INSPECTION OF EXCAVATION FOR

FENCE WORK
围墙土方开挖验收

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查项目
Accept Reject Accept Reject
Demolition or protection of existing facilities
1
既有设施拆除保护
Investigation of existing underground facilities
2
调查现有地下设施
Line and slope according to approved drawings
3
位置、坡度
4 Depth of excavation 开挖深度
Condition of compaction on the bottom surface
5
坑底情况

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)
Name

Signature

Date
ITR-001
 INSPECTION OF LEAN CONCRETE FOR
FENCE WORK
围墙垫层混凝土验收

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查项目
Accept Reject Accept Reject
1 Formation lebel / Ground level 基层
2 Top Level of Lean Concrete 完成面标高
3 Joint survey 位置
4 Formwork 模板
5 Concrete delivered is correct grade 混凝土等级
6 Slump of each batch in within tolerance 坍落度
Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)
Name

Signature

Date
ITR-002
 INSPECTION OF REBAR INSTALLATION
FOR FENCE WORK
围墙钢筋安装验收

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查内容
Accept Reject Accept Reject
1 Size / Number 规格、型号

2 Length of lapping 搭接长度

3 Thickness of concrete cover 保护层厚度

4 Bending 弯曲

5 Quantity, Location, & Spacing 位置、间距、数量

6 Bar Tied and tie wire done 钢筋绑扎

7 Clean & free of dirt and debris 杂物清理

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)
Name

Signature

Date
ITR-003
 INSPECTION OF FORMWORK
INSTALLATION FOR FENCE WORK
模板安装验收

Report
Project项目 : The Manufacturing Base of Xinyi Glass Indonesia :
No
Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查内容
Accept Reject Accept Reject
1 Position, Dimension, Elevation 位置、尺寸、标高
2 Adequate bracing 足够的支撑
3 Joint 接缝接口
4 Applying oil coating 脱模剂
5 Opening and Penetration 洞口、预留预埋
6 Clean with no extra nails, debris / sand 杂物清理

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)
Name

Signature

Date
ITR-004
 INSPECTION OF CASTING FOR FENCE
WORK
围墙混凝土浇筑

: The Manufacturing Base of Xinyi Glass

Project项目 Report No :
Indonesia
Contractor : PT. China State Construction Overseas
Date日期 :
施工单位 Development Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List检查项目
Accept Reject Accept Reject
Concrete delivered is correct grade
1
混凝土等级
2 Slump of each batch in within tolerance 坍落度

3 Method of concrete placement 混凝土浇筑方式

4 Thoroughly compacted 振捣
5 Test cubes are made and labelled 试块留置
Volume : Design Mix :
Pour Date : Supplier :
Weather : Air Content :
Slump : Quantity Specimen :
Additive :
Pour Terminated :
Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)

Name

Signature

Date
ITR-005
 INSPECTION OF POST CASTING FOR
FENCE WORK
围墙混凝土浇筑后检查

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas
Date日期 :
施工单位 Development Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查项目
Accept Reject Accept Reject
1 Concrete curing properly 混凝土养护
2 Concrete finish level 完成面标高
3 Removing formwork 拆模
Concrete surface (no honeycomb, no crack, no
4 twisting, no sagging, no bulging and no exposed
rebar）混凝土外观质量

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)

Name

Signature

Date
ITR-006
 INSPECTION OF TILE INSTALLATION FOR
FENCE WORK
围墙贴砖验收

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查内容
Accept Reject Accept Reject
1 Tile dimension 规格、尺寸

2 Cleanliness area before installation 基层清理

3 Tile must be soaked before istallation 瓷砖泡水

4 Marking point as per drawing 放线、打点

5 No cracked and spotless 没有裂缝、污损

6 Surface (straight and flat)观感（直线度、平整度）

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)

Name

Signature

Date
ITR-007
 INSPECTION OF GLASS INSTALLATION
FOR FENCE WORK
围墙玻璃安装

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List
Accept Reject Accept Reject
1 Glass dimension as per drawing 玻璃规格、尺寸

2 Marking as per drawing 玻璃安装位置

3 Sealant is filled properly 玻璃固定、胶缝

4 No cracked, no skewed 没有裂缝、歪斜

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)
Name

Signature

Date
ITR-008
 INSPECTION OF BACKFILL FOR FENCE
WORK
围墙土方回填工作

Project项目 : The Manufacturing Base of Xinyi Glass Indonesia Report No :

Contractor : PT. China State Construction Overseas Development
Date日期 :
施工单位 Shanghai
Location位置 : DWG No. :

CSCODS XYG
No Check List 检查内容
Accept Reject Accept Reject
Material for backfilling are suitable and approved
1
合适的回填材料
2 The layer of thickness is adequate 回填厚度
Adequate water spreyed when compacting
3
压实、浇水沉实
4 Cleaning condition 场地清理

Note :

Inspection Result检查结果: Accept 通过 As Noted 意见如上 Reject 拒绝

Consultant Representative
Inspected By : Contractor Owner
(Random Witness)
Name

Signature

Date
ITR-009