Doc No : QC/QF/04

Page No : Page 1 of 2
CONCRETE PRE-POUR INSPECTION CHECKLIST
Rev No : 0
Rev Date : 28/12/2017

Contract No Project Name Location

Inspection Date: Time:

Inspection No: Concrete Placement #:
Scheduled Pour Date: Concrete Qty:
Description:

Structural Non-Structural
Type of Inspection
Internal With Client
Item Accept/Reject Comments
Excavation
Excavation Location (Survey Check)
Sub grade Location (Survey Check)
Screed Rail Elevation Set (Survey Check)
Surface Preparation
Foundation Preparation
Expansion Joint Material (Type)
Expansion Joint Material (Survey)
Screed Rail (Survey )
Formwork
Alignment and Grade (Survey Check)
Adequate Ties and Bracing
Form Surfaces
Grade Strips and Chamfer Strips
Clean and Oiled
She-Bolt and Tie Protection
Block-outs installed
Others(if any)
Reinforcement
Size &Quantity
Location
Spacing
Adequately Tied &Supported
Splices
Clearance
Cleanup Inside Forms
Dowels for Future Pours
Others(if any)
Embeds
Dummy/Future Form Ties Installed
Anchor Bolts
Embedded Steel
Embedded Templates
Other Embeds
Water stop
Size and Type
Location
Quality Control Department QCQF04-Concrete Pre-Pour Inspection Checklist
 Doc No : QC/QF/04
Page No : Page 2 of 2
CONCRETE PRE-POUR INSPECTION CHECKLIST
Rev No : 0
Rev Date : 28/12/2017

Piping and Drains

Size and Material
Location
Adequately Supported - Secure
Ends and Opening Sealed
Proper Invert Elevations
Electrical
Conduit Size &Location
Conduit Adequately Supported
Conduit Couplings Tight and Wired
Conduit Ends capped or Sealed
Ground Wires & Inserts Installed
Boxes Securely Installed
Air Ducts / Air Flues
All Air Flues Anchored/Supported
All Ducts Braced
All Embeds & Conduits on Air Ducts
Others
Preparations for placing
Final Cleanup
Batch Plant Notified
Access: Scaffolds and Ladders
Pumps Notified
Pumps Access/Location clear
Curing Compound
Plastic Covering on Hand
Cure Blankets or Describe alternate Method
General Comments / Remarks

Inspection Results
Approved Approved with comments Rejected
The above mentioned works have been checked, and comply with the approved shop drawing and Contract Documents.

Initials

Contractor Site Engineer

Name Signature Date

Contractor Quality Control

Name Signature Date

Client QA/Representative
Name Signature Date

Quality Control Department QCQF04-Concrete Pre-Pour Inspection Checklist