NATIONAL HIGHWAY AUTHORITY OF INDIA

Project:- Four laning of Katni Bypass Section of National Highway–30 (Old NH-7)
from Km 359+375 to Km 378+555 having a length of 19.230 Km in the state of Madhya
Pradesh on Engineering, Procurement & Construction (EPC) Mode.
Client National Highway Authority of India
M/S UPHAM Internarional Corporation In JV With SA
Infrastructure Consultant Pvt.Ltd.In Assco.With Infra Design
Authority's Engineer
Studios Pvt.Ltd.

M/s Shree Ji Infrastructure India Pvt.Ltd And PRL Projects

EPC Contractor's
Infrastructure Pvt.Ltd.(JV)

Checklist for Shuttering

RFI NO. Date of Inspection
Name of Structure Part of Structure
Chainage
Sr. No. Discription YES NO
SHUTTERING

1 Shuttering Materials is New/Old

2 Repairs are OK

3 Cleanliness of Shuttering

4 Oiling of Shuttering
FIXED SHUITTERING

5 Shuttering Design OK(Dimension, Diagonaletc.)

6 Alignment/Level/Rigidity Ok

7 Check Props Are they ok

8 Check Acrow Span Are they ok

9 Chek sealing Joint / Holes, ok

10 Check for any rework or alterations

AFTER REMOVAL OF SHUTER

11 Surface of Concrete - good moderate, level, and line

12 Repair of surface required

(if YES then the same is to be carried out and checked by Quality Assurance Engineer)
Remarks of Quality Assurance Engineer :

Contractor's Representative NHAI/AE Representative

Name: Name:
Sign: Sign:
Date: Date: