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Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.

139 on EPC mode under NHDP Phase


- III in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :
RFI NO :
Check List For : Coarse Aggregate
Date of Submission :
Date of Inspection :
Location: Chainage at (LCW/RCW)
RESULT
Item No. Description Remark
YES NO NA

1 Name and Address of the Supplier :

Information regarding the other ongoing


2 works where this supplier is supplying the
material.

Report obtained from the clients referred at


3 Sl No – 2.

4 What is the petrography of the parent rocks?


Is it acceptable?

5 Will adequate quantity be available for the


complete Project?

Have the Aggregates being got tested from


6 reputed Laboratory as per IS : 383 as per
chapter 3 of the manual?

(A copy of the test certificate may be


7 attached.)

Are adequate crushing and transporting


8 facilities available with the supplier /
Crusher?

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-53
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Phase
- III in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :
RFI NO :
Check List For : Fine Aggregate
Date of Submission :
Date of Inspection :
Location: Chainage at (LCW/RCW)
RESULT
Item No. Description Remark
YES NO NA
Name and Address of the Supplier :
1

Information regarding the other ongoing


2 works where this supplier is supplying the
material.

3 Report obtained from the clients referred at


Sl No – 2.

What is the type of Aggregates :


4 1. Crushed Rock
2. River Sand.

5 Will adequate quantity be available for the


complete Project?

Have the Aggregates got tested from reputed


6 Laboratory as per IS : 383 as per chapter – 3
of the manual ?

7 (a copy of the test certificate may be


attached )

Are adequate washing and transporting


8
facilities available with the supplier?

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-54
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP
Phase - III in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :
RFI NO :
Check List For : Cement.
Date of Submission :
Date of Inspection :
Location: Chainage at (LCW/RCW)
RESULT
Item No. Description Remark
YES NO NA
Name and Address of the manufacturer /
Supplier :
1

2 Whether the supplier / manufacturer is


among the approved list of the clients.

Information regarding the other ongoing


3 works whear the material is being supplied
by this supplier:

4 Report obtained from the clients refered at


Sl. No 2.

Whether the material certify the test


requirment as per chapter 3 of the manual.
5 (a copy of the test certificate may be
attached).

Whether the supplier can supply the


6 material in desired size of the lot as per the
site schedule.

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-55
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP
Phase - III in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :
RFI NO :
Check List For : Geo-Textile
Date of Submission :
Date of Inspection :
Location: Chainage at (LCW/RCW)
RESULT
Item No. Description Remark
YES NO NA
Name and Address of the manufacturer /
1 Supplier :

Information regarding the other ongoing


works whear the material is being supplied
2 by this supplier:

Report obtained from the clients refered at


Sl. No 2.
3

Whether the material satisfies the test


requirement as per ASTM D - 4355 as per
chapter 3 of the manual.(a copy of the test
4 certificate may be attached)

Is the material indiginious or imported ? Is


5 the supply easily available in the market.

Can the agency supply the required quantity


6 of material in the stipulated time.

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-56
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP
in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA

Doc No

RFI NO
Check List For : Staging
Date of Submission

Date of Inspection

Location: Chainage at (LCW/RCW)


RESULT
Item No. Description
YES NO NA

1 Has staging been designed and got approved


in advance?

2 Is the base preparation one as per the


approved methodology?

Is the placing of Concrete block as per


3 drawing?

4 Is the erection of V.T. columns true to


plumb?

5 Is the connection of horizontal and diagonal


bracing as per drawing?

6 Has all the joints been properly made and


stiffened?

Is the placing of longitudinal glider and


7
Transverse gliders as per drawing?

8 has staging been done as per approved


design.

9 Is the spacing of V.T. column according to


approved design?

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-57
NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Phase - III
in the state of Himachal Pradesh

EPC CONTRACTOR :

GR INFRAPROJECTS LTD

ainage at (LCW/RCW)

Remark

CLIENT (NHAI)

SIGN:

NAME:

Page-57
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Phase - III
in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :
RFI NO :
Check List For : Formwork Inspection
Date of Submission :
Date of Inspection :

Location: Chainage at (LCW/RCW)


RESULT
Item No. Description Remark
YES NO NA

1 Is formwork design/drawing/sketch approved


including de-shuttering arrangement ?

2 Is trial Panel approved (if required) ?

3 Is formwork alignment correct?

4 Is formwork levels correct, including screeds ?

5 Is formwork member spacing correct?

6 Is formwork member spacing correct ?

7 Is formwork member material quality


acceplable ?

8 Is falsework member sizes correct ?

9 Is falsework member spacing correct?

10 Is falsework member material quality


accepable ?

11 Gaps betwwn primary & secondary member


closed/wedged ?

12 Is face boarding/Plywood/Metal thickness


correct?

13 Is joints between panels closed (no gaps)?

14 Is joints between panels flush (no step/lips)

15 Is panel fainess acceptable ?

16 Is gaps between secondary memebers and


face panels closed ?

17 Is tie rod material and sized correct ?

18 Is tie rods tight face cones flush ?

19 Are tie rods right faces comes flush ?

Page-58
20 Is spacers between shutter surfaces tightly
fitting ?

Are bos outs, cast-in items, ducts fixed correct,


21 securely ?

22 Are chamfer/fillters sizes, sttraightness, fixing


acceptable ?

23 Is form work clearn ?

24 Is formwork release oil mterial approved ?

25 Is formwork release oil applied correctly ?

26 Is constructin joint preparation satisfactory ?

Is construction/expansion joint preparation


27 satisfactory ?

28 Is safe access constructed ?

29 Is adequate work space provided or labout,


equipment.

30 Is shutter bibratos (is required) location &


fixing arrangements approbed ?

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-58
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Phase - III
in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :
RFI NO :
Check List For : Reinforcement Inspection
Date of Submission :
Date of Inspection :

Location: Chainage at (LCW/RCW)


RESULT
Item No. Description Remark
YES NO NA
1 Is working drawing checked and approved ?

2 Latested revision being used?

3 Is BBS Approved?

4 Is Reinforcing steel materil approved?

5 Is Bar bending & cutting satisfactory?

Corrosion treatment of Bars,if


6 required,satisfactory?

7 Are bar size correct?

8 Are bar spacing correct?

9 Are bar lap length correct?

10 Are bar lap at correct location?

11 Is bars tied specified?

Is bar assembly rigid and adequately


12 supported (including spacers/chair
supported)

13 Is cover to bottom bars correct?

14 Is cover to side bars correct?

15 Is cover to top bars correct?

16 Is cover blocks approved including fixing?

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-59
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Pha
the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA

Doc No

RFI NO
Check List For : Inspection Checklist Before Approval to Shortcrete
Date of Submission

Date of Inspection

Location: Chainage at (LCW/RCW)


RESULT
Item No. Description
YES NO NA
1 Is method statement approved ?

2 Is mixer in working order?

3 Is water,sand,coarse aggregate, Cement &


admixture stock sufficient?

4 Is water,sand,coarse aggregate, Cement &


admixture approved?

5 Is form work approved?


6 Is reinforcement approved?
7 Is concreting in working order?
8 Are stand by vibrators present?
9 Is tremie in working order?

10 Are concreting gang present including


carpenter,steel fixer,machanics and electricians.?

11 Is access provided?

12 Is safety arrangement adequate (as per location


safety plan)

13 Is lighting provided?

Arrangement for arranging suspension stoppage of


14 concrete provided?

15 Are curring arrangement made?

16 Is Laboratory notified?

17 Is date of casting marked on previous concrete?

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-60
NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Phase - III in
the state of Himachal Pradesh

EPC CONTRACTOR :

GR INFRAPROJECTS LTD

nage at (LCW/RCW)

Remark

CLIENT (NHAI)

SIGN:

NAME:

Page-60
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under NHDP Phase -
III in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :

RFI NO :
Check List For : POST Shortcrete INSPECTION
Date of Submission :

Date of Inspection :

Location: Chainage at (LCW/RCW)


Item No. Observation Type of Remarks-S or NS

Alignment
1 Position/Dimensions of the member. Levels S or NS
Dimensions

No defects
2 Surface defects (Honey combing/sand Minor defects
streaks/air bubbles/cold joint)
Major defects

3 Class of Finish: S or NS

No Cracks
4 Cracks: Cracks Date first Observed
Nature of Cracks

5 Any other defect:

6 Non Conformance report no. Report no./Not Applicable

Remarks:

In case of NS report in Item no.1 to 5, it should be examined by competent authority before approval or non approval. If required ,a separate
non-confirmance report (including sketches,photographs etc.)shall be prepared for further action.

Note:
S :Satisfactory
NS : Not Satisfactory

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-61
Four Laning of Parwanoo - Solan Section of NH - 22 (Now NH - 5) from Km. 67.000 to Km. 106.139 on EPC mode under
NHDP Phase - III in the state of Himachal Pradesh

CLIENT : AUTHORITY'S ENGINEER : EPC CONTRACTOR :

NATIONAL HIGHWAYS
AUTHORITY OF INDIA GR INFRAPROJECTS LTD

Doc No :

RFI NO :
Check List For : PRE-Shortcrete
INSPECTION Date of Submission :

Date of Inspection :

Location: Chainage at (LCW/RCW)

Sr.No. WORK DESCRIPTION Type of Remarks- S or NS


Line,Level and Dimensions as per
1 Drawing

Availibility of adequate approved


2 material

3 Placing of reinforcement
(including supports/spacers etc)

Form work and scaffolding as per


4 drawing

5 Box outs/embeded parts if any?

6 Arrangement of Plant and


Equipment
7 Safety Arrangements

8 Curing Arrangement

Remarks:

In case of NS report in Item no.1 to 8, it should be examined by competent authority before approval or non approval. If
required ,a separate non-confirmance report (including sketches,photographs etc.)shall be prepared for further action.

Note:
S :Satisfactory
NS : Not Satisfactory

EPC CONTRACTOR (GRIL) AUTHORITY'S ENGINEER ( ) CLIENT (NHAI)

SIGN: SIGN: SIGN:

NAME: NAME: NAME:

Page-62

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