PESTECH SDN. BHD. Form No.

: P15-1R
Rev. No.: 0

Project : Contract No. :

Client : Date :
REQUEST FOR INSPECTION FORM
To :
Requested by : Received by :
Date/Time : Date/Time :

The following works are/ will be ready for inspection at ________________(time) on ___________________(date )
INSPECTION CHECKLIST - GANTRY COLUMN & EARTH MAST PLINTH
A Inspection Items
Acceptability
Item No. Description Remarks & Rectification
Yes No
Setting Out for :
1 a. All of plinth/footing X-direction
b. All of plinth/footing Y-direction
2 The switchyard plinth level must be the same.
All 'J 'bolts level & height across and diagonally
3
must be the same. (See picture 1)
(Template) 'J ' bolts to 'J ' bolts must be in straight
4
line with other plinths. (See picture 1)
Layout drawing no :
Correct Templates must be used as mentioned in ____________________________________
5
the drawings for the said plinth. Template equip. drawing no:
____________________________________
After setting the "J"Bolt, it must be welded in
6 vertical position with the rebar to prevent from
slanding/tilting.
After casting concrete and removing Templates,
7 the 'J ' bolt threads to be brushed and covered with
PVC tape to prevent damages to the threads.
Picture 1:

Template

J -Bolt

B Inspection Response
Inspection passed, works are allowed to proceed.
Remedial work listed to be carried out. No further inspection required.
Remedial work listed to be carried out. Re-inspection required.
C Remedial Action

Inspected By : Review/Surveillance By : Witness By:

____________________ ____________________ ______________________

Clerk Of Work/Erection Supervisor/Designated Client Representative
Resident Engineer/QAQC Engineer
Personnel (If applicable) / Site Manager
Name : Name : Name :
Date : Date : Date :

Effective Date: 23/5/2016