QCF007 Post Pour Inspection and Concrete Repair

TECHNIP CONSORTIUM

DUNG QUAT REFINERY PROJECT

POST POUR INSPECTION AND CONCRETE REPAIR LOCATION & CONSTRUCTION UNIT :

FORM No.

QCF 007

SUBC. No.

____________

SHEET:

1 of 1

DATE OF POUR:

CONCRETE GRADE :

REF. DRAWING NO.:

POST POUR INSPECTION DESCRIPTION

SUBCONTRACTOR ACCEPTANCE

TPC ACCEPTANCE

REMARKS

CURING METHOD CURING AGE

DAYS

REMOVAL OF FORMWORK ON TIEHOLE / TIEBAR

CONDITION OF SURFACE

HONEYCOMBING CRACKS GROUTLOSS OTHER

JOINTS (DILATATION/CONSTRUCTION) JOINTS (EXPANSION/CONTRACTION) CHAMFERS UNDERCUTTING OF FOUNDATION BY WATER SURVEY RECORD NO LOCATION

SURVEYOR'S LEVEL CHECK STRUCTURE & OTHER INSERTS SURVEY RECORD NO LOCATION LEVEL CONCRETE DEFECT INSPECTION: REMOVAL OF SURPLUS MATERIAL MAKE GOOD MINOR SURFACE DEFECTS MAKE GOOD UNDERCUT FOUNDATIONS APPROVAL FOR BACKFILL SIGNATURE: SUBCONTRACTOR

NAME:

DATE:

SIGNATURE: TPC

NAME:

DATE:

SIGNATURE: CLIENT/PMC

NAME:

DATE:

CONCRETE REPAIR DESCRIPTION OF DEFECT : PROPOSED REPAIR PROCEDURE NO. : ____________ DESCRIPTION

or

NCR No. ___________

SUBCONTRACTOR ACCEPTANCE

TPC ACCEPTANCE

CLIENT/PMC ACCEPTANCE

REMOVAL OF SURPLUS MATERIAL SURFACE PREPARATION INSPECTION MATERIALS EQUIPMENT AND TESTING POST REPAIR INSPECTION INSPECTED BY: _____________________________ Name (Subcontractor)

_______________________ Signed

__________________ Date

INSPECTED BY: _____________________________ Name (Contractor)

_______________________ Signed

__________________ Date

INSPECTED BY: _____________________________ Name (CLIENT/PMC)

_______________________ Signed

__________________ Date