PMCM Form-020 / Rev.

0 / 20 May 2015

PMQS CONSTRUCTION SOLUTIONS, INC.

CONCRETE POURING REQUEST

PROJECT NAME :
LOCATION :
CONTRACTOR : DATE :

NOTE: This Concrete Pouring Request should be submitted to PMQS Project Management Team at least twenty four (24) hours before the DATE / TIME schedule of concreting works with
attached key plan showing the structure for concreting.

BUILDING IDENTIFICATION:
EQUIPMENT TO BE USED : DATE:
CURING COMPOUND TO BE USED: CURING STARTS ON:
SCHEDULE OF CONCRETING: CURING ENDS ON:

LOCATION REQD. DAYS COMP. COMPUTED

STRUCTURE MARK (GRID LINE) GRAVEL SIZE REQD. SLUMP OF CURING STRENGTH VOL.CU.M.

REQUESTED BY:
CONTRACTOR'S SITE ENGINEER CONTRACTOR'S PROJECT IN CHARGE

PARTICULARS CONTRACTOR PMQS REMARKS / COMMENTS

Survey (Line and grade)
Formworks / Scaffoldings
Reinforcement
Architectural works
Electrical works
Mechanical works
Fire protection works
Sanitary / Plumbing works
Aluminum and glass
Anchor bolt setting
Waterstops
Opening / Beam penetration
Shear bars / Shear keys
Construction joint
Expansion joint
Seismic gap
Pouring guide
Cambers / Chamfers
Drip moulds
Block spacers
Cleaning
Grout
Others, please specify

RECOMMENDING APPROVAL:

PMQS SITE CE/ARCHITECTURE PMQS SITE ELECTRICAL ENGINEER PMQS SITE MECHANICAL ENGINEER

APPROVED BY:
PMQS PROJECT MANAGER/CONSTRUCTION MANAGER