Document #: T-CN-FR-009

Pour Card – Concrete Inspection Checklist

Project: _____________________________ Job #: ______________________________

Contractor: _________________________ Owner: _____________________________

Location: ___________________________ Work Description: ____________________

CHECK ALL THAT APPLY: any dropping or dumping of concrete must be

□Concrete placed directly against soil:
vertical.
Ensure that the soil is as specified. If it is not, □Pockets are vented to prevent air
notify The Engineer. entrapment.
□An adequate plan is in place for supplying □Membrane cover, if required, is installed
or maintaining moisture in concrete during properly.
hot weather (fog nozzles, curing compound, □All areas to receive concrete are cleaned,
flooding, burlap, etc.). wetted, or otherwise prepared as required,
□ Concrete supported by piling: Check that that foundations are free of frost and that
the number, location, and penetration of previously placed or existing concrete is
every pile have been recorded, and that the properly prepared to receive concrete.
cut-off elevations are correct (to prevent □Expansion joints and water stops are
excessive penetration into the pile cap). installed properly.
□ Ensure that the formwork has been □Arrangement have been made for
inspected and approved. specified curing, sawed joints, and
□ Ensure that the reinforcing steel has been protection, including cold weather protection,
inspected and approved. if needed.
□ Inspect the batching plant (if batching □Bolts and loose items to be embedded are
onsite). properly located and installed and bolt
□Ensure that neither calcium chloride nor an threads are adequately protected, and
threaded mechanical splices are plugged
admixture containing chlorides is used
against entry of concrete.
unless approved by The Engineer.
□Notify the batch plant operator that the
□Cylinders, measuring equipment, and
slump cone are at the site prior to the first
actual batched quantities of every load must
concrete of the day.
be on the truck tickets and that any trucks
without this information will be rejected. □The time interval between adding water to
□Ensure that the testing laboratory is
concrete and placement in forms is known by
all concerned.
notified prior to the pour and testing is
arranged at the batch plant and/or site. □Delivery of concrete, and sequence of
□All necessary tools are on hand and in
delivery, is scheduled to allow continuous
placement to prevent cold joints, and that the
working condition, including vibrators and
age of concrete is within specified or required
standby vibrators.
time limits.
□Conveying and depositing equipment is
□Screeds are provided as required.
capable of reaching areas of placement
without segregation, formation of air pockets, □Floor finishes and surface treatments are
or cold joints resulting in the concrete and properly carried out at the appropriate and/or
specified times.

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 Document #: T-CN-FR-009
Pour Card – Concrete Inspection Checklist
REFERENCE DRAWINGS:
Concrete, Rebar & Embed Drawing No: ________________________________________
U/G Electrical Drawing No: ________________________________________
U/G Mechanical Drawing No: ________________________________________
Equipment & Structural Steel Drawing No: ________________________________________

FORMS REBAR
□ Survey Checked □ Grade
□ Orientation □ Size
□ Location (coordinates) □ Splices
□ Size □ Spacing
□ Elevation □ Clearance
□ Clean and oiled □ Cleanliness
□ Chamfer □ Adequate support
□ Straight, Level, Plumb
□ Adequate Bracing

SUB-FOUNDATIONS EMBEDMENTS MISCELLANEOUS

□ Piles □ Anchor Bolts (Dia, Length, Type) □ Keyways
□ Compaction □ Anchor Bolts (Location, Projection) □ Block-outs
□ Cleanliness □ Anchor Bolt Sleeves □ Surface Roughened
□ Moisture □ Anchor Bolt Grounding □ Bonding Agent
□ Blinding Layer □ Thread Projection □ Type of Finish
□ Elevation □ Weld Pads □ Sets/Test Specimen
□ U/G Mech. & Elect. □ Angle Iron □ Hot/cold Weather Protection
□ Inserts □ Joints
□ Pipes □ Special Placing equipment
□ Conduits Required (tremies, pumps,
□ Ground Wire vibrators)
□ Water Stop

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 Document #: T-CN-FR-009

Concrete Pouring Inspection

ITP
Project
Contract No Concrete supplier Admix
Standard Technican name Quantity
Mix designe
REFERENCE DRAWINGS
Concrete, Rebar & Embed Drawing No:
U/G Electrical Drawing No:
U/G Mechanical Drawing No:
Equipment & Structural Steel Drawing No:

Concrete Vol Pouring start Pouring finish No of

SI. No Truck No. Ticket No Batch time Slump test Air content % Temp No of cubes Remark
Supplied time time Cylinder

Comments:

Inspected By Sub-Contractor Michels Canada Company

Name
Signature
Date
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 Document #: T-CN-FR-009
Pour Card – Concrete Inspection Checklist

SPECIAL NOTE:
The concrete section (typically 03300) of the specifications must be carefully reviewed along with
all other related job specifications and structural notes on the plans prior to concrete placement.
Particular attention is warranted on the section concerning required admixtures and in what areas
of the project such admixtures are required.

COMMENTS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

SKETCH (if necessary):

_______________________ ______________________________ ___________________

Print Name Signature (Authorized Michels Rep.) Date

_______________________ ______________________________ ___________________

Print Name Signature (Inspector) Date

Rev 1
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2023