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 :RCC POUR CARD

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

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

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?

2 Is Concrete Surface & Rods are free from mud, rust, oil, loose
binding work, dirts and other debris, etc.?
3 Marking has been checked?

4 Check for the position of insert plates (if Any)?

5 Proper Approved Design Mix Proportion used?

6 Size of Member Checked?

7 Avaliability of viberator and wooden hammer has been
checked?
8 Is bars are placed as per approved BBS?
9 Is provisions given for service positions, size and trimming bars
if
10 Any?

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