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FLOOR DECK AND WIRE MESH CHECKLIST / CHECKLIST DECK LANTAI DAN WIRE MESH

Lot No. /No. lot : Identification No. /Nomer Identifikasi :


Location /Lokasi : Contractor/Subcontraktor/Kontraktor/Subkont.
Type of Element /Type struktur : Check
Required
/Pengecekan NC /
diperlukan C/ Date Remarks
ITEMS TO BE CHECKED /ITEM YANG DI CEK Tidak Initial /Paraf
Yes No Sesuai Sesuai /tanggal /Keterangan
/ya /tidak
A Survey and Rebar Checks /Pengecekan survei dan pembesian
A.1 Drawing Check/Gambar
A1.1 Drawing status approved for construction /Status Gambar
telah disetujui

A.2. Prepour Survey Check /Pengecekan data ukur sebelum


pengecoran
A.2.1 Alignment of structure checked /Alinyemen struktur sudah
sesuai
A.2.2 Positon and Levels checked /Posisi letak dan elevasi sudah
sesuai
A.3. Floor deck check /Pengecekan floor deck
A.3.1 Floor decks received from approved supplier / Floor deck
yang digunakan berasal dari pabrik penyuplai yang
disetujui

A.3.2 Shear connector installed/Shear connector sudah terpasang

A.3.3 Overlapping checked /Overlapping sudah sesuai

Temporary support under the floor deck installed /Support


A.3.4
sementara terpasang
A.3. Wire mesh check /Pengecekan Wire mesh
A.3.1 Wiremesh received from approved supplier/ Wire mesh
yang digunakan berasal dari pabrik penyuplai yang
disetujui

A.3.2 Wire mesh dimension (dia, length) checked /Dimensi wire


mesh (diameter, panjang) sudah sesuai
A.3.3 Position & spacing of bars checked /Jarak dan posisi
pembesian sudah sesuai
A.3.4
Concrete cover checked /Selimut beton sudah sesuai

A.3.5 Gap for vibrators checked /Celah untuk vibrator sudah


sesuai
A.3.6 Cleanliness of wire mesh checked /Kebersihan wire mesh
sudah sesuai
A.3.7 Wire mesh overlapping checked /Panjang penyambungan
over lap sudah sesuai
Internal Checked by : Conformed by : Verified by :

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TWJO-ITP-MIS-0002-CHK-004 revA Page 1 / 1