No Dok : CSI-EPTI/X-/CONS

No Rev : 0.0
Tgl Rev : 05 Februari 2021

APPLICATION FOR INSPECTION

Strengthening
Project : Contractor :
Client : Consultant :

Doc No.
:
Type of Work
:

Location / Area :

Reference Drawing :

Roof Type :
Particular Requirement
Material Spec. :

REQUEST FOR INSPECTION Date : Time :

Request by Representative : Consultant:

Site Manager Quality Control CSA Supervisor

Note :
 APPLICATION FOR FABRICATION
Strengthening
INSPECTION OF FABRICATION
Consultant Owner
No Inspection item Note / Remarks
Yes No n/a Yes No n/a
1 Material
2 (Base) plates flat and straight
3 Dimensions (length, thickness, shape)
4 Damages
5 Grind sharp edges
6 Bolt holes drilled only
7 Straightness, twist
8 Bend (curvature)
9 Welding:
a) Joint properly prepared and clean
b) Type and material of the electrodes
c) Qualified welder / fitter
d) Back-up plate
e) Weld thickness
f) Slag removal
g) Porosity
h) Spatters removed
i) Undercut / underfill
10 Other:

Consultant Owner
Sign/Name Sign/Name

Date Date

INSPECTION OF PREPERATION AND PAINTING

Preparation works:
Consultant Owner
Nr. Inspection of Note / Remarks
Yes No n/a Yes No n/a
1 Free from oil/grease
2 Free from rust/scaling
3 Surface preparation:
- Sand
- Wire brush
- Sand paper
4 Other:

Consultant Owner
Sign/Name Sign/Name

Date Date
Painting works:

Nr. Inspection of Primer Second layer Top coat

Brand: Brand: Brand:
Thickness: Thickness: Thickness:
Consultant Owner Consultant Owner Consultant Owner
1 Uniformity
2 Thickness
3 Surface preparation
4 Cleanliness
5 Evenness of paint
6 Other:

Consultant Owner
Sign/Name Sign/Name

Date Date

INSPECTION OF TRANSPORTATION
Consultant Owner
No Inspection of Remarks
Yes No n/a Yes No n/a
1 Supports
2 Slings (no steel slings allowed)
3 Protection (timber spacers/supports)
4 Safety
5 Other:

Consultant Owner
Sign/Name Sign/Name

Date Date

INSPECTION OF ERECTION
Consultant Owner
No Inspection of Remarks
Yes No n/a Yes No n/a
1 Check position Installation
2 Elements in right position (as on drawing)
3 Condition of roof / paint (damages)
4 Alignment of installation
5 Plumb of installation
6 Level of base plate
7 Level of structure
8 Alignment of purlins/sagrods
9 Alignment of bracing
10 Temporary bracing for stability
11 Bolts conform specification
12 Bolts tightened
13 Paint repairs required
14 Permission for site welding
15 Other:

Consultant Owner
Sign/Name Sign/Name

Date Date