Republic of the Philippines CONTRACTOR:

Name of Project: STATUS OF TESTS

Location:
Contract Amount :
MONTH: FEBRUARY 2020
Revised Contract Amount :
Contract ACCOMPLISHMENT MINIMUM TEST REQD. TESTING DATE TEST PERFORMED
ITEM No. Description
Quantity
UNITS BALANCE
PREV. THIS MO. TOTAL TYPE OF TEST QTY. SCHEDULE ACTUAL PREVIOUS THIS MO. TOTAL

PART A. FACILITIES FOR THE ENGINEER

Construction of Combined Field Office and Laboratory
A.1.1(1) 1.00 lumpsum Inspection Report 1 1 1 0
Building for the Engineer
Provision of Furnitures/Fixtures, Equipment &
A.1.1(11) 1.00 lumpsum Inspection Report 1 1 1 0
Appliances for Laboratory Building for the Engineer
Provision of 4x4 Pick Up Type Service Vehicle for the
A.1.2(2) 5.00 mos. Inspection Report 1 1 1 0
Engineer on Bare Rental Basis
PART B. OTHER GENERAL REQUIREMENTS
B.9 Mobilization / Demobilization 1.00 lot Inspection Report 1 1 1 0
B.4(1) Construction survey and staking 2.00 Kms. Inspection Report 1 1 1 0
B.7(1) Occupational Safety and Health Program 5.00 mos. Inspection Report 1 1 1 0
B.8(1) Traffic Management 5.00 mos. Inspection Report 1 1 1 0
B.5 Project Billboard / Signboard 2.00 ea. Inspection Report 1 1 1 0
PART C. EARTH WORKS
101(1) Removal of Structures and Obstruction 1.00 lumpsum Inspection Report 1 1 1 0
102(2) Surplus Common Excavation 18,665.00 cu.m. Inspection Report 1 1 1 0
104(1)a Embankment from Roadway Excavation 1,232.00 cu.m. s See Summary 0 0
105(1)a Subgrade Preparation 12,095.00 sq.m. See Summary 0 0
PART D. SUBBASE AND BASE COURSE
200(1) Aggregate Subbase Course 4,928.00 cu.m. See Summary 0 0
PART E. SURFACE COURSE

311(1)d1 Portland Cement Concrete Pavement 12,200.00 sq.m. 0 0

a. Cement 27,450.00 bags See Summary 0 0

b. Fine Aggregates 1,571.00 cu.m. See Summary 0 0
c. Gravel, G-1 3,141.50 cu.m. See Summary 0 0
d. 16mmØ x 6 m DSB 2,531.16 kgs. See Summary 0 0
e. 25mmØ x 6 m Round Bar 972.22 kgs. See Summary 0 0
f. Asphalt Sealant 445.00 ltr. Quality Test 1 0 1 1 0
g. Concrete 3,050.00 cu.m. Flexural Strength 41 5 36 41 0
h. Core Drilling 1.60 Kms. Thickness 20 0 20 20 0
PART F. DRAINAGE AND SLOPE PROTECTION
103(1)A Structure Excavation 308.65 cu.m. Inspection Report 1 1 1 0
500(1)a3 RCPC Installation, 910mm dia, class II 22.00 l.m. Follow Item 200 1 0 1 1 0
a. Cement 14.00 bags See Summary 0 0
b. Sand 2.00 cu.m. See Summary 0 0
c. Gravel, G-3/4" 4.00 cum See Summary 0 0

506(1) Stone Masonry (Head Wall & Catch Basin) 57.40 cu.m. See Summary 0 0

a. Cement 253.00 bags See Summary 0 0

b. Sand 16.00 cu.m. See Summary 0 0
c. Boulders 51.00 cu.m. Specific Gravity 1 0 1 1 0
Absorption 1 0 1 1 0
PART G. CHB CANAL LINING
103(1)a Excavation Works 1,310.36 cu.m. Inspection Report 1 1 1 0
704(1) Masonry Units 0 0
a. Cement 2,903.00 bags See Summary 0 0
b. Sand 294.00 cu.m. See Summary 0 0
c. Gravel, G-3/4" 185.50 cu.m. See Summary 0 0
Compressive,
d. CHB, 6" 28,225.00 pcs. 3 0 3 3 0
Dimension
404(1)a Reinforcing Steel 13,481.60 kgs. 0 0
10mmØ x 6 m DSB 6,855.96 kgs. See Summary 0 0
12mmØ x 6 m DSB 6,675.00 kgs. See Summary 0 0
PART H. MISCELLANEOUS STRUCTURES
605(1)C1 Warning Signs, Class W1-3A (600 mm) 7.00 ea. Inspection Report 1 1 0 1 0

612(1) Reflectorized Thermoplastic Pavement Markings White 460.00 sq.m. Inspection Report 1 1 0 1 0

Reflectorized Thermoplastic Pavement Markings

612(2) 39.00 sq.m. Inspection Report 1 1 0 1 0
Yellow

Metal Guardrail (Metal Beam) Including Post - Single

603(3)a1 500.00 l.m. Inspection Report 1 1 0 1 0
(W-Beam)

605(6)e1 Hazard Markers, (450x600mm) 22.00 ea. Inspection Report 1 1 0 1 0

SUMMARY OF TEST
a Cement 30620.00 bags Quality Test 16 1 15 16 0
b Sand (Item 404) 312.00 cu.m. Grading 1 0 1 1 0
Specific Gravity 1 0 1 1 0
Absorption 1 0 1 1 0
Unit Weight 1 0 1 1 0
Mortar Strength 1 0 1 1 0
 c Sand (Item 311) 1,571.00 cu.m. Grading 21 1 20 21 0
Specific Gravity 1 1 1 0
Absorption 1 1 1 0
Unit Weight 1 1 1 0
Mortar Strength 1 1 1 0
d Gravel, 3/4" 189.50 cu.m. Grading 1 0 1 1 0
Specific Gravity 1 0 1 1 0
Absorption 1 0 1 1 0
Unit Weight 1 0 1 1 0
Abrasion 1 0 1 1 0
e Gravel, G-1 3,141.50 cu.m. Grading 42 1 41 42 0
Specific Gravity 3 1 2 3 0
Absorption 3 1 2 3 0
Unit Weight 3 1 2 3 0
Abrasion 3 1 2 3 0
f. 10mmØ x 6 m DSB 6,855.96 kgs. Quality Test 1 1 1 0
g. 12mmØ x 6 m DSB 6,675.00 kgs. Quality Test 1 1 1 0
h. 16mmØ x 6 m DSB 2,531.16 kgs. Quality Test 1 1 1 0
i 25mmØ x 6 m DSB 972.22 kgs. Quality Test 1 1 1 0
j. Embankment 1,232.00 cu.m. Grading 1 0 1 1 0
Liquid Limit 1 0 1 1 0
Plastic Limit 1 0 1 1 0
Compaction 1 0 1 1 0
FDT 12 12 12 0
l. Subgrade Preparation 12,095.00 sq.m. Grading 3 1 2 3 0
Liquid Limit 3 1 2 3 0
Plastic Limit 3 1 2 3 0
Compaction 3 1 2 3 0
FDT 25 25 0 25 0
m. Aggregate Subbase Course 4,928.00 cu.m. Grading 17 1 16 17 0
Liquid Limit 17 1 16 17 0
Plastic Limit 17 1 16 17 0
Compaction 4 1 3 4 0
Abrasion 4 1 3 4 0
CBR 2 0 2 2 0
FDT 50 36 14 50 0
INSPECTION: TOTAL 358 119 239 358 0
Continuous Quality Control Inspection on all Items of work should be done as construction of work progresss. Inspection Report to be submitted as required
Total No. of Test 119 239 Total Bal. 0
% Accomplish 33.24% 66.76% % Balance 0.00%

Prepared by: Reviewed by: Noted by:

Materials Engineer
Materials Engineer Assigned Resident Engineer
Provincial Engineers Office Provincial Engineers Office