Template No: CL 01 Rev A

CHECKLIST - Checklist No.

ALACRITY PMC
SHUTTERING Checklist Date:
Name of Work: Construction of Library Block for RV University at Mysore Road. Bengaluru.
Client: Rashtreeya Sikshana Samithi Trust(RSST), Jayanagara, Bengaluru.
Contract No.:
Contractor: Ambica Constructions and Contractors, Bengaluru.
Item Description: BOQ Reference No: Inspection Requested by:

Location Section Level Drawing No, Rev No, Date & Title

Points to Check YES NO NA REMARKS

1. Check for approved method statement including design

2.Check for provision and arrangement of the following w.r.t. shuttering scheme.

a) H-frame
b) Props
BEFORE SHUTTERING WORK

c) Adjustable spans
d) Bracings
e) Clamps & couplers
f) Channels
g) Clips
h) Pipes
i) Base plates
j) Jacks
k) Wall form panels
l) Corner angles
m) Plywood or Timber forms

3.Are forms straight,clean & free from damage.

4.Check firmness of base support & make good as required.

Start Date:

1.Are forms especially end forms properly braced

DURING SHUTTERING WORK

2.Check beam, column junctions for verticality,tightness and dimensional accuracy

3.Check for stability, safety & rigidity of assembled forms
4.Check the levels of slab & beam in the formwork
5.Check for location of cutouts
6.Check for conformance of the assembled forms to dimensions, shapes, lines, grades &
plumb as required.
7.Check for sealing of gaps, joints & holes in shutter forms.
8.Check for releasing agent applied over shutter forms.
9.Have necessary clean-outs been provided in the bottom of forms?
10.Are spacers between shutters adequately provided where ever required?

11. Safety norms are complied during shuttering work.

Work Approval Approved Approved subject to Rectifications Listed Not Approved [See
Remarks]
Work approval date Start Date End Date
REMARKS

Contractor: Project Managers: Architect: Client:

Ambica Constructions & Contractors Alacrity PMC ACE Groups Architects Pvt Ltd Rashtreeya Sikshana Samithi Trust