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Pre-Concrete Inspection Report Template

This document is a pre-concrete inspection report for a concrete structure location at the Tangguh Expansion Project. It checks various aspects of the forms, rebar, embedments, and specifications for the concrete pour. These include checking the survey, orientation, size, elevation, and cleanliness of the forms. It also checks the grade, size, splices, spacing, clearance, and cleanliness of the rebar as well as the embedment, anchor bolt type and location. It specifies the order for the concrete including mix design, slump, quantity, aggregate size, and delivery rate per hour.

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Ivan Rudolf De Fretes
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60 views1 page

Pre-Concrete Inspection Report Template

This document is a pre-concrete inspection report for a concrete structure location at the Tangguh Expansion Project. It checks various aspects of the forms, rebar, embedments, and specifications for the concrete pour. These include checking the survey, orientation, size, elevation, and cleanliness of the forms. It also checks the grade, size, splices, spacing, clearance, and cleanliness of the rebar as well as the embedment, anchor bolt type and location. It specifies the order for the concrete including mix design, slump, quantity, aggregate size, and delivery rate per hour.

Uploaded by

Ivan Rudolf De Fretes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

TANGGUH EXPANTION PROJECT Job Form Number

Title ITR-IKM-SA-007
QC No ITP No
Material Receipt Inspection test Report
PT. Indotech KaryaMandiri RPT. No Sheet No
PRE CONCRETE INSPECTION REPORT

Concrete Structure Location :


Reference Drawing :
Concrete Rebar & Embed Dwg No :

Forms Rebar
Survey Checked Grade
Orientation Size
Size Splices
Elevation Spacing
Clean Oiled Clearance
Chamfer Cleanliness
Straight Lvl Plumb Adequate Support
Adequate Brasing

Sub Foundation Embedment


Piles Anchor Bold Type
Compaction Anchor Bold Location
Cleanliness AnchorBolt Sleeves
Moisture Anchor Bold Grounding
Blinding Layer Thread Projection
Elevation Well Pads
Angle Iron
Miscellaneous Insert
Key Ways Conduits
Blockouts Ground Wire
Surface Roughhened Water Stop
Bonding Agent
Sets/Test Speciment
Hoy/Cold Water Protection
Joints
Special PlacingEquipment Required

Order Concrete To The Following Specification

Mix Design Slump

Quantity Admixtures

Max Aggregate Delivery Per Hour

IKM Supervisor IKM QA/QC CSTS QA/QC


Date Date Date
Signature Signature Signature

Name Name Name

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