsription of inspected works: a im/ Location: 1. Thnh phn trc tip nghim thu/ Participants from: i din tng thu xy lp (Ban iu hnh) : Cn b k thut thi cng trc tip: Thi gian tin hnh nghim thu/ Time of inspection: Bt u: H Ni, ngy thng nm Start: Ha Noi, date Kt thc: H Ni, ngy thng nm Finish: Ha Noi, date Ti: At: 2. nh gi cng vic xy dng thc hin/ Evaluation of completed civil works: 2.1 Ti liu lm cn c nghim thu/ Reference documentation for inspection: a) H s thit k k thut thi cng -c ch u t- ph duyt v nhng thay i thit k -c chp nhn / Approved execution technical document of The Owner and agree design modifications: b) Quy chun, tiu chun k thut p dng khi thi cng, kim tra, nghim thu Applicable standards, codes during execution, checking and inspection: c) Ti liu ch dn k thut: d) Nht k thi cng/ Execution diary 2.2 Kt lun/ Conclusion: Chp nhn nghim thu, ng lp phiu yu cu mi nghim thu.
GS thi cng tng thu management board Nh thu thi cng Contractor

i thit k -c chp nhn /

Nh thu thi cng Contractor

Tn Cty

cng ho x hi ch ngha vit nam c lp - t do - hnh phc

H Ni, ngy Ha Noi, date thng nm

Bin bn s: Nghim thu cng vic xy dng Acceptance minutes no: inspetion of civil works

1.Cng trnh: Project: a) Hng mc/ Department: b) Mc: c) Tn cng vic nghim thu/ Decsription of inspected works: d) a im/ Location: 2. Thnh phn trc tip nghim thu/ Participants from: Cng ty t- vn / Consultant Supervisor. Ban iu hnh d n . / Management Board of . Nh thu thi cng: 3. Thi gian tin hnh nghim thu/ Time of inspection: Bt u: H Ni, ngy thng nm Start: Ha Noi, date Kt thc: H Ni, ngy thng nm Finish: Ha Noi, date Ti: At: 4. nh gi cng vic xy dng thc hin/ Evaluation of completed civil works: 4.1 Ti liu lm cn c nghim thu/ Reference documentation for inspection: a) Phiu yu cu nghim thu ca nh thu ngy thng nm Inspection request of contractor dated b) H s thit k k thut thi cng -c ch u t- ph duyt v nhng thay i thit k -c chp nhn/ Approved execution technical document of The Owner and agree design modifications: c) Quy chun, tiu chun k thut p dng khi thi cng, kim tra, nghim thu: Applicable standards, codes during execution, checking and inspection: d) Ti liu ch dn k thut km theo hp ng xy dng: Technical specification enclosed with economical contract e) Cc kt qu kim tra, th nghm cht l-ng vt liu, thit b -c thc hin trong qu trnh xy dng Inspection results and quality testing reports of mater and equipments during contruction works. f) Nht k thi cng v cc vn bn khc c lin quan n i t-ng nghim thu: Execution diary and other documents related to inspected works: g) Bin bn nghim thu ni b cng vic xy dng ca nh thu thi cng xy dng: Internal inspection reports of civil works of contractor 4.2 Cht l-ng cng vic xy dng/ Quality of civil works Kim tra kt qu th nghim, o l-ng thc t xc nh cht l-ng, nh gi s ph hp ca cng vic xy dng v ti liu ch d Checking test result, actual measurement in order to determine quality and evaluate confomity of civil works compared to design, contr

4.3 Cc kin khc/ Other comments:

4.4 kin ca gim st thi cng xy dng cng trnh ca ch u t-: Comments of Consultant Supervisor of The Owner

5 Kt lun/ Conclusion:

Chp nhn nghim thu, ng cho trin khai cc cng vic tip theo/ Agree to accept for follwing works Yu cu sa cha, hon thin cng vic xy dng thc hin v cc yu cu khc/ Requirement for repair, completion of completed civil works and other suggestions.

T- vn gim st supervisor consultant

Nh thu xy dng Contractor

Ban iu hnh d n Management board

h ngha vit nam - t do - hnh phc

-c chp nhn/

a cng vic xy dng v ti liu ch dn k thut/ of civil works compared to design, contruction standards, technical specification:

Nh thu xy dng Contractor