BGC Construction Surveillance Checklist

Report Number: Date:

Primary Contractor: Location:
Sub Contractor: Activity: Laboratory Testing Of
Concrete
Discipline: Civil Section Number:
Equipment Number: Ambient Conditions:
Governing Specification Number:

Accepted
Activity Description Results
Yes No
1. Does the contractor have an up-to-date ITP in place to cover this work?
2. Is there an existing, adequate and approved procedure (with supporting
checklists) covering the activity?
3. Has the laboratory been audited, evaluated and approval supported by
relevant reports?
4. Does the laboratory have sufficient qualified personnel and do the
personnel have the necessary certifications and received the appropriate
training?
5. Are training sessions properly recorded and signed by trainees and trainer?
6. Are all the appropriate procedures, instructions, specifications, data sheets,
codes and standards in place; to cover the whole works?
7. Do the lab personnel understand correctly the contractual requirements and
have they been trained on the BGC Specifications?
8. Does the lab have all appropriate equipment to carry out all specified tests
and analysis?
9. Are all relevant checklists and report forms available at the lab?
10. How does the lab identify and ensure preservation of identification of the
samples?
11. Are all appropriate tests and analysis done; and how does the lab receive
instructions or work orders? Are these traceable?
12. How is it determined that all relevant tests and analysis have been done to
satisfy the contractual requirements?
13. Is there a communication procedure between the parties and how is it
implemented?
14. Are all reports written correctly as for content, with appropriate information,
date and signatures; and how are they issued?

Additional Comments:

Surveillance Completed By: ___________________________________________

Surveillance Witnessed By: ___________________________________________
Form CI4.6 Rev 0
 BGC Construction Surveillance Checklist

Surveillance Completed By: ___________________________________________

Surveillance Witnessed By: ___________________________________________
Form CI4.6 Rev 0