Document No: J167-FRM-019

Date:
Revision: 0 CONCRETE PRE-PLACEMENT CHECK & INSPECTION
Page: 1
Of: 1

CLIENT: OMAN GAS COMPANY SAOC CPP/RIW-TGT-036

EPC WORK FOR PERMANENT STAFF
CONTRACT: RIW Reference: TGT-RIW-N-061
ACCOMMODATION
CONTRACT No. OGC/14/2017 Date:
3/25/2019

LOCATION: Substucture Boundary wall MIX DESIGN WL-1-7573/4

DESIGN
DRWG NO.: see attached VOLUME: 100 ± 25 mm
SLUMP:
PLACEMENT CONC.
ELEMENT: PCC Ready mix C10
METHOD: GRADE:
For TARGET LLC Inspection For Client Inspection
CHECKLISTS: REMARKS:
SIGN DATE SIGN DATE
SETTING OUT
REINFORCEMENT
REINFORCEMENT COVER
REINFORCEMENT CLEANING
JOINT DETAILS
CONST’N JOINT SCABBLING FOR
REMOVAL OF LAITANCE
FORMWORK & TIES
BUILT-IN CIVIL
BUILT-IN M & E
Operation suitably supervised
Awareness of MS
Awareness of RA Plan
Permit to load in place
Safe access to the work
Suitable equipment available
Suitable temporary electricity
PPE available for all operations

**N/A if not applicable

Comments:
We have inspected the above pour and confirm that mechanical & electrical built in items are as per our requirements.

For MEP: Signature: Date:

We have checked the above pour for correctness and request permission to place concrete.

For TARGET LLC: Signature: Date:

Permission is granted to place this concrete.

For OGC SAOC: Signature: Date:

Contract Doc. Planning Draughts
Const. Mngr Site Eng'r QS QA/QC Insp. HSE Advisor
Distribution: Mngr. Controller Eng'r Man

Target LLC
Sub-Con:
Target LLC, P.O. Box: 574, Ruwi, Post Code: 112, Sultanate of Oman, Phone: 24505970/ Fax: 24505982

J142-FRM-019 Rev. 00