M/s.

Aminbhavi & Hegde,

Consulting Engineers Pvt. Ltd.,
QUALITY CHECKLIST FOR SITE WORKS 3rd Floor, Mldhav Square,
Station Roac Malmaddi, Dhawad -
580 007

CL -- 05-A : PCC CHECKLIST

Date:
Name of the Client:HUBLI DHARWAD SMART CITY LIMITED

Project Name: Construction of Integrated Sport's Stadium Complex Location:

at Hubli. Under Hubli Dharwad smart City.

Name of the Contractor:M/S KMV PROJECTS LIMITED

Ref No: Date: Quantity:

Drawing Reference
Rev No:
Sl. No. Description YES NO NA Remarks

1 Latest Drawings Available?

Have the Dimension and orientation of the excavated pit

2
has been Checked?

3
Is all the loose material has been removed from the Pit?

4
Is the surface level of the pit even?

5
Shuttering Box fit in position?

6
The pit been button marked?

7
Bottom starta been checked and approved?
CORRECTIVE ACTION PROPOSED- Item wise.
If 'No' is marked, please specify reasons and thereafter corrective action proposed. (Add additional
sheets, if necessary)
Comments:

Contractor Consultant Client