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Signature Consulting

Architects & Engineers PLC

CHECK LIST
FOR CONSTRUCTION WORK ACTIVITIES
TABLE CONTENTS FOR CONSTRUCTION WORKS INSPECTION CHECK LIST
No. Activities ID No.

1 MOBILIZATION /001
2 SITE CLEARANCE /002
3 BULK EXCAVATION /003
4 PIT EXCAVATION /004
5 TRENCH EXCAVATION /005
6 BACKFILLING /006
7 HARD CORING /007
8 STONE MASONORY FOUNDATION /008
9 FORMWORK FOOTING /009
10 PLACING OF REINFORCEMENT /010
FOOTING, COLOMN, GRADE BEAM
11 PLACING OF CONCRETE FOOTING /011
12 FORMWORK: /012
COLUMN/GRADE BEAM/SUSPENDED SLAB
13 PLACING OF CONCRETE COLUMN GRADE BEAM /013
14 PLACING OF REINFORCEMENT SUSPENDED SLAB/STAIR C /014
15 POSITIONING OF CONDUIT AND JUNCTION BOX /015
16 PLACING OF SUSPENDED SLAB OR STAIRCASE /016
17 CARPENTARY & JOINERY INSPECTION TRUSS /017
18 CARPENTARY & JOINERY INSPECTION PURLINE /018
19 ROOFING AND WALL CLADDING /019
20 STRUCTURAL STEEL WORKS /020
21 SUPERSTRUCTURE MASONRY WORKS /021
22 PLASTERING WORKS /022
23 ONE COAT PLASTERING /023
24 RENDERING /024
25 JOINERY INSPECTION, WOODEN DOORS /025
26 METAL WORK FABRICATION & FIXING /026
27 PULLING OF WIRES AND RELATED ACCESSORIES /027
28 CEILING WORK /028
29 INDOOR USE G.I. PIPE /029
30 INDOOR AND OUT DOOR uPVC PIPES /030
31 CEMENT SCREED FLOOR INSPECTION /031
32 WALL TILE COVERAGE INSPECTION WORK /032
33 SOLID FLOOR TILE COVERAGE INSPECTION WORK /033
34 PLASTIC/PVC TILE FLOORING /034
35 MARBLE FLOORING WORK INSPECTION /035
36 PARQUET FLOORING WORK INSPECTION /036
37 INSPECTION FOR FIXING OF FLOOR, WALL MOSAIC /037
38 STEEL STAIRCASE COMPONENTS (METAL WORK INSPECTI/038

Page 2 / 78 Pages
39 STAIR CASE FINISHING /039
40 STEEL STAIRCASE COMPONENTS /040
41 PAINTING /041
42 GLAZING WORK /042
43 DAMP/WATER PROOFING WORK /043
44 FIXING OF BOARDS/BELL CONTROL /044
45 FIXING OF PLASTIC SKIRTING WORK INSPECTION /045
46 FIXING OF TERRAZZO/CERAMIC/MARBLE AND OTHER SIZE/046
47 FIXING OF WOODEN MADE SKIRTING /047
48 MARBLE CLADDING DRY STATE /048
49 MARBLE CLADDING WET STATE /049
50 GUTTER WORK /050
51 DOWN PIPE /051
52 FIXING OF ELECTRICAL FITTINGS/POINTS /052
53 LIGHTENING ARRESTOR SYSTEM /053
54 SITE WORK ELECTRICAL SYSTEM /054
55 MANHOLES & VARIOUS CHAMBER WORKS /055
56 PLUMBING & SANITARY WORK INSPECTION /056
57 PLUMBING & SANITARY WORK INSTALLATION /057
58 EXCAVATION TO SUB GRADE LEVEL /058
59 CONSTRUCTION OF DITCHES /059
60 CONSTRUCTION OF SUB BASE /060
61 CONSTRUCTION OF BASE COURSE /061
62 CONSTRUCTION OF GRAVEL WEARING COURSE /062
63 INSPECTION FOR ROAD SURFACE DRESSING WORK /063
64 INSPECTION FOR ASPHALT CONCRETE WORK /064
65 CONCRETE PAVEMENT /065
66 WOODEN PARTITION INSPECTION /066
67 REPAINTING OF WOOD WORK INSPECTION /067
68 REPAINTING OF PLASTERED WALL & STEEL WORK INSPE /068
69 PLUMBING AND SANITARY WORK INSPECTION (SANITARY/069
70 ELECTRO MECHANICAL & PLUMBING WORKS /070
71 NIGHT WORK PERMIT /071

Page 3 / 78 Pages
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /001
Employer: Addis Ababa Saving House Development Enterpris Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Check list title: MOBILIZATION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Provision of general plan of temporary works for approval
2. All physical obstructions are to be considered by the contractor
3. Location of temporary blocks and structures are to be agreed both by
the contractor and the Architect
4. The contractor is expected to facilitate the setting out tools and
materials within the mobilization period
5. Position of crushers and batching plant should be with the approval/
consent of the client and others
6. Set up of mixers and material's dumping place shall be with the
approval of the Architect
a. Equipments
b. Materials
c. House Services
7. The contractor shall immediately submit the Master schedule to the
Architect and the work methodology of subsequent activities to the
Architect for approval
8. The contractor shall separately submit its method of site protection
from floods
9. Quality of Resident Supervisors' office and other facilities
10. The contractor's preparation incase of ground water encounter
11. Preparation of the contractor for pre construction materials testing
during the mobilization period
12. Provision of general items
13. Additional remarks

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /002
Employer: Addis Ababa Saving House Development EnterpriseFormat made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Check list title: SITE CLEARANCE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Material test requisition and results for previous pages 001
2. Preparation of estimated measurement
3. Distance of setting out board from the edge of building and
stabilization means of the setting out erections
4. Elevation, levelness, angle and alignment of the profile boards and
5. strings
Accuracy of transferred bench marks
6. Remedy given for physical obstruction
7. Means of taking the existing ground elevation
8. Grid points consideration
9. Conformity of the readings with the drawings
10. Methodology of removal
11. Site protection
12. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /003
Employer: Addis Ababa Saving House Development EnterpriseFormat made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Check list title: BULK EXCAVATION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of work methodology
2. Preparation of estimated measurement
3. Investigation of underground physical obstruction by the contractor
4. Qualification of personnel
5. Submittal of pre excavation readings on some grid points
6. Approval of top soil materials disposal
7. Machineries to be applied
8. Requisition of back filling materials test
9. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /004
Employer: Addis Ababa Saving House Development EnterpriseFormat made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Check list title: PIT EXCAVATION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submital of methdology
2. Conformity of dimension and working space
3. Readiness of materials for subsequent works
4. Similarity of soil strata with the log for bulk excavation
5. Distance of disposal of bulkk excavated material
6. Checking final layer of excavation work to be excuted during lean
7. concreting
Beginning of production of appropriate concrete spacers
8. Readiness to protect the pit wall from falling in by referring soil log
9. (depending on the soil log)
Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /005
Employer: Addis Ababa Saving House Development EnterpriseFormat made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Check list title: TRENCH EXCAVATION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Necessity of masonary foundation along the stated axes
2. Availlability of material for subsequent work
3. Submittal of work methodology
4. Qualification of work men/operaters
5. Equipment for excavation
6. Submittal of pre excavation elevation readings
7. Readiness to protect trench wall from falling in
9. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /006
City Government of A.A., Saving And Adiministeration
Employer: Breau hHousing development corporation Project-04
Houses Development Branch Office
Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

Check list title: BACKFILLING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Backfiling material (borrowed/from site)
2. Submittal of backfill material test result
3. Necessity of hard core material testing
4. Conformity of readings of the reduced level with the first reading
5. Cut surface (rduced ground) compaction before backfilling begin
6. Method of sprinkling of water and its sufficiency
7. Moisture content of the area to be filled
8. Thickness of backfilling layer
9. Method of blending for mixed material
10. Decision on No. of test points for compaction
11. Anti termite solutions ( if applicable)
12. Surface cleanliness of the area to be filled
13. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /007
Employer: Addis Ababa Saving House Development EnterpriseFormat made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Check list title: HARD CORING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Fulfulment of quality of test results of the compaction
2. Conformation of estimated quality against the documents
3. Time elapsed after compaction completion
4. Surface condition of the area to be covered
5. Quality of hard core material
6. Availability of well-graded materials for blinding
7. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /008
Employer: Addis Ababa Saving House Development Enterpris Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

Check list title: STONE MASONORY FOUNDATION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of work methodology
2. Distance of excavated material from the brim of the trench
3. Conducted material test
4. Protection of trench wall from falling in
5. Submittal of scaffolding design
6. Type and size of masonory (Uniformly thick/battered)
7. Size of stone masonory
8. Qualification of work men
9. Bedding material (lean concrete/50mm aggregate)
10. Uniformity of colour, texture, etc of the stone
11. Proportion of height to length of the stone
12. Checking minimum 3pcs of stones/m2 spanning from face to face of
13. masonary
Means of apportioning courses uniformly throughout the height
14. Level of electrical and sanitary pipes out let
15. \
16. W/C ratio of the mortar and program to conduct test
17. Program to prevent expiry of mortar during longer break
18. Reliability of the mixer
19. Chosen axes to display the sample/model of masonry
20. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 BET/CSWP/009
Employer: Addis Ababa Saving House Development Enterpris Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

Check list title: FORMWORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal
] of formwork design and method of construction
2. Type and quality of material to be used for formwork/material or wood
3. Provision of lean concrete
4. Clearing/disposal/of excavated material away from the pit
5. Provision of means for draining under ground water if there is any
6. Similarity of the soil strata with the soil-log assumed during design
7. Condition of the bottom of the pit/crack or any other effect from
8. weather/
Required working space and means of supporting the wall of the pit
for preventing from falling down
9. Invert level of excavated pit/care for stress development between
adjacent footing/
10. Foundation depth, width, lines and levels to correspond with the
drawing (Separate each work)
11. Proportion and volume of concrete used to level any irregular surface
for placing foundation
12. Filling over excavation with selected fill class-5 concrete/Cyclopean
Concrete up to the required inverted level
13. Supporting the face of excavation with sheeting, timbering, strutting
and shoring
14. Decision on under ground condition and physical obstruction
15. Submittal of formwork design and method of construction
16. Availability of enough spacer for concrete cover
17. Readiness for preparation of required reinforcement to be placed on
that specific formwork
18. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /010
Employer: Addis Ababa Saving House Development Enterpris Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

Check list title: REINFORCEMENT

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Fulfilment of quality test
2. Checked for the right dimension, level and straightness of formwork
3. Method used to keep the formwork in position/clamp, bolt or anchors/
4. Well braced and strong enough formwork to carry the load
5. Rigidity, wrapping and opening of formwork joints due to shrinkage
6. of timber
Coated with release agent for the inside surface of formwork
7. Nature and type of release agent
8. Avoiding contact between release agent and reinforcement/care not to
be visible on the finished work/
9. Submittal of shop drawing/bar schedule/
10. Handling and storage of reinforcement/raise from ground, protected
from weather effect and appropriate location not to hinder progress of
work
11. Availability of reinforcement free from dirt, oil paint, rust and other
foreign substance
12. Readiness to place the reinforcement as per the drawing
13. Availability of spacer for concrete cover/shape, dimension and type of
14. spacer
Proposed method to prevent displacement of reinforcement from
15. tolerance
Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /011
City Government of A.A., Saving And Adiministeration
Employer: Breau hHousing development corporation Project-04
Houses Development Branch Office
Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01

Check list title: LEAN CONCRETE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of mix proportion for the mix design
2. Rechecking footing formwork from displacement of the fixed
position, level and alignment
3. Spacer position
4. Rechecking the rigidity of the scaffolding and shuttering formwork
from displacement of the fixed position
5. Leak tightness of joints between formwork element
6. Cleanliness of formwork
7. Cleanliness of lean concreted area
8. Surface condition of reinforcement
9. Diameter, location, spacing, required length, required number, shape,
bonding dimension of the reinforcement both for footing and
foundation column
10. Proper positioning of foundation column reinforcement with the
11. footing
Alignment of cantering of foundation column reinforcements
12. Method used for pouring concrete to avoid segregation/Chute, down
pipe , trucking, or any other
13. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineer Format Number
/012
CHECKLIST FOR WORK PERMITFormat made in 2 copies
Project: 40/60 Saving House 2B+G+13 and 2B+G+15
Employer: Addis Ababa Saving House Development Enterprise
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: FORMWORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of formwork design with representative sketch showing
size, shape, location of opening for pouring concrete, strength
2. Rigidity, bracing detail, method of fixing, method of removing the
form, detail at joints, method to be used for grouting, method to be
used for keeping the formwork in position during placing of concrete
3. Cleanliness of starter bar from any cement phase
4. Test result of reinforcement for all requirements (tensile, yield, elong)
5. Cleanliness of all reinforcements bar (free from dirt, paint, oil, rust and
other foreign substances)
6. Diameter, number, spacing, length, shape and bending dimension of
main reinforcement bar in accordance with the drawing
7. Method of tying stirrups with main bar
8. Deviation from the drawing in fixing and positioning of reinforcement
9. Over lap location and length to be as shown on drawing (30 to 40bar
10. Type, shape, dimension, spacing and method of fixing of spacer to
maintain the required concrete cover
11. Alignment of columns along an axis
12. Type of material to be used for formwork
13. Method used to treat the formwork for preventing adherence of
concrete from oil, or any other release agent
14. Cleanliness and smoothness for surface of forms to be used
15. Provision of starter bar at location of intermediate structure lintels to
avoid chiselling of concrete on the face of column
16. Conformity of proper dimension of the finished surface (example to
use formwork with height not more than the finished level of column)
17. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet of
this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 Format Number
Employer: Addis Ababa Saving House Development Enterprise /013
Architect/Consultant: Signature Architects and Engineers PLC Format made in 2 copies
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

Check list title: CONCRETE WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Checking of main reinforcement, stirrup and spacer from
displacement of the fixed position, level and alignment
2. Conformity of the formwork with approved formwork design
3. Grout tightness and sufficiency of rigidity to prevent disturbance due
to pressure of concrete, effect of vibrator and other load
4. Conformity of proper dimension for the finished surface
5. Provision of opening for maintaining pouring height of concrete with
out segregation
6. Cleanliness, smoothness and treatment with release agent for the
surface of formwork
7. The alignment of column along axis
8. Conformity for right dimension, vertical alignment and level of
9. finished element
Keeping the displacement of reinforcement with in the limit of
10. tolerance
Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /014
Employer: Addis Ababa Saving House Development Enterprise Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

Check list title: FORMWORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of formwork design
2. Conformity with approved formwork design i.e. dimension, shape,
strength method of fixing, rigidity, bracing detail, detail for a false
work or cantering, method of removing the form and detail at joints.
(Slab thickness, waist)
3. Test result of reinforcement for all requirements
4. Submittal of shop drawing diameter, spacing, number, length, shape,
method of tying and bending dimension of main reinforcement bar in
accordance with the drawing
5. Cleanliness of all reinforcement bar (free from dirt, paint, oil, rust and
other foreign substances)
6. Over lap location and length to be as shown on drawing
7. Type, shape, dimension, spacing and method of fixing of spacer to
maintain the required concrete cover
8. Type of material to be used for formwork
9. Method used to treat the formwork for preventing adherence of
concrete/coating with oil or any other release agent/
10. Cleanliness and smoothness for surface of forms to be used
11. A grout check to provide clean, levelled and horizontal joint/e.g..
12. Plastic sheet/
Usage of top formwork for casting concrete on surface steeper than 20˚
from horizontal to enable the concrete to be properly compacted
13. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet of
this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC
CHECKLIST FOR WORK PERMIT Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /015
Employer: Addis Ababa Saving House Development EnterpriseFormat made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor: Elroy construction Plc
Parcel: A Bldg Block: 01
Document Referred: Floor:

SLAB ELECTRICAL
Check list title: WORK INSPECTION
POSITIONING OF CONDUITS AND JUNCTION BOXES

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of electrical/grade
2. Location slab/
-Wall
-Normal ceiling
3. Material approval slip number
4. Conduits nature (rigid/flexible)
5. Conduits size (mention size)
6. Junction box size/nature
7. Shape of junction size
-Polygonal
-Circular
8. Filler of inverted box f
9. Connection to formwork/wall i
l
10. Size of pins/brackets for surface mounting l
11. Protection measure from breakage/displacement e
r
12. Method of bending/shaping
13. Junction of conduits and boxes o
f
14. Method of keeping imposition
15. Element for wire pulling i
n
16. Location of fire place for shaping work v
17. Overlap in conduit connection e
r
18. Approximate length of embedded conduit
t
19. Method of crossing in structural frames e
20. Cover to embedded conduits d

21. Additional remark

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /016
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: SUSPENDED SLAB OR STAIRCASE


PLACING OF CONCRETE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Rechecking the level, cleanliness and smoothness of formwork from
displacement of fixed position, level and alignment
2. Diameter, number, length, shape, bending dimension of main
reinforcement bar in accordance with the drawing
3. Spacing, length and method of tying main bar
4. Cleanliness of all reinforcement bar (free from dir, paint. Oil, rust and
other foreign substances
5. Deviation from the drawing in fixing and positioning of reinforcement
6. Overlap location an d length to be as shown on drawing
7. Type, shape, dimension, spacing and method of fixing of spacer to
maintain the required concrete cover
8. Detail of all of reinforcement necessary for positioning and supporting
structural reinforcement/number, length, diameter and shape for chair
and spacing bars
9. Attention for positioning of top reinforcement in cantilever
section/presence of bar fixer during placing of concrete for correction
and positioning of reinforcement during placing of concrete
10. Provision of starter at location of hand rails for further welding and
avoid chiselling of concrete on the waste of staircase
11. Approval of toilet seat fixture so that the exact position for the outlet
can be identified
12. Provision of pvc pipes on the outlet position of toilets seats to avoid
further chiselling
13. Proper positioning and fixing of electrical conduits and sanitary
pies. /Note:- Approve the work permit under this titles before placing
concrete./
14. Expansion joint
15. Sufficiency for different size of aggregates piled separately
16. Sufficiency of aggregates protected from contamination, minimized
segregation
17. Prevention of intermingling aggregates with adjacent material
18. Provision of adequate drainage for the piled aggregates for
maintaining uniform moisture content
19. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /017
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


CARPENTARY & JOINERY INSPECTION

Non Confirming
EUCALYPTUS/TIMBER TRUSS: TRUSS

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Availability of roofing materials
2. Location of truss with respective type
3. Positioning of tie element
a. Diameter of bars/size of strands
b. Length of ties
c. Embedment length to support sections
d. Method of teeing to structures
e. Corrosion protection measure of ties
f. Location of ties with reference to support
4. Checking the level of support structure
5. Degree of dryness of members
6. Moisture content of members
7. Size of structural components (Diameter, thickness, depth, length)
8. Metal stripe size for splice (thickness, length)
9. Metal stripe size at nodal points (Thickness, length)
10. Size of nails at various nodules
a. Intersection of rafter and bottom chord
b. Intersection of king post to members
c. Intermediate nodules
11. Termite protection
12. Checking of completed single structure components against the
drawing (Model)
13. False work for temporary works
14. Placing of off-position assembled truss
15. c/c spacing of members
16. Checking the invert level of bottom chords
17. Plumbing condition of individual truss
18. Protection from adverse weather condition
19. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /018
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


CARPENTRY & JOINERY INSPECTION
PURLINES

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Material, type (Zigba, kerrero, eucalyptus, etc…)
2. Lab test of purlin material
3. Size of purline section (c/c, Diameter)
4. Degree of dryness/seasoning
5. Degree of paleness
6. Sound wood nature
7. Presence of loose knots
8. Free from wrapping
9. Cleanly cut of edges
10. State of stacking at stock
11. Visibility of cracks
12. Method of splice (Vertical, slant angle etc)
13. Stiffener for splice (Linear, Metal stripe etc)
14. Cleat size at truss points
15. Shape/Size/Material of wedges
16. Size of nails
a. At splice points for linear
b. At splice for metal stripe
c. At fixing point of purlin to truss
17. Type of termite treatment
18. Spacing of purlin members
19. Length of used purlin section
20. Degree of straightness/Slope in direction
a. Longitudinal
b. Transverse
c. Diagonal
Before fixing of roof cover
21. Protection from adverse weather effect
22. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /019
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: ROOFING AND WALL CLADDING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of work methodology
2. Protective coat to respective truss and purlin members
3. Centre to centre distance of purlin
4. Type of roofing
5. Qualification of work men
6. Liveliness of the purlins
7. Submittal of shop drawings for plain sheet accessories (ridge cap,
8. copping, etc)
Length of each plain sheet accessory
9. Overlap length (side and end lap) of roofing/cladding
10. Galvanization nature of the roofing
11. Fixing material quality
12. Washer's nature
13. Weight per ml of EGA roof
14. Thickness of the roofing/Cladding/sheet accessories
15. Proposed access to the roof
16. Precedence of facia board and gutter fixing
17. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /020
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: STRUCTURAL STEEL WORKS

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of work methodology
2. Type of steel member
3. Size of steel section
4. Size of/bolts/nuts
5. Storage condition
6. Submittal of shop drawing
7. Qualification of shop drawing
8. Submittal of test result
9. Level ness of bearing element buried in concrete members
10. Means of joining members with each other and with other members
11. Fabrication place convenience
12. Means of piercing holes and slots, and their tolerance M
13. Weld type
Thickness
Angle of weld
14. Reliability of machines
15. Type and size of electrode/Quality
16. Closing of end openings for tubular section
17. Sufficiency of camber height for truss
18. Nature of bolt thread and means of supporting them from corrosion
19. Submittal of temporary scaffolding design
20. Mounting mechanism
21. Sufficiency of anti trust paint
22. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: 40/60 Saving House 2B+G+13 and 2B+G+15 /021
Employer: Addis Ababa Saving House Development Enterpris Format made in 2 copies
Architect/Consultant: Signature Architects and Engineers PLC
Contractor: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Site Location: Bole Ayat Campus:
Block: Axes:
Document Referred: Floor:

Check list title: SUPER STRUCTURE


Block works

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Masonry type/stone, HCB, Brick
2. Submittal of work methodology
3. Raw materials quality (Sand, Water)
4. Conducted materials test
5. Means of transport of goods
6. Submittal of scaffolding design
7. Type of masonry (Uniformly thick/battered)
8. Size of masonry
9. Bondage of masonry
10. Qualification of work men
11. Bending material (Mix ratio/Box size)
12. Uniformity of colour, texture, size etc of the wall
13. Labour tools quality
14. Embedment of electrical and sanitary items
15. W/C ratio of the mortar
16. Program to prevent expiry of mortar during longer break
17. Reliability of the mixer
18. Chosen axes to display the sample/model of masonry
19. Mortar joint thickness
20. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: 40/60 saving House project /022
Employer: Addis Ababa saving Huose Development Egency Format made in 2 copies
Architect/Consultant: Signature Conssulting Architects and Engineers
Contractor: Kibco Service and Investment PLC.
Site Location: Bole Ayat Campus:
Block: Axes:
Document Referred: Floor:

Check list title: PLASTERING WORK INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes

Confirming
with a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of plasterer
2. Location of item wall/ceiling/parapets
3. Plumb state of erected wall
4. Wall material to be plastered
5. Chiselling state of concrete surface
6. Testing of pies before plastering
7. Condition of surface to be plastered
8. Clearing of excess mortar of masonry joints/recess provision
9. Type of plaster mortar/mix proportion for various coats
10. Watering of surface before plaster
11. Quality of fine aggregates, water, lime etc
12. Method of fixing of mortar
13. Nature of labour tools (Trowel, ramming pan, straight edges etc)
14. Max. allowable thickness of coats of plaster (1st coat, 2nd coat,
15. 3rd coat)
Duration between 1st and 2nd coat
16. Minimum days gap between date of second coat and last coat
17. Curing state of plaster
18. Method of spray of curing water
19. Plumbing state of plaster
20. Perfection of designed angle at junction points
21. Linearity of plastered wall
22. Allowable duration time of mortar between mixing and placing
23. Joining nature of wall to ceiling/Recessing
24. Smooth nature of last coated surface
25. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off
sheet of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /023
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


ONE COAT (SINGLE COAT) PLASTERING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a

Confirming
tick, sign, file one copy and give back the other copy to the contractor.

1. Checking of completion of the preceding works


2. Checking of the intended volume with the contract
3. Levelling and plumbing state of erected wall
4. Racking out of mortar joints assure of key embedment zone to plaster
5. Racking preferably to be carried out at state of setting
6. Mix ratio of plaster is uniform from start to end of work
7. Sand of fairly graded type creates better adhering nature
8. Presence of lime in cement mortar facilitates deduction of crack
formation but elongates setting time
9. Duration in between successive throw of paste develop break time for
setting of mortar
10. Lime also helps to reform workability of mixed mortar
11. By no means the thickness of single coat has to exceed 1.25 cms
12. Too much wetting of erected wall reduces the sticking nature of mortar
13. Protection of plastered surface from adverse effect weather has to be
done till time of reasonable state of strength development of coated
surfaces
14. Guniting is also best method of provision of cement and sand mixed
mortar of mortar to walls under Pneumatic pressure through a cement gun. Application of
*(Guniting-application
mortar under pressure develops good bondage and strength)

15. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby
allowed …../ refused ….. to clear the site. The take off sheet of this
activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /0024
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


INSPECTION FOR RENDERING WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of plasterer
2. Area to be rendered with reference to quality
3. Checking to readiness of surface wall to be rendered
a. Completion of erection of designed surface
b. Dryness of proposed surface
c. Cleanliness of surface from external un-necessities (Dust, Solid
etc)
d. Completion of other embedded element positioning
f. Cantering work of area to be rendered (Level, plumbing,
shaping etc)
4. Quality of sieved sand, crushed aggregates, water etc
5. Service ability of rendering tool
6. Mix ratio of moratr(1:2) and W/C ratios
7. Wetting of surface before start of rendering
8. Maximum deviation of rendering components from average coat
9. thickness
Checking homogeneity of colour appearance of rendering
10. Lines (Vertical and Horizontal) where discontinuity can be allowed
11. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /025
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: WOODEN DOORS

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Readiness of surface (End of 2nd coat plastering)
2. Material approval slip No.
3. Compare with approved sample
4. Sample approval slip No. (Date)
5. Location of door/block/floor/room
6. Size of door
a) Frame
- Raw material
- Thickness
- Width
- Homogeneity
b) Opening Leaf
- Thickness
- Height
- Width
- Elevation homogeneity
- Raw material (Facing, edges)
7. State of stacking at stock
8. Surface nature of faces (Solid and flush doors)
9. Appearance of panels/patterns of faces
10. Type of joints at corners
11. Adhesive type
12. Nature of nail
a. Size of nail at frames/leafs
b. Oval lost head nails position
13. Edge stiffeners wood
14. Air gap underneath doors (Clearance)
15. Model type fixed door condition
a. Seasoning condition
b. State of paleness
c. Warping nature
d. Presence of crack
e. Presence of loose knots
f. Homogeneity nature
16. Nature of hinges (Comparison of approved sample with site N
17. deliveries)
Nature of lock
a
t
18. Nature of stoppers u
19. Nature of fasteners/hold fasts r
e
20. Water proof adhesive type (For external doors)
21. Model type fixed door condition
22. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /026
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


METAL WORK FABRICATION & FIXING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of work methodology
2. Completion of 2nd coat plastering
3. Label of door, window, sky light
4. Type of metal
5. Cross section/size of metal
6. Qualification of work men
7. Submittal of shop drawing
8. Condition of storage
9. Submittal of approval of accessories
10. Submittal of approved sample/model
11. Fabrication place convenience
12. Compatibility of size and shape of glazing bead with the frame
13. Availability of anti rust paint at site and 1st coat
14. Checking size and No. of anchor straps
15. Position of fixity w.r.t. thickness of wall
16. Checking of wall opening with tolerance
19. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /027
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: ELECTRICAL WORK INSPECTION


PULLING OF WIRES/CABLES AND RELATED ACCESSORIES

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of electrical/Grade
2. Location slab/wall/ceiling/open areas
3. Material approval slip number
4. Size of wire/Cable/Colour
5. Rigidity condition at time of pulling
6. Nature of wire connectors
7. Sizes of connectors
8. Size and nature of insulating tape
9. Nature of clamps
10. Insulation at point of cable connection
11. Angle of bends in section crossing/cables
12. Size of connectors
13. Trancking connection to walls/ceiling/floor
14. Size of pins/brackets for conduits /trancking
15. Spacing of pins/brackets
16. Adopted moisture protection at manhole chambers/cables
17. Length of wires
18. Size/nature of junction box
19. Conduit cover
20. Shape of junction box
21. Overlap of conduit connection
22. Crossings at structural frames
23. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /028
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: CEILING WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of work men
2. Submittal of work methodology
3. Preparation of estimated measurement
4. Lab test of purline material
5. Checking plainness
6. Sufficient availability and storage of ceiling board
7. Sufficiency of vent openings
8. Fixing condition of ceiling to support
9. Decision on the pattern of the ceiling
10. Provision of ventilation
11. Provision of anti termite
12. State of flooring (Storage of concrete)
13. Uniformity of the ceiling material wart. texture, colour, etc
14. Checking stability of battens
15. Size of batten and positioning
16. Quality test submission for battens
17. Maximum spacing of battens (both ways)
18. Way of fixing of conduits and junction boxes
19. Sufficiency of hangers for ceiling/design
20. Check leakage on the roof cover
21. Position of inspection hole
22. Time taken between batten execution and chip wood cladding
23. Mechanism to avoid stain formed by rusted nails
24. Stability of battens
25. Mock up rooms
26. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /029
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: PLUMBING & SANITARY WORK


INDOOR USE G.I. PIPES

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of plumber
2. Location of item floor/wall/roof
3. Material approval slip number (Date)
4. Checking physical properties of approved sample with deliveries
5. Pipe position (Surface/embedded)
6. Nature of wall/thickness
7. Fixtures
a. Colour appearance
b. Formation of threads
c. On site random manual thread formation against the approval
e. Pressure of cracks
8. Nature of fiber for end connection
9. (Flexibility, water absorption, sticking character one to other
10. Selected type of paint (non lubricant) for fibres interlinking nature
11. Sufficiency of treated length for connection
12. Connection to turn point members
13. Installation height with reference to riser diagram
14. Angle of projection of lines at edge of turns
15.
16. Embedment element to specified location
16. Spacing and location of anchorages to pipe lines
17. Testing of pipe before coverage of surfaces
18. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /030
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:PLUMBING AND SANITARY WORK


INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Location of item floor/wall/ roof
2. Material approval slip number (date)
3. Checking physical properties of approved sample with deliveries
a. Comparison of product data
b. Colour appearance
c. Presence of cracks
d. Checking of unit linear
length
e. Nature of rubber jointing rings/gaskets
f. Solvent for welding
g. Method of identification of checked element
h. Others
4. Method of pipe protection from & degradation (polythene sheeting,
shade etc.)
5. Nature of surface where stored pipe to rest
(Soft material:River sand,crushed stone
etc.)
6. Storage of coupling rings (layin flat)
7. storage nature of rubber jointing ring and gasket
(cool,dry place,away from diesel,storage etc..)
8. Condition of crossing at structures

(Cut length ,provision of flexible


9. Installation height with reference to riser diagram
10. Offset measurements from project accessoroes with reference to design
drawings
11. Concentricityof one line to the next
12. Minimum cut back length from dameged end
13. Additional remarks

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /031
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:CEMENT SCREED FLOORING WORK


INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of mason
2. Completion of preceding works/ceiling/plastering
3. Leveling state of floor to be screed
4. Adopting method of leveling course
5. Surface nature of floor chiseled/washed
6. Mix proportion of screed material
7. Presence of colors pigments in mix
8. Quality of fine aggregate, water etc..
9. Method of mixing mortar
10. Nature of labor tools (mason tools)
11. Thickness of designed screed
12. Precision on the level surface to be screed
13. Smooth nature of finished level
14. Curing period of screed surface
15. Checking of F.F.L form near by rooms
16. Protection measure of finished surface form damage
17. Provision of expansion joint
18. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /032
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: WALL TILE COVERAGE INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Qualification of tiler
2. Location of item internal/external wall
3. Transverse/water absorption test
4. Type of tile material ceramic /precast element etc..
5. Design of patterns
6. Material approval slip and sample
7. Colour of selected tile
8. Checking of approved sample with site delivers
9. Size of tile and deviation one to the other
10. Thickness of tile
11. Selection of equals size for placing
12. Checking of surface nature to be covered
13. Maximum projection of tile from wall surface
14. Immersion of files in water before fixing
15. Checking of plumbing, corner angle etc.. Before placing
16. Mix proportion of tile paste
17. Quality of adhesive
18. Availability of spacers
19. Cleaning and wetting of surfaces
20. Nature of tools
21. Cutting provision of uniform paste backing
22. Curing period of tiles surface
23. Application time of white cement/quantity/unit weights
24. Protection measure of unnecessary spread of pasted/cement on surface/adhesiv
25. Plumbing/leveling/linearity of wall surface
26. Tile condition at outlets of embedded element
27. Pressure test for embedded pipes
28. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby
allowed …../ refused ….. to clear the site. The take off sheet of this activity
shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /033
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: SOLID FLOOR TILE COVERAGE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of tile layer
2. Testing of material
3. Material approval slip number and sample
4. Nature of tile material ceramic /terrazzo etc..
5. Colour of selected tile
6. Size of tile material (length, width,. Thickness)
7. Comparison of site delivery with sample
8. Selection of equal size /colour for placing
9. leveling condition of floor to be covered
10. Designed pattern of placing
11. Nature of binding (mortar) /mix ratio
12. Quality of water ,fine aggregate etc..
13. Method of mixing mortar
14. Adopted leveling course material for level correction
15. Surface condition of floor to be covered (well chiseled, washed etc..)
16. Presence of spacer
17. Immersion of tile in water before placing
18. cutting method of tiles
19. Nature of tools
20. Slope condition with respect to floor drains
21. Tile nature at outlets of floor embedded elements
22. Checking uniform spread of underneath paste/thickness
23. Curing period of placed tile
24. Level state of placed tile
25. Grouting material type, colour and application /colour
26. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /034
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


PLASTIC/PVC TILE FLOORING WORK
INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of tiller
2. Readiness of floor W.R.T other works
3. Material approval slip and sample
4. Submittal of tiling module
5. Colour of selected material
6. Size of plastic tile(length, width, thickness)
7. Checking physical properties of sample with site deliveries
a) Product data of sample with deliveries
b) Flexibility of tile
c) Nature of underneath fiber of tile
d) Smooth/plane nature of surface
e) Nature of adhesive (approved with new deliveri
8. Nature of screed to be tiled, (clean, washed, dried etc..)
9. Leveling state of screed
10. Rectification method of defective screed
11. Duration from cast of screed to tile placing
12. Adhesive application rate per unit area
13. Presence of tile spacer
14. Cutting method of tile for wall side position
15. Method of stabilization of tiled surface (Rolling ,consolidation)
16. Protection measure for unnecessary surface spread of adhesive
17. Cleaning state of finished surface
18. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /035
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


MARBLE FLOORING WORK INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of Tiller
2. Designed pattern
3. Checking of specified rooms with quantity
4. Material approval slip number and sample
5. Type of marble (Wellega, Gojam, Harar etc...)
6. Size of marble checking
a. Length
b. Breadth
c. Thickness
7. Edge condition of delivered pieces
8. Surface nature of delivered pieces (free from crack, holes
9. perforations)
Condition of floor to be covered
a. Adopted leveling course correction
b. State of chiseling of surface
c. Washed and free from dust grits etc..
d. Checking application of designed mortar thick
10. Type of mortar and mix ratio for laying
11. Grouting type (material)
12. Quality of fine aggregate, water etc..
13. Method of mixing mortar
14. Mortar volume needed for immediate use
15. Method of cutting pieces induce of necessities
16. spacer type and size to be adopted
17. Checking uniform spread of mortar under elements
18. Condition of labour tools for fixing
19. Shapes to made at vertical obstructions
20. Curing period of finished surface
21. Checking of designed level /Grading
22. Provision of white cement /others
23. Cleaning method of un-necessities, paint, cement etc
24. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /036
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


PARQUET FLOORING WORK INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of carpenter /joiner
2. Checking of specified rooms with quality /drawing
3. Well sized
4. Completion state of sequential related works
5. Termite protection
6. Termite protection solution
7. Material approval slip number and sample
8. Well seasoned
9. Checking of approved sample with deliveries
a. Size of single element /composite siz
b. Thickness of element
c. Colour of element
d. Correction of composite element
e. Adhesive nature for correction
f. Raw materials used for fabrication
g. Surface pattern nature appearance
10. Checking the surface nature of screed
a. Level condition as per design
b. Presence of wavy surface /undulatin
c. State of dryness of surface
d. Washed and dust free state
e. Readiness of surface to receive adhesive/ binder
f. Proper filling of voids
11. Checking surface condition of supports
a. Spacing of surface embedded timber sections
b. Size of timber sections
c. Connection condition of supporting timber crossing
d. Designed gradient /level of supports
e. Stability of timber supports to their underneath element
f. Proposed provision of wedges and cleats
g. Method of connecting floor finish element to bottom supports
h. Mack up /model rooms
12. Checking practicality of designed pattern provision
13. Checking of designed gradient application
14. Checking of level in different directions
15. Perfection of close contact of two element surface junctions
16. Method adopted for final level rectification
17. Protection measure from contact of paints and other defective matters
18. Application rate of selected type wax
19. Mode sample
20. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /037
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


FLOOR WALL MOSAIC WORK INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a

Confirming
tick, sign, file one copy and give back the other copy to the contractor.

1. Readiness of surface for fixing of proposed work


2. Checking of actual quantities with drawing /document
3. Location of mosaic ( Floor, Wall etc..)
4. Nature of mosaic material (ceramic, wood, glass, stone etc..)
5. Material approval slip and sample
6. Checking physical properties of sample with deliveries
a. Shape and pattern of individual elements
b. Size of single pattern with components position
c. Thickness of elements
d. Colour of elements /approved single patterns
e. Shining nature of exposed surface
f. Checking of presence of cracks, holes etc..
g. Nature of underneath membrane of mosaic
7. Strength /Dryness state of wall/ surface to be converted
8. Straightness, plumbing etc.. Nature of surface
9. Clean surface appearance to be covered
(Free from dust, moisture, grease, irregularities etc ..)
10. Wetting of back surface prior to coverage
11. Mix ratio of cement mortar mix /binder
12. Quality of cement, sand and water
13. Method of mixing of mortar /binder
14. Minimum thickness of mortar backing /binder
15. Checking of leveling, plumbing straightness of set element /grouting
16. Joining nature of set elements /in different directions
17. Provision rate of white cement at joints of elements
18. Removal of excess paste materials from finished surfaces
19. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby
allowed …../ refused ….. to clear the site. The take off sheet of this
activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /038
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


STAIR TREAD AND RISER INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Quality of tiller /carpenter.
2. Readiness of surface for placing
3. Type of material
4. Cleanness of surface
a. Chiselling of surface
b. Impresence of dust , dirt
5. Leveling etc..
state /Plumbing state
6. Designed pattern of placing
7. Material approval sample with deliveries
a. Width (tread, riser)
b. Length
c. Thickness
d. Colour
e. Place of production(type)
f. Noising size
g.Size of chamfer
h. Shape of chamfer
i. Anti-slipping noising
j. Adhesive for additional noising
protection
k. Grouting material
8. Line of noising with stair soffit
9. Pattern at contact of tread and landing
10. Pattern at contact of riser and landing
11. Splice location and pattern
12. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /039
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


STEEL LADDERS AND STAIR HANDRAILS

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of welder
2. Location of item / actual position checking
3. Material approval slip number /sample
4. Checking physical appearance of sample with deliveries
5. Size / shape of Rungs
6. Size / shape of stringers
7. Size / shape of Support stays
8. Size / shape of support stay anchorages
9. Size / shape of holding down bolts
10. Size / shape of any fastenings
11. Type of weld/electrode / size of weld
12. Stratum for holding down bolts
13. Safety cage necessities /typical designs
14. Application of antirust coating /other paints
15. Clearance between stringer and wall
16. Projection of stringer over top of last rung
17. Shape of stringer at bottom embedment
18. Depth of embedment at support stay
19. Space in between successive
a. Stringers
b. Rungs
c. Stair balustrades
20. Angle of ladder to vertical wall
21. Level of going with respect to floor finish level of reference
22. Connection of handrail to balustrade
23. Top / bottom space of balustrade / shape and size
24. Balustrade connection to lower surfaces
25. Balustrade bottom bracing for embedment
26. Horizontal projection of balustrade from embedded surface edged
27. Closing of opening at end
28. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /040
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: STEEL STAIRCASE COMPONENTS

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of manufacturer / onsite production
2. Location of item / actual position checking
3. Material approval slip number /sample
4. Checking physical appearance of sample with deliveries
5. Chequering or non-slip pattern of plate
6. Projection depth of chequer from flat surface
7. Thickness of chequer
8. Characteristics of material
9. Section of steel angel frame / curbing
10. Type of weld / thickness
11. Selected type of paint / appropriateness/ Antirust
12. Pattern of open mesh floor
13. Size of open mesh (thickness, pattern size )
14. Angle of spindle at support / width
15. Kicker plate around openings
a. Size of section
b. Projection over level of open mesh
c. Type of weld / connection detail
d. Painting type / coatings
16. Size / shape of roof covering
17. Size / shape nature of main support stand
18. Foundation of stand / embedment depth to footing
19. Positioning of stand / location, state of plumbing /
20. Size / position of stringer / Rungs / Safety cages
21. Level of going with reference to floor finish cover
22. Level of roof cover with respect to main house units
23. Vertical clearance between Successive trades
24. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /041
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: PAINTING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of work methodology
2. Surface material
3. Receive of approved paint schedule
4. Submittal of paint manufacturer manual
5. Preparation of estimated measurement and storage condition
6. Qualified work men
7. Scaffolding design
8. Paint type and proposed glue for white wash
9. Availability of paint material
10. Availability of tools
11. Quality of surface area
12. Priming paint (etching primer if applied )
13. Sufficiency of primer coverage / painting
14. Time gap between successive paint applications
15. Quality test of paint materials
16. Finishing stage of the corresponding room
17. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /042
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: GLAZING WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Label of window / door / roof
2. Stability of frame
3. Type of glazing
4. Colour of glazing
5. Qualification of work men
6. Estimated measurement preparation
7. Size of cut and thickness of glazing material
8. Quality of putty
9. Quality test
10. Fixing of samples with putty application
11. Putty application position
12. Sufficiency of space for putty application
13. Spacing of bead screws / firmness
14. Condition of final coat of paint to frames
15. Finishing stage of the wall / room to be glazed
16. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /0043
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: DAMP WATER PROOFING WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of detail application manual of the material
2. Submittal of material approval
3. Submittal of detail shop drawings
4. Cleanliness of parent surface
5. Quality of surface
6. Submittal of guarantee certificate to the employer
7. Slope of roofing
8. Drying mechanism of surface
9. Readiness of surface for treatment application
10. End of works at roof level
11. Qualification of work men
12. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /044
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: FIXING OF BOARD BREAKERS BE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of electrician /Grade
2. Location of item wall /ceiling / floor
3. Material approval slip number / date /
4. Material type plastic /metal
a. Thermoplastic
b. Thermosetting
5. Nature of fixing to proposed position product data / new idea
6. Clamp nature at joint of boards to cables
7. Grounding accessories density
8. Visibility of cable lining and ease to identification
9. Height of fixtures from floor (EELPA)
10. Method of insulation at connections
11. Horizontal offsets measurement formwork
12. The size and type of cable to sub-boards
13. Material type and size of riser duct (manhole to boards )
14. Checking the functionality of stand by lines / breakers
15. Method of suspend of cables from duct contact
16. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /045
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: FIXING OF PLASTIC SKIRTING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of tiller
2. Checking of specified rooms with quality / drawing
3. Completion state of sequential related works
4. Material approval slip number with sample
5. Checking of approved sample with deliveries
a. Height of material
b. shape of material
c. Thickness of material
d. Colour of material
e. Rigidly / flexibility of material
f. Adhesive nature with sample
g. Age of adhesive / Expiry
6. Straightness of surface to be covered
7. Nature of prepared surface to be covered ( free from paint, dust,
excess mortar etc..)
8. Capacity of surface to accept even distribution of adhesive
9. Application rate of adhesive and tools
10. Method of rolling for bondage of skirting material to covered surface
11. Adopted method of splicing at continuity
12. Detail at turn point of surface to be covered
13. Connection state at contact point to flooring
14. Modification at sudden obstruction points
15. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /046/1
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list TERRAZZO,


title: CERAMIC, MARBLE SKIRTING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of mason / Tiller
2. Readiness of room for excavation of stated work
3. Checking of specified rooms with quantity / drawings
4. Completion state of sequential related works
5. Material approval slip number with sample
6. Checking of approved sample with deliveries
a. Height of skirting
b. Length of element
c. Thickness of element
d. Colour of element
e. Source of material (marble )
f. Perfection of corner angle
g. Nature of chamfer
7. Allowable projection depth from wall surface
8.
9. Straightness of wall to be covered
9. Nature of surface to be covered (free from dirt, grease, obstruction
10. etc..)
12. Mix proportion of mortar paste
11. Quality of fine aggregate, water
12. Mortar volume for immediate use
13. Method of cutting of pieces in case of necessities
14. Spacer type and size to be adopted
15. Condition of lobour tools for placing work
16. Checking uniform spread of mortar binder at backing
17. Curing period of placed work
18. Checking of straightness, level of work
19. Provision of white cement / others
20. Cleaning method of finished surface
21. Adhesive type
22. Grouting materials / Nature
23. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /047/1
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


FIXING OF WOODEN MADE SKIRTING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of carpenter / joiner
2. Checking of specified rooms with quantity / drawings
3. Completion state of sequential related works
4. Nature of wall where element to be fixed
5. Material approval slip number with sample
6. Checking of approved sample with deliveries
a. Raw material nature (Kerrero, tide
etc..)
b. Height of skirting
c. Thickness of skirting
d. Minimum allowable length of every
leaf
e. Nature of chamfer
f. State of dryness
g. Presence of crack, knots, warp
h. Method of bulk storage
i. Selected type termite protection
j. Selected type moisture protection
k. Type of coating to be provided
l. Size of connecting fissure / location / spacing
m.Size of nail / nature of head /required number
7.
9. Straightness of surface to be covered / plumb state
8. Perfection of cut element at ends
9. Method of splice at continuation / splice angle
12.
10. Passage condition of obstructions
11. Joint treatment at splice points / Nail points
BET/CSWP/0047/2
12. Type of filler material
13. Checking of straightness and level of fixed element
14. Application of designed coatings / rate / sequence
15. Clearing method of finished surface
16. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /048
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


MARBLE CLADDING TO ERECTED WALL
(Dry state)

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of mason
2. Type of tools for intended work
3. Checking of contract volume with intended area
4. Firmness of backing wall to withstand cladding
5. Shop drawing presentation againest design
6. Designed pattern of cladding area
7.
9. Approved sample of adhesive
8. Observation of approved material sample against site deliveries
9. Submission of product data of adhesive
12.
10. Readiness of surface to accept material to be clad
12. a. Plumbing and leveling state
12. b. Presence of plain surface wall
12. c. Clear,free from dust, loose material et
11. Application rate of adhesive
12. Dry state of wall to be covered
13. Application of marble clad spacers.
14. Grouting material
15. Volume of grout application as per thickness of marble
16. Method of cleaning of finished cladded wall surface
17. Plumbing and leveling state of fixed clad material
18. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /049/1
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


MARBLE CLADDING TO ERECTED WALL
(Wet state)

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of mason
2. Type of tools for intended work
3. Checking of contract volume with intended area
4. Firmness of backing wall to withstand cladding
5. Shop drawing presentation against design
6. Designed pattern of cladding area
7. Checking of steel embedment to erected wall / As per design
9.
8. Observation of approved material sample against site deliveries
9. Spacing of marble support metals / row and column
12.
10.
12. Groove formation of marble pieces / Size of groove / shape
11. Readiness of surface to accept material to be clad
a. Plumbing and leveling state
b. Presence of plain surface wal
c. Clear, free from dust, loose material et
d. Embedment of metal /rod to wall surface
e. Perfection of grooves against size of embedded metal
f. Proper location of recessed grooved against edge line of
cladding material
12. Mix ratio of mortar material
13. Method of mixing of mortar
14. Wetting state of wall to be covered
15. Application of marble clad spacers
16. Type of grout against designers choice
17. Volume of grout application as per thickness of marble
18. Method of cleaning of finished cladded wall surface
19. Plumbing and leveling state of fixed clad material
20. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /050
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: DOWN PIPE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of detail shop drawing
2. Thickness, width and length of the brackets
3. Type of down pipe
4. Nature of material (its galvanization and the like )
5. Type of lead material
6. Number of joints; and type of connectors (for UPVC Down pipe )
7.
9. Sufficiency of overlap length
8. Precedence of fascia board / final plastering
9. Slope of Down pipe
12.
10.
12. Spacing of straps
11. Detailing of roof treatment connection with the down pipes
12. Means of fixity
13. Qualification of work men
14. Sample preparation
15. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: 51
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: GUTTER WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submittal of detail shop drawing
2. Thickness, width and length of the brackets
3. Type of gutter
4. Nature of material (its galvanization and the like )
5. Type of lead material
6. Number of joints; and type of connectors (for UPVC gutter )
7.
9. Sufficiency of overlap length
8. Precedence of fascia board / final plastering
9. Slope of gutter
12.
10.
12. Spacing of straps
11. Detailing of roof treatment connection with the gutters
12. Means of fixity
13. Qualification of work men
14. Sample preparation
15. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /052
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: ELECTRICAL WORK INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of electrician / Grade
2. Location of item wall, ceiling, floor
3. Material approval slip number (date )
4. Comparison of product data, approved sample and new arrivals
a. Checking of approved data with new arrival
data
b. Physical comparison study of sample with the
arrival
5. Fixing condition to proposed position product data guide line /other
6. Angle of suspended with the illuminated surface
7.
9. Height with reference to floor (EELPA standard /designed height )
8. Horizontal offsets measurement from walls
9. Position of access for change of damages /bulbs
12.
10.
12. Precaution any measure for protection from last coat of paint
11. Protection measure for incidental REDOX action at point of screws
12. and slots;
Access for placing of elevated fittings / replacement
13. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: Hawassa University 4th Phase Expansion /053/1
Employer: Hawassa University Format made in 2 copies
Architect/Consultant: B E T consulting architects
Contractor: China Jiangsu JV with Rama Construction
Site Location: Awassa, SNNPRSCampus:
Block: Axes:
Document Referred: Floor:

Check list title: LIGHTINING ARRESTOR SYSTEM

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of electrician / Grade
2. Material approval slip number (date )
A. 1. Location of copper plates roof /wall
2. Length of plate
3. width of plate
4. Thickness of plate
5. Method of splice of plates
6. Connection to roof elements /wall/ factory and
others
B. Location of copper plates columns / shear wall /
1. Shape of copper plate
2. Length of plate
3. Width of plate
4.Thickness of plate
5. Type of weld to
reinforcement
6. Size of weld
7. Location of plate from top of footing pads
8. Connection of plates to copper strands
9. Size of strands (diameter )
10. Length of copper strands
11. Pit size and nature of ground pits
12. Diameter /Height and embedment to ground of earthing
rod
12. 13. Connection of earthing rod to strands /plates
3. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /054
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:ELECTTRICAL WORK INSPECTION


Site work electrical poles

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of electrician / Grade
2. Location of item
3. Material approval slip number (date )
4. Physical identification of approved sample with the delivered one
(Raw material of approved sample-steel, cast iron
etc..) a. Size of pole /mast. (diameter,thickness,height)
b. Coats of paint (priming, Surface coat )
c. Angle of bend at turns
d. Cable in let holes (Shape, Size, gate shape )
e. Moisture protection at opening and bulb
location
f. Ladders to top
5. Type and size of insulation tape
6. Junction at point of two size connection
7.
9. Metal exposure from earthen contact
8. Connector size and type at connection to cable
9. Protection measure of cable contact to poles
12.
10. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /055/1
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


MANHOLES & VARIOUS PURPPOSE CHAMBER
WORK INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Location of work with reference to plan


2. Nature of Cover surface finish ( paved or non paved )
3. Measure of chamber top edge finish with paving nature
4. Material type to be erected ( Brick, Stone, concrete etc..)
5. Approved Sample of manhole cover / step iron / ladder
6. Completion of conduit line to be joined ( polythene sheeting at contacts )
7.
9. Proposed connection detail to pipes if lining is not completed
8. Availability of material components of chamber
9. Approval of foundation bedding depth (site of pit, Stratum nature, stability state
12.
10. Quality of fine aggregate, coarse aggregate, water
12.
11. Laboratory result of brick, HCB etc..
12. Erected chamber wall thickness
13. Adopted size of HCB, brick layer
14. Accomplishment of proper footing work
15. Mortar mix ratio of masonry / class of concrete
16. Delivered quality of prefabricated concrete pipe with design requirment (class of
17. Checking size of opening during erection
18. Necessity of ladders safety cage with respect to depth of chamber
19. Type of step iron / Ladders adopted
20. Spacing of ladders / Location with access suitability
21. Internal surface plastering / pointing
22. Formation of benching /Shape, Slope, Material /
23. Nature of benching (free from solid matter loading )
24. Checking of leakage manhole (filling of chamber with reasonable depth of water and
observing loss
25. Curing duration of erected surfaces
26. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /056
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


PLUMBING & SANITARY WORK INSPECTION

N.B The Architect's staff on site should mark the corresponding boxes with a tick,
sign, file one copy and give back the other copy to the contractor.

1. Qualification of mason / carpenter


2. Location of structure/chainages
3. Designed material of block (Masonry, Concrete, Brick etc.)
4. Checking fulfilment of qualities
a. Stone masonry checklist
b. Concrete work checklist
9. c. Foundation excavation checklist
d. Borrowed fill checklist
5. Presence of designed embedment
12.
12. a. (Steel rod, Metal stripes)
c. Length of section
d. Protective corrosion measure
e. Method of tying to pipes
6. Setting out below invert
a. Section size below invert
b. Project of edges from C/C of pipe
c. Section size above pipe top
d. Horizontal angle of blocks
e. Vertical angle of blocks (Valley angle)
7. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /057
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Awassa, SNNPRSCampus:
Block: Axes:
Document Referred: Floor:

Check list title:


PLUMBING & SANITARY WORK INSTALLATION
External site work pipe laying surface/line (Other work or waste water)

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Qualification of plumber
2. Location of line from reference (Base line, block building, chainage etc)
3. Material approval slip No.
4. Checking physical properties of approved samples with deliveries
5. Alignment of trench with reference to drawing/Other utilities
6. Cross connection of others
7.
9. Checking setting out of line
8. Depth of excavation
9. Width of excavation
12.
10.
12. Angle of alignment
11. Slope of cut trench
12. Surface nature of designed cut depth
13. Bedding type material availability/quality
14. Space between barrel of pipe and cut trench
15. Nature of surrounding of pipe
16. Presence of pipe
c. Section damaging
size solvent
above pipe top
17. Presence of uniform bearing contact length
18. Depression at pipe joint of bedding
19. Type of pipe flow nature (Pressure, non-pressure)
20. Starting point of pipe laying (Lower end, uphill)
21. Availability and quality of designed backfill material
22. Estimated quantity
23. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /058
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:
CHECK LIST FOR Compound Road
Check list title: EXCAVATION TO SUB GRADE LEVEL

N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Non Confirming

Not applicable
sign, file one copy and give back the other copy to the contractor.

Confirming
1. Actual reading level and contour
2. Nature of surface soil
3. Cut and fill section template at every fixed station
4. Method of clearing and location of disposal
5. Availability of excavation and disposing equipment
6. Finished level of roads verses floor finish level of building
7. Invert level of electrical, sanitary and water supply lines at crossing of roads
9.
8. Depth and slope of ditch along road verses final draining point of storm water
9. Smooth connection with parking level and ramps
12.
10.
12. Compliance with maximum allowable slope
11. Compliance with maximum horizontal and longitudinal slopes
12. Investigation of physical obstruction/Surface and sub surface/
13. Specified depth of excavation
14. Limit of excavation
15. Vertical and horizontal alignment of centre line and curves
16. Methodology
c. Sectionof treating
size abovemarshy
pipe topand unstable area
17. Readiness of sub base material
18. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /059
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:
CHECK LIST FOR Compound Road
Check list title:CONSTRUCTION OF DITCHES, CONCRETE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Cut and shaped to the sections and profiles shown on drawing


2. Consider connection with the ditches coming from blocks
3. Check the flow of water until the final draining point
4. Compliance for the position of drain channels with the actual condition on the
5. site
Bedding of channels
-Compacted layer of fine aggregate
6.
9. Required test result for pipes
7. Proper connection of joints for half concrete pipe
8. Pavement level around the building
12.
9. Horizontal level around the building
12.
10. Availability of material for the ditch
11. Test for ditch material
12. Decision for provision of cover at crossing
13. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /0060
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:
CHECK LIST FOR Compound Road
Check list title: CONSTRUCTION OF SUB BASE COURSE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Cleanliness of sub grade base from all foreign materials


2. Treatment of voids formed due to removal of temporary/permanent structures if
there is any
3. Ensuring the sub grade base is free from top soil, grass or other foreign
4. materials
Ensure the earth works are not damaged by weather or traffic and in the event of
such damage action taken to prepare and restore the works to the original
condition
5. Suitability of sub grade material and materials incorporated and embankments
(i.e. attaining the minimum CBR-requirments 5-10 after 4-days soak)
Test result and approval of sub grade material if it is borrowed
6. Proper compaction of earth work with the drawing, specification or with the
9. engineer's instruction for slope, depth and width
7. Correction of any excavation made beyond the specified slope, level, depth or
8. width
Availability of equipments necessary for conveying and distributing water,
12. spreading and compaction of sub base material
9. Availability of tested and approved material suitable for the construction of sub
base material/gradation, maximum size of aggregates, plasticity index liquid
limit, group index and CBR/
12.
10. Approved methodology for constructing sub base course
11. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /061
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:
CHECK LIST FOR Compound Road
Check list title: CONSTRUCTION OF BASE COURSE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Construction of sub course to the required level, slope, grade and tolerance
2. Correction of pot holes, loose materials, corrugation, depression and other
defects on the sub base course
3. Cross falls and chambers of sub base to be as per the drawing
4. Field compaction and other test results
5. Availability of tested and approved materials for base course
6. Avoiding segregation of crushed aggregates
9. -Piling height of crushed aggregates
-Moisture content of crushed aggregates
7. Approved methodology for construction of base course
12.
8. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /062
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:
CHECK LIST FOR Compound Road
Check list CONSTRUCTION
title: OF GRAVEL WEARING SURFACE

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Construction of base course to the required level, slope, grade and tolerance
2. Correction of pot holes, loose materials, corrugation, depression and other
defects on the base course
3. Cross falls and chambers of base to be as per the drawing
4. Field compaction and other test results
5. If the base course is stone hard core compliance with the requirements of hard
6. core
Availability of tested and approved materials for gravel wearing course
7. Avoiding segregation of crushed aggregates
9. -Piling height of crushed aggregates
-Moisture content of crushed aggregates
8. Compliance for thickness of gravel layer with maximum allowable limit
9. Approved methodology for construction of gravel wearing course
12.
10. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /063
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:
CHECK LIST FOR Compound Road
Check list title:INSPECTION FOR ROAD DRESSING WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with a tick,

Confirming
sign, file one copy and give back the other copy to the contractor.

1. Area to be covered with dressing in comparison to drawing and quantity/Layer


of dressing
2. Readiness of base course to accept first treatment
3. Test result for underneath sub base and sub grade materials
4. Test result of base course compaction state of base course appearance
5. Test result of chipping materials
6. Blinding nature of base course (Extent of void)
7.
9. Availability of sufficient type of designed bitumen
8. Surface nature of base course
a. Presence of dust
b. Drying state of surface
9. Certificate for required test result of bitumen binder
10. Method of provision of bitumen coat/Bitumen distributor/Out put temperature at
discharge
11. Chipping designed size in various layers
12. Designed rate bitumen application/Various layers
13. Designed weight of chippings per unit area/Various layers
14. Checking the discharge rate of sprayer/Spraying temperature
(Use of rigid or flexible pan)
15. Availability of chips spreader/mechanical spreader
16. Availability of pneumatic tired/steel wheeled roller
17. Time allowed for compaction of single layer application
18. Time gap between spraying and start of chippings
19. Time gap between spraying and start rolling
20. Allowed traffic speed for held of chippings
21. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is hereby allowed
…../ refused ….. to clear the site. The take off sheet of this activity shall
immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /0064
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: ASPHALT CONCRETE WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Identification of designed area with drawing/quantity
2. Availability of functional weighting plant
3. Standard laboratory test result for designed hot mix
4. Distance between plant and placing site
5. Designed/Agreed temperature of mix at plant and placing
6. Test result of ingredients
7. Availability of mix aggregates/filler
8. Means of transportation/sustainability
9. Readiness of base course to priming/tack coating
10. Selected/Designed hot mix bitumen/Availability
11. Availability of machineries for mix spreading (Pavers, Rollers, power
brooms, Bitumen spreader etc)
12. Application rate of priming/Tack coat
13. Duration between priming to asphalt concreting
14. Average thickness of asphalt concrete
15. Size of camber/means to adjust camber shape
16. Timing between plant discharge to end of rolling
17. Temperature of asphalt concrete at end of proposed start of levelling
18. course
Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /065
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: WALK WAY/PAVEMENT

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Sufficiency of No. of reading on the existing ground
2. Backfilling materials test requisition
3. Mix proportion of concrete
4. Reading on cut ground at same points
5. Pre-backfilling surface ground rolling/ramming
6. Quality of rolling equipment
7. No. of layers
8. Formwork quality and size
9. Sufficiency of bracing
10. Methodology of concrete placing
11. Time of cast (for pre cast)
12. Joint treatment
13. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /0066
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:WOODEN PARTITION INSPECTION

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of joiner
2. Submission of shop drawing
3. Comparison of quantities/Dwg
4. Identification of lines of erection
5. Dryness of timber
6. Laboratory test result of timber
7. Surface to support partition
8. Firmness of embedded steel sections
9. Material approval slip number
10. Material type
a. Frame work
b. Wall cladding
11. Partition type
a. Common partition/non load bearing
b. Trussed partition/load bearing
12. Sizes and positioning of members
a. Sill element
b. Head member
c. Nogging piece
d. Stud member
e. Door head
f. Puncheon section
g. Door posts
h. Bed plates
i. Steel straps
j. Brace/Struts
k. Inter ties
l. Bolts
13. Spacing of verticals/studs
14. Spacing of noggings
15. Support detail of ceiling
16. Wall cladding correction
a. Plumbing state
b. Level state
c. End connection
17. Size of nails/Screws
18. Estimate of quantities
19. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /0067
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title: REPAINTING OF WOOD WORK

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of painter
2. Area to be repainted against quantity
3. Application of detergent soap
4. Usage of pumice stone/for rubbing
5. Presence of blister/rubbed down
6. Filling of holes/putty provision
7. Product data of paint
8. Material approval slip
9. Comparison of data's with approvals
10. Colour of selected paint
11. Coats of designed paint
12. Quality of tools
13. Dryness f surface
14. Smooth/Clean nature of surface
15. Correction of knotting
a. Ordinary knotting
b. Lime knotting
c. Pain knotting
16. Time gap between successive paints
16.
17. Protection of painted surface from immediate adverse effects
18. Estimate of quantities
19. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /068
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check listREPAINTING
title: OF PLASTERED WALL&STEEL

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Qualification of painter
2. Area to be repainted against quantity
3. Material approval slip/Date
4. Product data of paint
5. Comparison of submitted data with approval
6. Removal of old paint
a. Burning of surfaces/Blow lamp/scrapping
b. Paint solvent application/soap and lime mix
c. Application of stipso/Applying and water washing
7. Cleanliness of surfaces (Free from scale, rust etc.)
8. Quality of tools
9. Dryness of surface
10. Application duration of successive coats
11. Protection of painted surface from emmediate damage
12. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /069
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:PLUMBING AND SANITARY WORK


SANITARY FIXTURES

Non Confirming

Not applicable
The Architect's staff on site should mark the corresponding boxes with

Confirming
N.B
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Presentation of methodology
2. Qualification of plumber
3. Location of fixture
4. Positioning of fixture
5. Material approval slip No. (Date)
6. Checking physical properties of samples with deliveries
a. Colour
b. Shape
c. Flusher accessories
d. Shape of discharge outlet
e. Lead cover
f. Solidness of full set
g. Position of outlet of siphons
7. Fitting compliance with product data
8. Material quality for fixing
9. Dimensional measurement for fixing
a. Horizontal
b. Vertical
c. With reference to floor/Ceiling
10. Water tightness at joints
11. Conformation of stability of positioned item
12. Additional remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
CHECKLIST FOR WORK PERMIT
Format Number
Project: /070
Employer: Format made in 2 copies
Architect/Consultant:
Contractor:
Site Location: Campus:
Block: Axes:
Document Referred: Floor:

Check list title:


ELECTRO MECHANICAL & PLUMBING

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Submission of shop drawing
2. Presentation of methodology
3. Qualification of professional/plumber
4. Capacity of item (Discharge, Gutter rating, Voltage, Head etc.)
5. Suitability for intended fluid types
6. Location of item
7. Positioning of item
8. Applicability of product data with give design
9. Raw material approval slip No./Date
10. Partial assembled model sample approval slip No./Date
11. Approval joint component
12. Approval of hanger and their accessories
13. Method of site formation
a. Cutting
b. Folding
c. Soldering
d. Brazing
e. Welding
f. Bondage
g. Bending
h. Shape precision checking
14. Stream lining nature of assembly
15. Tightness for intended type of flow
16. Preservation of industrial coating
17. Evenness of finished product shape
18. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:
Signature Consulting Architects & Engineers PLC Format Number
/071
CHECKLIST FOR WORK PERMITFormat made in 2 copies
Project: 40/60 Saving House 2B+G+13 and 2B+G+15
Employer: Addis Ababa Saving House Development Enterprise
Architect/Consultant: Signature Architects and Engineers PLC
Site Location: Bole Ayat 40/60 Saving, Project Brounch 4 & Site 2
Contractor:
Parcel: Bldg Block:
Document Referred: Floor:

Non Confirming

Not applicable
N.B The Architect's staff on site should mark the corresponding boxes with

Confirming
a tick, sign, file one copy and give back the other copy to the
contractor.
1. Urgency of the intended work
2. Declaration of proposed work
3. Permission from concerned authorities
4. Sufficiency of volume of raw materials
5. Ahead night time light sufficiency of lighting
6. Availability and sufficiency of lighting
a. Around raw materials source
b. Around machineries location
c. Around storage area
d. Access to site clinic
e. Access to temporary erected facilities (Lavatory, potable water
etc)
f. Around actual work area
7. Safety condition of site
a. Availability of Ambulance/allocated vehicle
b. Treatment facilities/capable personnel
c. Transportation facility to workmen
d. Security condition for labour safety
f. Safe access to work place
g. Stability of erected labour access (Ascending, Descending etc.)
8. Fulfilment of inspection checklist format
9. Additional Remarks

DECISION
The above items are fulfilled …… not fulfilled, the contractor is
hereby allowed …../ refused ….. to clear the site. The take off sheet
of this activity shall immediately be signed upon completion

For the Architect/Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:

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