COMILOG 2020 PROJECT

EARTHWORKS VALLEY BENEFICIATION PLANT AND PRODUCT STOCKYARD

CONTRACT No.: H356903 - CC002 and Package III CC003A

FORM - PRE-CONCRETE CHECKLIST Ref. No: GA-CC002-R4-F30

Fiche de contrôle avant le bétonnage Rev. Date: 01/02/2020
Contract CC002 Contractor SOGEA SATOM Area/Unit SAR Km 2 P205-P203
Work Package Phase 1 System SAR Sub-System blinding concrete
Drawing No C2020-SAR-POT-001 Record No PCC-0053
Specification No C2020-C21100-ENG-CDC-0002-01
Concrete Structure / Location C25/30 ditch concrete Km 2 SAR P205-P203 leftt side
Concrete Rebar & Embed Drawing No C2020-SAR-POT-004
Equipment/Structural Steel Drawing No
U/G Electrical Drawing
U/G Mechanical Drawing No

1-Forms 2-Re-Bar 3-Sub-Foundation

OK Survey Check OK Grade NA Piles

Size NA Compaction
OK Orientation OK
Splices OK Cleanliness
OK Location (Co-Ord) OK
Spacing NA Moisture
OK Size OK
Clearance NA Blinding layer
OK Elevation OK
OK Clean and Oiled OK Cleanliness OK Elevation

Adequate NA U/G Mech

NA Chamfer NA and Elect
support
NA Straight, level and
plumb

NA Adequate bracing

4-Embedments 5-Miscellaneous
Anchor
NA NA Key ways
bolts(Dia/Lenght/Type)
Anchor bolts NA
NA blockouts
(Loc'n/Proj'n)
NA Anchor bolts sleeves NA Surface roughened

NA Anchor bolt grounding NA Bonding agent

NA Thread projection NA Type of finish

NA Weld pads OK Sets / Test specimen
NA Angle iron NA Hot / Cold weather protection
NA Inserts NA Joints
NA Special placing equip't required (tremmies, pumps, from vibrators,
NA Pipes screeds)

NA Conduits NA Leakage system in place

NA Ground wire/Earting NA Finished slope

NA Water stop
Notes
8no. drain trench floors approved for concrete following inspection (27/11/2020 at 10h30)
Order concrete to the following Specifications

Mix Design C25/30 13 m3 Quantity 3 m3 Delivery per hour

Max aggregate
15 mm
size
Slumb 80 mm

Admixtures NA

No of test cylinders set 6

No of sets required NA

Signature

Contractor Construction: Quality Manager: Engineer : COMILOG

Conducteur Travaux Responsable Quality
OVONO NDONG Sammy MBAZONGA Kao
27/11/2020
Mission de Contrôle
Fouché, Digitally signed by Fouché, Steven
DN: cn=Fouché, Steven,
email=steven.fouche@hatch.com

27/11/2020 Steven Date: 2020.11.28 08:30:39 +01'00'