CHECKLIST Array No.

:
RECORD OF PILE FOUNDATION Project Name:
(To be filled for every 3 Tables)
Date:
Time :
Table No - Table No - Table No -
Sr No. CRITERION
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Is auguring done at
1
survey point

Horizontal distance
b/w post top to
2 nearby post top as per
drawing (Allowable
tolerance ±5 mm)
vertical alignment of
3 post (Spirit level
check)

whether water is
4 poured before 15 mins
of concreting

Alignment of
5
shuttering
Mixing of concrete
should be done
6 appropriate to
produce
homogeneous mix

Curing 3 Times a day

7 for 7 days / as per
IS:456

Inspected By Approved By checklist No - SSE-QC-CIV-400

Sheet No - 1 of 1
Int/Sign Int/sign Page size - A4