PROJECT :

FORM NO. :
F-YLFCCS-QC-00-000
DATE PREPARED REQUEST NO.
REQUEST FOR STRIPPING OF FORMS
REQUESTED BY : Name/ Designation :
Contractor : ____________________________________ Signature :

NOTE: ALL SIGNATORIES SHOULD PRINT THEIR NAME AND SIGN

LOCATION (PLS. ENCLOSE KEY PLAN) LEVEL

TIME AGE OF
PARTICULARS DATE CASTED TEST RESULT REMARKS
COMPLETED STRUCTURE
FOUNDATION

RC WALLS / SHEARWALLS

COLUMNS

COREWALLS

SLABS

STAIRS

BEAMS / GIRDERS

SIDE

SOFFIT

OTHERS

CURING COMPOUND APPLICATION MONITORING

WITNESSED BY: WITNESSED BY:
PARTICULARS DATE APPLIED
CONTRACTOR'S QC ENGR. YLFCCS

TOP OF SLAB

WALL / SHEARWALL

COLUMNS

COREWALL

OTHERS

INSPECTION SUMMARY (REMARKS / CONDITIONS) YLF Recommendations

Approved for Stripping

Not Applicable
Disapproved
Others _________________________

CHECKED BY: APPROVED BY:

Contractor's Superintendent YLFCCS - CE/QC

INSPECTED BY: NOTED BY:

Contractor's QA/QC Engineer YLFCCS- Project Manager

NOTE : THIS FORM MUST BE SUBMITTED TO THE CQC TEAM, DULY ACCOMPLISHED AND SIGNED BY THE CORRESPONDING CONTRACTOR'S
PERSONNEL-IN-CHARGE AT LEAST 24 HOURS BEFORE ACTUAL INSPECTION.