REQUEST FOR CONCRETE POURING

PROJECT: Sales Lounge and Model Unit DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City October 30, 2019 CPP-002, Sustructure CPP-002
REQUESTED BY :

Omicron Rex E. Calma

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing g.l. 3-4/ Ae-Af, Footing
Lower Ground, Tower A Area Nov. 5, 2019
(MF-2)
Wetworks
PREPARED BY: INSPECTED BY: DATE START
LINE AND GRADE
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: INSPECTED BY: DATE START
REBARS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

4.0 For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: INSPECTED BY: DATE START
FORMWORKS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Sales Lounge and Model Unit DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City October 30, 2019 CPP-002, Sustructure CPP-002
REQUESTED BY :

Omicron Rex E. Calma

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing g.l. 3-4/ Ae-Af, Footing
Lower Ground, Tower A Area Nov. 5, 2019
(MF-2)
Wetworks
PREPARED BY: INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of
foreign materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with 
the  work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings 
and  materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Feb-20 Substructure Works CPP-004
REQUESTED BY :

Omicron Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A, Foundation Level COF - 3, FTB - 1 & FTB - 2 05-Feb-20
Wetworks
PREPARED BY: INSPECTED BY: DATE START
LINE AND GRADE
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: INSPECTED BY: DATE START
REBARS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: INSPECTED BY: DATE START
FORMWORKS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Feb-20 Substructure Works CPP-004
REQUESTED BY :

Omicron Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A, Foundation Level COF - 3, FTB - 1 & FTB - 2 05-Feb-20
Wetworks
PREPARED BY: INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of
foreign materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with 
the  work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings 
and  materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 23-Feb-20 Substructure Works CPP-005
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
RC -1, RC - 2, RC - 3, RC - 3A,
Masonry Finishing Zone A, Foundation Level Wed, 26-Feb-2020
RC - 4, RC - 5, RSW - 1
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 23-Feb-20 Substructure Works CPP-005
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
RC -1, RC - 2, RC - 3, RC - 3A,
Masonry Finishing Zone A, Foundation Level Wed, 26-Feb-2020
RC - 4, RC - 5, RSW - 1
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of
foreign materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with 
the  work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings 
and  materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 24-Feb-20 Substructure Works CPP-006
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
RWF - 3, UWTWF - 1, UWTWF -
Masonry Finishing Zone A, Foundation Level Wed, 26-Feb-2020
2
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 24-Feb-20 Substructure Works CPP-006
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
RWF - 3, UWTWF - 1, UWTWF -
Masonry Finishing Zone A, Foundation Level Wed, 26-Feb-2020
2
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of
foreign materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with 
the  work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings 
and  materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Mar-20 Substructure Works CPP-009
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A/Basement 1 MF - 3 Sat, 07-Mar-2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Mar-20 Substructure Works CPP-009
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A/Basement 1 MF - 3 Sat, 07-Mar-2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Mar-20 Substructure Works CPP-012
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B/Basement 1 7 - 9/Bc - Bd/Mf - 4 Sunday, March 22, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Mar-20 Substructure Works CPP-012
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B/Basement 1 7 - 9/Bc - Bd/Mf - 4 Sunday, March 22, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-May-20 Substructure Works CPP-013
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
1 - 6/Ac - Af/RC-1, RC-2, RC-3,
Masonry Finishing Zone A/LGF/Basement 1 Monday, May 4, 2020
RC-3A, RC-4, RC-5 & RWS -5
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-May-20 Substructure Works CPP-013
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
1 - 6/Ac - Af/RC-1, RC-2, RC-3,
Masonry Finishing Zone A/LGF/Basement 1 Monday, May 4, 2020
RC-3A, RC-4, RC-5 & RWS -5
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-May-20 Substructure Works CPP-014
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
COF - 4, COF - 5, MF - 7, MF - 8,
Masonry Finishing Zone A/Zone B/Zone C/Basement 1 RW - 1, RW - 2, RW - 3, UWTW - Monday, May 4, 2020
1, UWTW - 2 & FTB -1
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-May-20 Substructure Works CPP-014
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
COF - 4, COF - 5, MF - 7, MF - 8,
Masonry Finishing Zone A/Zone B/Zone C/Basement 1 RW - 1, RW - 2, RW - 3, UWTW - Monday, May 4, 2020
1, UWTW - 2 & FTB -1
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-May-20 Substructure Works CPP-015
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A - LGF/Basement 1 RSW - 1, RSW - 2 & RSW - 5 Tuesday, May 19, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-May-20 Substructure Works CPP-015
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A - LGF/Basement 1 RSW - 1, RSW - 2 & RSW - 5 Tuesday, May 19, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-May-20 Substructure Works CPP-016
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B /Basement 1 7-8/Bg-Bh / F-5, & F-6 Friday, May 22, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-May-20 Substructure Works CPP-016
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B /Basement 1 7-8/Bg-Bh / F-5, & F-6 Friday, May 22, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-May-20 Substructure Works CPP-017
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
6/Bf-Bi, Bi, Ci, 14"/Cg-Ci,
Masonry Finishing Zone B and C /Basement 1 Friday, May 22, 2020
14"/Ca-Cc
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-May-20 Substructure Works CPP-017
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
6/Bf-Bi, Bi, Ci, 14"/Cg-Ci,
Masonry Finishing Zone B and C /Basement 1 Friday, May 22, 2020
14"/Ca-Cc
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-May-20 Substructure Works CPP-018
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A/Zone B 1 - 5/Ac - Af Friday, May 29, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-May-20 Substructure Works CPP-018
REQUESTED BY :

Omicron Construction, Inc. Alexis Mercado/QS Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A/Zone B 1 - 5/Ac - Af Friday, May 29, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Alexis Mercado INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
___________________________________________ _________________________________________________
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Jun-20 Substructure Works CPP-019
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-9/Bc-Bf Tuesday, June 16, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Jun-20 Substructure Works CPP-019
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-9/Bc-Bf Tuesday, June 16, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Jun-20 Substructure Works CPP-020
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
14'-14", Ci, Bi, 6/Bf-Bi, 7-9/Bc,
Masonry Finishing Zone B & Zone C Tuesday, June 16, 2020
7-8/Bf-Bh
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Jun-20 Substructure Works CPP-020
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
14'-14", Ci, Bi, 6/Bf-Bi, 7-9/Bc,
Masonry Finishing Zone B & Zone C Tuesday, June 16, 2020
7-8/Bf-Bh
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Jun-20 Substructure Works CPP-021
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 10-11/Cc-Cf Tuesday, June 16, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Jun-20 Substructure Works CPP-021
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 10-11/Cc-Cf Tuesday, June 16, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Jul-20 Substructure Works CPP-022
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 12-14' / Ce-Cf Monday, July 13, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Jul-20 Substructure Works CPP-022
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 12-14' / Ce-Cf Monday, July 13, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Jul-20 Substructure Works CPP-023
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 9/Bg, 11-14'/Cg, 12-14'/Cc Tuesday, July 14, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Jul-20 Substructure Works CPP-023
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 9/Bg, 11-14'/Cg, 12-14'/Cc Tuesday, July 14, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 17-Jul-20 Substructure Works CPP-024
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-6/Bc-Bf Friday, July 17, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 17-Jul-20 Substructure Works CPP-024
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-6/Bc-Bf Friday, July 17, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 17-Jul-20 Substructure Works CPP-025
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 8-9/Bg-Bh, 11-14'/Cg-Ch Friday, July 17, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 17-Jul-20 Substructure Works CPP-025
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 8-9/Bg-Bh, 11-14'/Cg-Ch Friday, July 17, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 23-Jul-20 Substructure Works CPP-026
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 11 / Cc-Cf Thursday, July 23, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 23-Jul-20 Substructure Works CPP-026
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 11 / Cc-Cf Thursday, July 23, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-Jul-20 Substructure Works CPP-027
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 10-10' / Bc-Bf Sunday, July 26, 2020
Wetworks
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Alexis Mercado INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-Jul-20 Substructure Works CPP-027
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 10-10' / Bc-Bf Sunday, July 26, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 03-Aug-20 Substructure Works CPP-028
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 8-9/Bf-Bg Monday, August 3, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 03-Aug-20 Substructure Works CPP-028
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 8-9/Bf-Bg Monday, August 3, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Aug-20 Substructure Works CPP-029
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 11-14'/Cc-Cf, 9-10/Bc-Bf Tuesday, August 4, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Aug-20 Substructure Works CPP-029
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 11-14'/Cc-Cf, 9-10/Bc-Bf Tuesday, August 4, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Aug-20 Substructure Works CPP-030
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 11-14"/Cc-Cfr Tuesday, August 4, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Aug-20 Substructure Works CPP-030
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 11-14"/Cc-Cfr Tuesday, August 4, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Aug-20 Substructure Works CPP-031
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 9/Bc-Bf, 11/Cc-Cf, 12-14/Cf Friday, August 14, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Aug-20 Substructure Works CPP-031
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B & Zone C 9/Bc-Bf, 11/Cc-Cf, 12-14/Cf Friday, August 14, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Aug-20 Substructure Works CPP-032
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
9-10/bc, 10'-11/Cc, 9-10/Bc-Bg,
Masonry Finishing Zone B & Zone C Friday, August 14, 2020
11-14/Cf-Cg
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Aug-20 Substructure Works CPP-032
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
9-10/bc, 10'-11/Cc, 9-10/Bc-Bg,
Masonry Finishing Zone B & Zone C Friday, August 14, 2020
11-14/Cf-Cg
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Aug-20 Substructure Works CPP-033
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
RC-3, RC-5, RW-4, RSW-2,
Masonry Finishing Zone B Friday, August 14, 2020
RSW-5
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Aug-20 Substructure Works CPP-033
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
RC-3, RC-5, RW-4, RSW-2,
Masonry Finishing Zone B Friday, August 14, 2020
RSW-5
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 28-Aug-20 Substructure Works CPP-034
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 10-10'/Bc-Bf Friday, August 28, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 28-Aug-20 Substructure Works CPP-034
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 10-10'/Bc-Bf Friday, August 28, 2020
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 08-Sep-20 Substructure Works CPP-035
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 10-10'/Bc-Bf 08-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 08-Sep-20 Substructure Works CPP-035
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 10-10'/Bc-Bf 08-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-Sep-20 Substructure Works CPP-036
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 19-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-Sep-20 Substructure Works CPP-036
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 19-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-Sep-20 Substructure Works CPP-037
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-6/Ac-Af 19-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-Sep-20 Substructure Works CPP-037
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-6/Ac-Af 19-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-Sep-20 Substructure Works CPP-037
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 6-10/Bb-Bc 19-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-Sep-20 Substructure Works CPP-037
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 6-10/Bb-Bc 19-Sep-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Oct-20 Substructure Works CPP-039
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 10-14"/Cc-Cf 05-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Oct-20 Substructure Works CPP-039
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 10-14"/Cc-Cf 05-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Oct-20 Substructure Works CPP-040
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 10-14"/Cc-Cf 05-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Oct-20 Substructure Works CPP-040
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone c 10-14"/Cc-Cf 05-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 12-Oct-20 Substructure Works CPP-041
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B Ac-Af/5 12-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 12-Oct-20 Substructure Works CPP-041
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B Ac-Af/5 12-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Oct-20 Substructure Works CPP-042
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-9/Bc-Bf 17-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Oct-20 Substructure Works CPP-042
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-9/Bc-Bf 17-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 24-Oct-20 Substructure Works CPP-043
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-13/Bc-Bf 25-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 24-Oct-20 Substructure Works CPP-043
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-13/Bc-Bf 25-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Oct-20 Substructure Works CPP-044
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5'/Ac-Af 31-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Oct-20 Substructure Works CPP-044
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5'/Ac-Af 31-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Oct-20 Substructure Works CPP-045
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-10'/Bc-Bd, & 14-14'/Cc-Cf 31-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Oct-20 Substructure Works CPP-045
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-10'/Bc-Bd, & 14-14'/Cc-Cf 31-Oct-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Nov-20 Substructure Works CPP-046
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 13-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Nov-20 Substructure Works CPP-046
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 13-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 23-Nov-20 Substructure Works CPP-047
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A & C 1-2/Ac-Af, & 14'-14"/Cc-Cd 23-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 23-Nov-20 Substructure Works CPP-047
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A & C 1-2/Ac-Af, & 14'-14"/Cc-Cd 23-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 30-Nov-20 Substructure Works CPP-048
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 3-5/Ac-Af 30-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 30-Nov-20 Substructure Works CPP-048
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 3-5/Ac-Af 30-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 30-Nov-20 Substructure Works CPP-049
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-14"/Cc-Cf 30-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 30-Nov-20 Substructure Works CPP-049
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-14"/Cc-Cf 30-Nov-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 09-Dec-20 Substructure Works CPP-050
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 7-9/Bc-Bf 09-Dec-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 09-Dec-20 Substructure Works CPP-050
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 7-9/Bc-Bf 09-Dec-20
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 18-Jan-21 Substructure Works CPP-051
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
11/Cc-Cf, 12-14'/Cd-Cf, 5'-6/Bc-
Masonry Finishing Zone B & Zone C 18-Jan-21
Bd
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 18-Jan-21 Substructure Works CPP-051
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
11/Cc-Cf, 12-14'/Cd-Cf, 5'-6/Bc-
Masonry Finishing Zone B & Zone C 18-Jan-21
Bd
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Leandro Almario Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 25-Jan-21 Substructure Works CPP-052
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5/Ac-Af 25-Jan-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 25-Jan-21 Substructure Works CPP-052
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5/Ac-Af 25-Jan-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 25-Jan-21 Substructure Works CPP-053
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-6/Be-Bf 25-Jan-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 25-Jan-21 Substructure Works CPP-053
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-6/Be-Bf 25-Jan-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Feb-21 Substructure Works CPP-054
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-10/Bc-Bf 05-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Feb-21 Substructure Works CPP-054
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-10/Bc-Bf 05-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Feb-21 Substructure Works CPP-055
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 12-14/Cc, 10-10'/Bc-Bf 05-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Feb-21 Substructure Works CPP-055
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 12-14/Cc, 10-10'/Bc-Bf 05-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Feb-21 Substructure Works CPP-056
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-14" / Cc-Cf 22-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Feb-21 Substructure Works CPP-056
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-14" / Cc-Cf 22-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Feb-21 Substructure Works CPP-057
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-10'/Cc-Cf, 14'-14"/Cc-Cd 22-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Feb-21 Substructure Works CPP-057
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 10-10'/Cc-Cf, 14'-14"/Cc-Cd 22-Feb-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Mar-21 Superstructure Works CPP-058
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5/Ac-Af 04-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Mar-21 Superstructure Works CPP-058
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5/Ac-Af 04-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Mar-21 Superstructure Works CPP-059
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5/Ac-Af 04-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Mar-21 Superstructure Works CPP-059
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5/Ac-Af 04-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Mar-21 Superstructure Works CPP-060
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 6-14'/Cb 04-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: PJ Sazon DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 04-Mar-21 Superstructure Works CPP-060
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 6-14'/Cb 04-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 09-Mar-21 Superstructure Works CPP-061
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-10/Bc-Bf 09-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 09-Mar-21 Superstructure Works CPP-061
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-10/Bc-Bf 09-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 09-Mar-21 Superstructure Works CPP-062
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-10/Bc-Bf 09-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 09-Mar-21 Superstructure Works CPP-062
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5'-10/Bc-Bf 09-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Mar-21 Substructure Works CPP-063
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 12-14"/Ca, 14"/Ca-Cc 16-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Mar-21 Substructure Works CPP-063
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 12-14"/Ca, 14"/Ca-Cc 16-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Mar-21 Supestructure CPP-064
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 10-10'/Bc-Bd 22-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Mar-21 Supestructure CPP-064
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 10-10'/Bc-Bd 22-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Mar-21 Superstructure CPP-065
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 10-11/Bc-Bd 22-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 22-Mar-21 Superstructure CPP-065
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Front Parking 10-11/Bc-Bd 22-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Mar-21 Superstructure CPP-066
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5'/Ac-Af 29-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Mar-21 Superstructure CPP-066
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5'/Ac-Af 29-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Mar-21 Superstructure CPP-067
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5'/Ac-Af 29-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Mar-21 Superstructure CPP-067
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A 1-5'/Ac-Af 29-Mar-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 12-Apr-21 Superstructure CPP-068
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 12-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 12-Apr-21 Superstructure CPP-068
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 12-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 12-Apr-21 Superstructure CPP-069
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 12-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 12-Apr-21 Superstructure CPP-069
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 5-10/Bc-Bf 12-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Apr-21 Substructure CPP-070
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 8-12/Bf-Bg 13-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Apr-21 Substructure CPP-070
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B 8-12/Bf-Bg 13-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-Apr-21 Superstructure CPP-071
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 11-14" 26-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-Apr-21 Superstructure CPP-071
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C 11-14" 26-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-Apr-21 Substructure CPP-072
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (Basement - LGF) 7-Bg-Bg', 8-12/Bg, 7-10, Bi 26-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-Apr-21 Substructure CPP-072
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (Basement - LGF) 7-Bg-Bg', 8-12/Bg, 7-10, Bi 26-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Apr-21 Substructure CPP-073
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (Basement - LGF) 8-13/Bg-Bi 29-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Apr-21 Substructure CPP-073
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (Basement - LGF) 8-13/Bg-Bi 29-Apr-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-May-21 Superstructure CPP-074
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (3F-5F) 10-14"/Cc-Cf 05-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-May-21 Superstructure CPP-074
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (3F-5F) 10-14"/Cc-Cf 05-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 10-May-21 Substructure CPP-075
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (Basement - LGF), (LGF-GF) 8-12/Bg, 7-8/Bi, 14"/Cg 10-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 10-May-21 Substructure CPP-075
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (Basement - LGF), (LGF-GF) 8-12/Bg, 7-8/Bi, 14"/Cg 10-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-May-21 Substructure CPP-076
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (Basement - LGF) 12-14"/Cf-Ci 21-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 19-May-21 Substructure CPP-076
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (Basement - LGF) 12-14"/Cf-Ci 21-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-May-21 Substructure CPP-077
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (LGF-GF) 13-14'/Cg-Ch 26-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 26-May-21 Substructure CPP-077
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (LGF-GF) 13-14'/Cg-Ch 26-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 27-May-21 Superstructures CPP-078
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A (5F-6F) 1-5/Ac-Af 29-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 27-May-21 Superstructures CPP-078
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A (5F-6F) 1-5/Ac-Af 29-May-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Jun-21 Superstructures CPP-083
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (5F-6F) 11-14"/Cc-Cf 29-Jun-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 29-Jun-21 Superstructures CPP-083
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (5F-6F) 11-14"/Cc-Cf 29-Jun-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Jul-21 Substructures CPP-085
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (GF) 6-8/Bf-Bi 05-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 05-Jul-21 Substructures CPP-085
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (GF) 6-8/Bf-Bi 05-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Jul-21 Superstructures CPP-086
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A (GF) 1-5/Ac-Af 14-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 13-Jul-21 Superstructures CPP-086
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone A (GF) 1-5/Ac-Af 14-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Jul-21 Substructures CPP-088
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (LGF-GF) 13-Sep 14-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 14-Jul-21 Substructures CPP-088
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (LGF-GF) 13-Sep 14-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 24-Jul-21 Substructures CPP-090
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (LGF-GF) 8-11/Cf-Ci 24-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 24-Jul-21 Substructures CPP-090
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (LGF-GF) 8-11/Cf-Ci 24-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 28-Jul-21 Superstructures CPP-091
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (7F) 5'-10"/Bc-Bf 28-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 28-Jul-21 Superstructures CPP-091
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (7F) 5'-10"/Bc-Bf 28-Jul-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 06-Aug-21 Superstructures CPP-094
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (7F) 10"-14"/Cc-Cf 09-Aug-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 06-Aug-21 Superstructures CPP-094
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone C (7F) 10"-14"/Cc-Cf 09-Aug-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Aug-21 Substructures CPP-096
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (LGF) 9-12/Ca 19-Aug-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
LINE AND GRADE
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Beam forms alignment as per plan No deviation from plan
2.0 Column forms must be plumbed Maximum deviation of 1 cm per column
3.0 Column forms must be square Passing 2' x 2' L square
4.0 Slab depression forms be as per plan Maximum of 1 cm deviation
5.0 Plumbing block outs be as per plan Maximum of 1 cm deviation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
REBARS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Bars are free of loose mortar, rust, grease, or other substance capable of destroying bond
10 % for mortar ; 5% for grease
2.0 Rebar type, size, fabrication, and positioning in accordance with the drawing
3.0 Minimum clearance distance between bars is equal to nominal diameter of bar but not less
than 1 inch

For parallel bars in layer or mats, the minimum clear distance bet. layers is equal to the
4.0
diam. of the bar but not less than 1 inch
5.0 No. 11 bars and smaller bar are lap spliced with offset No deviation allowed unless approved by
consultant
6.0 Lap length of splices is according to specifications
7.0 Cover of bars meet or exceeds the minimum requirements
8.0 Cover of bars meet or exceeds the minimum requirements
9.0 Masonry dowelling installation
PREPARED BY: Arjay Mandap INSPECTED BY: Reynaldo Haboc DATE START
FORMWORKS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A

1.0 MEPF inserts and imbeds prior to form enclosure Approval of MEPF Coordinator prior to
enclosure
2.0 Form designs are adequate Contractor must have approved design
No deviation allowed unless approved by
3.0 Forms are constructed as designed consultant
4.0 Forms in place meet shape, form, line and grade Maximum 1 cm deviation
5.0 Form ties are properly spaced, arranged, installed & secured Maximum spacing of 1200 mm
6.0 Forms are properly coated Minimum of 5% lapse
7.0 Forms are adequately braced and supported No deviation allowed
8.0 Shoring is set on firm level base Passing FDT
9.0 Shoring is adequately braced No deviation allowed
10.0 Screw jacks are not over extended Maximum of 75% extension

SHEET 1/2
 REQUEST FOR CONCRETE POURING
PROJECT: Residential Phase 1 DATE PREPARED : WP NO. & SCOPE: PERMIT NO. :
LOCATION: Punta Engaño, Lapu-Lapu City 16-Aug-21 Substructures CPP-096
REQUESTED BY :

Omicron Construction, Inc. Arjay Mandap/Project Engineer

(Contractor) (Name/Designation) (Signature)
WORK ACTIVITY : AREA/LEVEL (Please enclose key plan) : GRIDLINE/STRUCTURE: INSPECTION DATE/TIME :
Exterior Dryworks
Masonry Finishing Zone B (LGF) 9-12/Ca 19-Aug-21
Wetworks
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
INSERTS AND EMBEDS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Pipe Sleeve Must be installed as per plan
Must be of adequate length
Must be free from being concreted
2.0 Electrical Conduits Must be installed as per plan
Must be free of damage
Must be properly spliced
3.0 MPF Slab Embeds Must be installed as per plan
Must be of adequate length
Must be free from being concreted
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
BLOCK OUTS
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Proper Installation of Pipe Chase Block Outs
No deviation from plan unless approvedby RLC
2.0 Proper Installation of Construction Block Outs With Cross Bars Coordinator
3.0 Proper Installation of Slab Depression Block Out
PREPARED BY: Arjay Mandap INSPECTED BY: DATE START
CLEAN UP
CONTRACTOR OMCI RLC INSP DATE FINISHED

ACCEPTED
COMPONENTS KPI
YES NO N/A
1.0 Rebars must be free from dirt
2.0 Site must be free from loose materials
3.0 Site must be thoroughly clean
4.0 Key Hole must be provided on the bottom of columns to assure that no settlement of foreign
materials took place No deviation from plan unless approved by RLC
Coordinator
5.0 Safety barricades and signages must be provided
5.1 Lifeline
5.2 Safety barricade along the perimeter of site
5.3 Temporary Stair for Access
CIVIL / STRUCTURAL PLUMBING/SANITARY ELECTRICAL / AUX FIREPRO/MECH ARCHITECTURAL SAFETY

RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator RLC Coordinator SAFETY OFFICER
PERMITTING:  Based  on  the  recommendations  of  the  above  personnel,  having  verified  and  certified  that  other  works  in  the  area will  not  conflict  with  the 
work  specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends  approval  of  this  request  and  that  shop  drawings  and 
materials  comply  with  the  latest  approved  plans  and specifications,  the  Project  Engineer  in  charge  of  said  Activity/Work  Item  hereby  recommends 
approval  of  this  request.
APPROVED BY : NOTED BY :
Hennessy Lopio Allan Louie Lima
Construction Manager RLC Project Manager

DISTRIBUTION : Contractor CQC Project Documentation Form S-006 Revision no. 000 (April 2018)

SHEET 2/2