SOMALI DESIGN & SUPERVISION WORKS ENTERPRISE WORK

PERMIT CHECK LIST

Project: Moyale Town and Elgof Kebele Water Supply Project

Employer: SRS, Irrigation Development Bureau Structure Name/ Block/Bill: 7- Construction of Pump House
Contractor: IQRA General Construction Company Activity: Pump House floor slab and shear wall Re-bar and formwork
Consultant: SRS, Study, Design and Supervision Works Enterprise
Location: Somali Regional State, Dawa Zone, Moyale Woreda
Document Referred: Design Drawing and BOQ of Project Agreement

Pump House Floor Slab and Shear Wall Re-bar

Tick (, x, ) N.A/SSTW**/Comment
Preceding Work Acceptance Remark of Placing of Reinforcement and Formwork Fixing

 Submittal of form work design;

 Conformity with approved formwork design i.e. dimension,

shape, strength method of fixing, rigidity, bracing detail,
detail for a false work or centering, method of removing the
form and detail at joints. (Slab thickness, waist)

 Test result of reinforcement for all requirements

Submittal of shop drawing showing Diameter, Spacing, number,
length, shape, method of tying and bending dimension of main
reinforcement bar in accordance with the drawing;

 Cleanliness of all reinforcement bar (free from dirt, paint, oil,

rust and other foreign sunstones;

 Overlap location and length to be as shown on drawing;

 Type, shape, dimension, spacing and method of fixing of

spacer to maintain the required concrete cover;

 Type of material to be used for form work;

 Method used to treat the formwork for preventing adherence

of concrete/ coating with oil or any other release agent/

 Cleanliness & smoothness for surface of forms to be used;

 Solidness of support for false work.

Additional Remarks______________________________________________________________

For the above items are Fulfilled /not fulfilled, the Contractor is here by allowed/ refused to proceed
Placing of reinforcement work.

For consultant: - For the Contractor: -

Name _________________ Name___________________
Signature_______________ Signature ______________
Date___________________ Date __________________

The take-off sheet of this activity shall immediately be signed upon site
*SSTW= Specification for Architectural work
**N. A = Not applicable