RIMP
LIST OF EMBANKMENT WORKS FORMS
FORM No. Name
FORM EF -01 CHECK LIST FOR STRIPPING OF TOP SOIL
FORM EF -02 DAILY CHECK LIST FOR EMBANKMENT MATERIALS AT BORROW AREA
FORM EF -03 CHECK LIST FOR EMBANKMENT AND BACKFILL
FORM EF -04 INSPECTOR'S DAILY REPORT OF COMPACTED FILL
FORM EF -05 CHECK LIST OF SOIL TEST EQUIPMENT AND APPARATUS
FORM EF -06 CHECK LIST FOR SOD FACING
RIMP FORM EF-01
RIMP Serial No :
CHECK LIST FOR STRIPPING OF TOPSOIL
(1) RE-USE FOR EMBANKMENT, (2) SURFACE TO BE EMBANKED
Date/Month/Year : / / Weather : Fine, Clouded, Rain
Contractor: Contract No. :
Name of Canal: Location: to
1. Surface after stripping
a. Depth of stripping has been 0.20 m. (Yes) (No)
b. Width of stripping has been found sufficient. (Yes) (No)
c. All organic materials, roots have been completely removed.. (Yes) (No)
2. Preparation of surface to be embanked
a. No standing water or spring found (Yes) (No)
b. Surface has been scarified or plowed to a depth of not less than 15 cm. (Yes) (No)
c. Approve to commence embankment work. (Yes) (No)
3. Other Information or Comments, if any :
4. Attended on behalf of the Contractor :
The above works were carried out in accordance with the checklist mentioned above.
Submitted / Prepared by the Contractor :
Sign:
Name:
The Contractor
Acknowledged by the Project :
Sign: Sign :
Name: Name :
Inspector of the Consultant Direksi Lapangan
Approved by the Consultant Engineer :
Sign:
Name:
RIMP FORM EF-02
RIMP Serial No :
DAILY CHECK LIST FOR EMBANKMENT MATERIALS
AT BORROW AREA
Date/Month/Year : / / Weather : Fine, Clouded, Rain
Contractor: Contract No. :
Name of Borrow Area : To be transported to (Name of Canal):
Estimated volume transported: m 3
Specified range of natural water contents: to %
1. Check before transportation
a. Natural water contents has been checked. (Yes) (No)
b. Natural water content has been confirmed within specified range.
(-5% < OMC < 3%) (Yes) (No)
c. No organic materials, roots have remained among the materials. (Yes) (No)
d. Materials have been approved for embankment material. (Yes) (No)
2. During excavation of material
a. Excavated materials have been confirmed of same classification as per specified. (Yes) (No)
b. Natural water content has been confirmed to be within specified value. (Yes) (No)
c. No excavation has been done under ground water level. (Yes) (No)
3. Other Information or Comments, if any :
4. Attended on behalf of the Contractor :
The above works were carried out in accordance with the checklist mentioned above.
Submitted / Prepared by the Contractor :
Sign:
Name:
The Contractor
Acknowledged by the Project :
Sign: Sign :
Name: Name :
Inspector of the Consultant Direksi Lapangan
Approved by the Consultant Engineer :
Sign:
Name:
RIMP FORM EF-03
RIMP Serial No :
CHECK LIST FOR EMBANKMENT AND BACKFILL
Date/Month/Year : / / Weather: (AM) Fine, Clouded, Rain (PM) Fine, Clouded, Rain
Contractor: Contract No.:
Name of Canal : Location :
Elevation: El. M to El. M Source of borrow area:
1. Embankment materials
a. Moisture contents in AM ( )%, (OMC -5% to OMC +3%) (Yes) (No)
b. Moisture contents in PM ( )%, (OMC -5% to OMC +3%) (Yes) (No)
(Note: Optimum Moisture Content (OMC) of material ( )% as a result of compaction test)
2. Preparation of ground surface for Embankment and Filling
a. Removal of all organic soil has been completed. (Yes) (No)
b. Standing water (if any) or water pond has been removed. (Yes) (No)
3. Attention of placing of material
a. Thickness of layer after spreading is within specified range. (Yes) (No)
b. Removal of all roots, mud etc. from fill material has been completed. (Yes) (No)
4. Attention of compaction
a. Compaction equipment (as specified) (Yes) (No)
b. Condition of compaction equipment (Good) (Bad)
c. Number of roller passes (as specified) (Yes) (No)
d. Working distance of compaction equipment (less than 50 m) (Yes) (No)
e. Width of compaction (more than design width +50 cm) (Yes) (No)
f. Required tests have been done properly (as specified) (Yes) (No)
5. Attended on behalf of the Contractor :
The enbankment material and foundation preparation were checked, and the placing and
compaction of earth fill materials shall be carried out in accordance with the checklist
mentioned above.
Submitted / Prepared by the Contractor :
Sign:
Name:
The Contractor
Acknowledged by the Project :
Sign: Sign :
Name: Name :
Inspector of the Consultant Direksi Lapangan
Approved by the Consultant Engineer :
Sign:
Name:
RIMP FORM EF-04
RIMP Serial No.
INSPECTOR'S DAILY REPORT OF COMPACTED FILL
(Internal Use for Consultant)
Date: Weather: Fine, Clouded, Rain
Contract No.: Contractor:
Name of Canal: Location: to
Source and Description of Fill Materials: Estimated Embank. Vol. m 3/day
Fill Test Dry
Elevation or % of Max.
Test No. Test Location Soil Type Moisture Density
Depth Dry Density
% (kgf/cm3)
(Describe equipment used for hauling, spreading, watering, conditioning and compacting, also report thickness of layer
(lift), removal of poor soil, soil insufficiently compacted, and comments on unusual events.)
(Purpose: Summary of detailed work progress and conditions of site earthwork operations)
Prepared by:
Distributed to: 1. Group Leader
2. Irrigation/Construction Engineer in charge
3. File
RIMP FORM EF-05
CHECK LIST OF SOIL TEST EQUIPMENT AND APPARATUS RIMP
Date/Month/Year : / / Contractor: Contract No. :
Laboratory: A (Contractor's Site Office) or B (Outside); Location Name of laboratory
Equipment/Apparatus
Recommend Standard/
No. Description able Q'ty Q'ty Condition Remarks
Spec.
1 Hand Auger Set 1 Set. good, accepted, not accepted
2 Standard Sand Density Apparatus 2 Sets. good, accepted, not accepted
3 Pycnometer 2 Nos. good, accepted, not accepted
4 Hydrometer 1 Set. good, accepted, not accepted
5 Soil Analysis Sieve Set 1 Set. good, accepted, not accepted
6 Wooden Frame Square Sieve 1 Set. good, accepted, not accepted
7 Atterberg Limits 2 Sets. good, accepted, not accepted
8 Standard Compaction Test Set 2 Sets. good, accepted, not accepted
Falling Head Permeability Test Set 1 Set.
9 good, accepted, not accepted
10 Electric Oven 2 Nos. good, accepted, not accepted
11 Table Platform Scale 2 Nos. good, accepted, not accepted
12 Direct Reading Balance 2 Nos. good, accepted, not accepted
13 Hand Shovel 3 Nos. good, accepted, not accepted
14 Enamelled Trays As required good, accepted, not accepted
15 Graduated Cylinder 1,000 cc 2 Nos. good, accepted, not accepted
500 cc 2 Nos. good, accepted, not accepted
250 cc 2 Nos. good, accepted, not accepted
16 Glass Beaker 1,000 cc 2 Nos. good, accepted, not accepted
500 cc 2 Nos. good, accepted, not accepted
250 cc 2 Nos. good, accepted, not accepted
17 Thermometer 0 – 100 ℃ 2 Nos. good, accepted, not accepted
0 – 200 ℃ 2 Nos. good, accepted, not accepted
18 Hand Scoop 3 Nos. good, accepted, not accepted
19 Paper filter good, accepted, not accepted
20 Stop watch 3 Nos. good, accepted, not accepted
21 Sieve Brush 5 Nos. good, accepted, not accepted
22 Tool set 2 Sets good, accepted, not accepted
23 Sprayer 500 ml 2 Sets good, accepted, not accepted
24 Stainless Steel Scale 300 mm 2 Nos. good, accepted, not accepted
1,000 mm 2 Nos. good, accepted, not accepted
25 Rapid Moisture Tester 3 Sets. good, accepted, not accepted
26 Container 100 Nos. good, accepted, not accepted
27 Cone Penetrometer 2 Sets. good, accepted, not accepted
28 Desicator 30 cm dia. 2 Nos. good, accepted, not accepted
29 Vernier caliper 300 mm 2 Nos. good, accepted, not accepted
Triaxial Compression Test Equip.
30 Diameter of Specimen: mm 1 Sets. good, accepted, not accepted
31 Consolidation Test Equipment 1 Sets. good, accepted, not accepted
32 Concrete cylinder moulds for
compression strength test (JIS A
1108, JIS A 1132) or equivalent.
33 Mortar moulds (JIS A 1129, JIS A
1132).
34 Small electric concrete mixer. 1 Sets.
35 Aggregate sieves (JIS A 1102). 1 Sets.
36 Concrete slump test equipment (JIS A
1101).
37 Air meter for test JIS A 1116.
38 Concrete compression strength test 1 Sets.
equipment (JIS A 1108).
39 Concrete curing tank (large). 1 Sets.
NAM
DATE NAME
SIGN
PREPARED
CONTRACTOR
AND TESTED BY DATE SIGN
CONSULTANT
CHECKED BY DATEWITNESSES
SIGN
NAME
SUB-PROJECT
AND APPROVED BY
E
Submitted / Prepared by the Contractor :
Sign:
Name:
The Contractor
Acknowledged by the Project :
Sign: Sign :
Name: Name :
Inspector of the Consultant Direksi Lapangan
Approved by the Consultant Engineer :
Sign:
Name:
RIMP FORM EF-06
RIMP Serial No :
CHECK LIST FOR SOD FACING
Date/Month/Year : / / Weather: (AM) Fine, Clouded, Rain (PM) Fine, Clouded, Rain
Contractor: Contract No.:
Name of Canal : Location of Sodding:
Elevation: El. M to El. M
1. Materials
a. Original location where the sod taken from
b. The stems and roots of the sod (Good) (No)
c. Free from weeds and undesirable plan (Yes) (No)
d. Thickness of soil with root at least 7 cm, grass height less than 10 cm (Yes) (No)
2. Planting sod
a. Sod materials have been planted within 24 hours after cutting. (Yes) (No)
b. Planted in conitunous lines and cover the whole slopes (Yes) (No)
c. Planted on the shoulder and the foot of the slopes (Yes) (No)
d. The sod has been fixed by wedge or pin made of wood, or other approved materials (Yes) (No)
e. The sod has been irrigated after planted (Yes) (No)
3. Attention to maintenance of the sod until the issue of the Taking-Over Certificate
a. The sod shall be irrigated regularly (Yes) (No)
b. Weeds and dead plant shall be removed (Yes) (No)
4. Other information
5. Attended on behalf of the Contractor :
The above works were carried out and the maintenance shall be carried out in accordance with
the checklist mentioned above.
Submitted / Prepared by the Contractor :
Sign:
Name:
The Contractor
Acknowledged by the Project :
Sign: Sign :
Name: Name :
Inspector of the Consultant Direksi Lapangan
Approved by the Consultant Engineer :
Sign:
Name:
