‘lient Project Director, Kerala State Transport Project -IV SAI THERUVATH-PRE ‘Authority's Engineer: SAI Consulting Engineers Pt. Limited ot Oe {in JV with Orion infra Consultancy Pvt.Ltd ORION = Contractor : Theruvath - PRLIV Sateen PROJECT : KSTPUIIRKI PACKAGE IV-ROAD 3- Rehabilitation and Upgradation Of Pathanamthitta Ayroor - Muttukudukka llathupadi -Muttukudukka ‘Prakkanam- Prakkanam Elavumthitta -Kulanada - Ramanchira -Thannikkurhy -Thonniamala Road in Pathanamthitta District (Length 28.204) Km Format No.TBPRL/ C/F6 ‘CHECKLIST FOR FORMWORK INSPECTION -As per IRC SP 47 ‘Structure /tocation Date RFINO, Drawing No. sino. item Description mat =— ve | No | NA 1_| Formwork design/drawing/sketch approved including de-shuttering arrangements we 2__| Wal panel approved (required) 2 | Formwork alingmentcorect va @_| Formwork levels correct including sereeds a 5 | Formwork dimensions correct wa 6 _|_ Formwork member spacing corect — 7_|_ Formwork member material quaiy acceptable - | Falsework member ses correct = 9 | False member spacing correct wz 10 | Falsework member material quality acceptable a 1a | Gaps between primary and secondary members dosed/wedged = 12_ | Face boarding/Pywood/Metal thickness correct wa 13_| Joints between panels closed (no gaps) ea 14 | oints between panels us no stepsins) = 15_| Panel flatness acceptable = 16__| Gaps between secondary members and face panels closed = a7_| Te rod material and sizes correct — 18 | Tie rod spacing correct, a 19. | Tie rods ght. face cones flush — 20_|_ Spacers between shutter surface tightly fitting = 21_| Box outs, Cast in tems, ducts fed corect securely val 72_|Prestresing sheathing and vents, angen ond spacing of supports accepatble ma 23_|_ Empty sheathing secured against flotation ra 24_|Presitesing anchorage postions and fring acceptable = 25_| Chamnfra/ilets ses, straightness xing accepatble - 26_| Formwork dean a 27_| Formwork release oll material approved = 28_| Formwork release ol eplied correctly wa 29. | Construction joint preparation satisfactory = 30__|Contraction/exparsion joint preparation satisfactory — Bi_| Safe access constucted ma 32_| Adequate work space provider for labour, equipment 33__|_ Shutter vibrators (required) location and fing arrangements approved = Remarks ‘TSPRLIV Representative ‘Authority Representative Page 1 of 1“Gent Proje Dretor, Kerala State Wanspon Projea WV SAI "HERUTAT- PRL ‘Authority’ Engineer: SAI Consulting Engineers Pt, Lites mille. ae |nJV with Orion infra Consultancy Pt. td iON Format NoTEPRY CIF ‘CHECKLIST FOR PRE CONCRETE “As per RESP 47 Strumture [vocation Date BAN. Drawing No Resut Remarks sino. ‘tem Description ‘ee Ye [te [WA 1 [Method statement approved ~ 2 [Bathing olan mers in working order feporate cspenser for edmiure, required valiabe) 3 [Stendy batchern working oder wa 4 [eter sand coarse agareate coment, admixture cement approved — 5 [Water sand coarse aggregate, cement, admixture, cement stock suficent a ona cong raga cag TaN me aD WaRIDGnGRON es | suffcent capacity) 7. Formwork approved wa 8 [Reinforcement approved wa 9 [Prestressing sheathing approved — 110 [concreting equipment n worn order - 11_[Standby crane, wbrators present = 12 [Fremie working order (or under water work) um 13, [concrete gang presen, including carpenter steel fixer, mechanics and electricians 1 14, [Access provided = 15 _[otetyarrangementssdequated wv 16 [Uehting provided va 117 [Gommunieatons between various points provised — 18 [Arongements for arranging suspensons/stoppage of concrete provided ea 19. [eung arrangements made va 20 [laboratory ntiea a Remarks "TSPRLIV Representative ‘Authority Representative“Giant Project Direc, Wetala tate Tanspon ProjectW SAI a ‘Authority's Engineer: SAI Consulting Engineers Pvt. Umited Eile. ee |nsV with Orion infra Consultancy Put. Ltd ORION Contractor: Therwvath- PRL Neraprarawine [PROJECT :KSTPIL Ki PACKAGE V-ROAD 3-Rehablltation and Upgradation Of Pathanamthitta Ayroor- Muttukudukka Wathupadi -Muttukudukta| Prakkanam -Prakkanam Eavumthitta-Kulanada -Ramanchira-Thannikkuzhy Thonniamala Road In Pathanamthitta District (Length 28.208) Km Format No:TBPRI/ CFS ‘CHECKLIST FOR POST CONCRETE As por IRCSP47 ‘Structure / Location ‘Stage of inspection Date of Pouring Date of inspection Result Remarks sun Item Description ves | No a [aignment a 2 | Postion/Dimensions ofthe Member Levels — 3 Dimensions, um 4 No defects = =| ier toner contigo ear Naor detec 6 Major defects 7 | Glassfish = 8 Jno cracks 9 | cracks [cracks Date Fst Observed 10 [nature of cracks 11 | Any other defect — 12 | Nor-conformance Report No [Report No/tot Applicable — ‘Note: Post concreting Inspection shall be eavied at vanous stages, such as after stripping of side shuttering each stage ofprestressing, decentering and/or as per designers stipulation Isfactory, NS = NOt Satisfactory TOPRLIV Representative “authority Representative