DAILY FIELD INSPECTION / PROGRESS REPORT FORM

Project Name: Candaba Viaduct In-house Epoxy Injection

Contractor / Service Provider: Turnpike
Date: May 29, 2021

WEATHER: FAIR (F) LIGHT RAIN (L) RAINY (R) STORMY (S)

F F F F F F F F F F
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Location: ( ) NLEX ( ) SCTEX

( ) Roadway ( ) Bridge & Interchange
Section:
( ) Roadway Furniture ( ) Asset Management System
ITEM LOCATION /
ACTIVITY REMARKS /STATUS
NO. STATION
1.0 P126-125 SB Grooving, installation of aluminum tube, and Completed.
application of epoxy putty on girder 1 (1
face).

2.0 P125-124 SB Epoxy injection on girders 5, 4, and 3 (1 Completed.

face).

EQUIPMENT USED (Use equipment body number):

1 - Service vehicle 1 - Injection machine
1 - Genset
1 - Grinder
1 - Rotary drill
1 - Hand blower
MANPOWER (Indicate specific trade):
1 - Leadman/driver
2 - Skilled
6 - Crew

MATERIALS (If applicable):

Item Unit Quantity
Unleaded gasoline liters 10
Surgical gloves pcs. 9
Tamrez 220TG sets 2
Lacquer thinner gals. 1
Masonry drill bit pcs. 1
PROBLEMS ENCOUNTERED ACTION TAKEN

PREPARED BY: REVIEWED BY: NOTED BY:

Joshua S. Sia Edmundo B. Ibaan Jennifer Jane T. Go

ENGINEER SECTION HEAD DEPARTMETN HEAD
 DAILY FIELD INSPECTION / PROGRESS REPORT FORM
Project Name: Candaba Viaduct In-house Epoxy Injection
Contractor / Service Provider: Turnpike
Date: May 29, 2021

INSERT RELEVANT PHOTOS:

ITEM NO.: LOCATION: ACITIVITY:
1.0 P126-125 Surface preparation

ITEM NO.: LOCATION: ACITIVITY:

2.0 P125-124 Epoxy injection