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2021

Checklist
Civil

ACC CONSTRUCTION COMPANY

June/
2021
Job Number Project Page of
Field Inspection Checklist
Earthwork 1/2

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

A GENERAL

1. Is area released for work?

2. Is equipment adequate?

3. Are existing structures and utilities adequately protected?

4. Is removed material properly dispositioned?

5. Dust and dirt control:

a) Haul routes maintained for dust control – by water or chemicals?

b) All paved areas kept clean?

B EXCAVATION OF TRENCHING

1. Does completed depth and configuration comply with drawings and specifications?

2. Required shoring and bracing in place?

3. Existing utilities protected?

C PLACING AND COMPACTING FILL

1. Excavation properly compacted and verified by test lab?

a) All sleeves, pipe cable, grounding, conduit installed and approved?

2. Approved fill material is used?

3. Is fill being placed in level lifts within thickness limits?

4. Is proper compaction attained and verified by test lab?

5. Have contaminated (and spongy) areas been cut out, filled and compacted with approved
material?

D BEDDING AND BACKFILL OF PIPE AND UTILITY TRENCHES

1. Approved bedding and backfill material is used?

a) Is bedding fully compacted to support pipe or utility at line, grade, and slope required and
verified by inspector?

E GRADING

1. Approved grading material used?

a) Final shaping/compacting and blade and 3-wheel rollers of 8-10 ton?

2. Sufficient slope for positive drainage away from structures to drainage system?
Job Number Project Page of
Field Inspection Checklist
Earthwork 2/2

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

3. Is rough grading reasonably even and free of irregularity and allowance made for finish
grading?

4. Is finished grade:

a) Cleaned of all loose and foreign material?

b) Smooth and even in profile (= 1” in 10’) and not more than 1” from true elevation?

REMARKS: _

QC SIGNATURE: _ DATE:
Job Number Project Page of
Field Inspection Checklist
Solidification 1/1

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

A GENERAL

1. Is area released for work?

2. Is equipment adequate?

3. Adequate dust control maintained?

4. Appropriate mix proportions?

5. Appropriate mixing time and speed?

B SAMPLING AND TESTING

1. Collection, curing and testing in accordance with requirements?

REMARKS: _

QC SIGNATURE: _ DATE:
Job Number Project Page of
Field Inspection Checklist
1/2
Structural Steel Erection

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

A STORAGE

1. Storage provided adequate? Drainage provided?

2. Steel properly blocked and stacked?

3. Evidence of excessive rusting?

4. Faying surfaces properly protected?

5. High strength bolting segregated from common fasteners?

B BOLTING

1. Bolts, nuts, washers square with mating surface?

2. No paint or foreign material on contact surfaces?

3. Correct material and size used on high strength connections?

4. Evidence of distorted metal or enlarged bolt holes from improper alignment?

5. Evidence of enlarging holes by burning?

6. High strength bolts torqued to specification requirements?

7. Means provided to indicate which joints/bolts have been torqued? Torque wrench
periodically calibrated?

8. Status of completed high strength connections recorded on drawings and appropriate


records?

C ERECTION

1. Members accurately shimmed, wedged, plumbed and aligned prior to final connection?

2. Shims used are actual shim stock?

3. Entry holes through members are authorized by drawing?

4. Anchor bolts proper size, setting and location?

D WELDING

1. Welders, weld procedures qualified to requirements of AWS D1.1, Structural Welding Code,
Section 5?

2. Qualifications records available – maintained?

3. Correct weld wire, size and type, used?

4. Correct weld machine settings used?

5. Weld joints properly prepared, aligned, free from cracks, scale, grease, etc. prior to welding?
Job Number Project Page of
Field Inspection Checklist
2/2
Structural Steel Erection

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

6. Root opening tolerances not exceeded?

7. Pre-heat and interpass temperature requirements complied with?

8. Repair of defective welds performed to approved weld procedure requirements?

9. Completed welds meet the visual and dimensional requirements?

10. Weld filler material returned to storage at close of shift?

11. Records for weld inspection prepared and retained?

E PAINTING

1. Temporary braces, clips, etc. removed prior to painting or field touch-up?

2. Weld splatter, slag removed prior to touch up?

3. Damaged paint area properly prepared and touched up?

4. Correct primer used?

REMARKS: _

QC SIGNATURE: _ DATE:
Job Number Project Page of
Daily Concrete Inspection Report
1/1

CONTRACTOR:
SPECIFIC LOCATION: AREA OR BUILDING LIFT NO:
STATION: TO STATION: OFFSET:
T/OFFS: ELEVATION: TO ELEV:
CONCRETE TYPE: MIX NO: ADDITIVES:
TYPE OF DELIVERY:
DELIVERY EQUIPMENT IDENTIFICATION/NUMBER:
PLACEMENT STARTED: DATE TIME SHIFT
PLACEMENT COMPLETED: DATE TIME SHIFT
WEATHER CONDITIONS:
TOTAL CONCRETE PLACED:
TOTAL CONCRETE WASTED: REASON:
BATCH TICKET NOs:
AVERAGE SLUMP: TEMPERATURE: % AIR CONTENT:
TEST CYLINDERS PREPARED:
TRUCK IDENT: TOTAL CYLINDERS: CYL IDENT:
TYPE CONVEYANCE USED:
SURFACE CONDITION PRIOR TO PLACING:
MAXIMUM FREE FALL OF CONCRETE: PROPER CONSOLIDATION:
AMOUNT VIBRATORS: VIBRATORS IDENT/RPM:
DISCHARGE POINTS: NUMBER LOCATION
REINFORCING DISTURBED/REPLACED/REPAIRED:
TYPE FINISH SPECIFIED:
FINISHING STARTED: DATE TIME SHIFT FINISHING
COMPLETED: DATE TIME SHIFT CONDITION
OF FINISH: TYPE OF
CURING: DELAYS (INDICATE TYPE AND REASON: PERSONNEL, EQUIPMENT OR PLANNING):

OBSERVATIONS/REMARKS:

CONCRETE INSPECTOR: DATE:


Job Number Project Page of
Concrete Placement Checklist
1/1

CONTRACTOR
SPECIFIC LOCATION: AREA OR BUILDING LIFT NO. SHIFT
STATION TO STA. OFFSET T/OFFS.
ELEVATION TO ELEV.
CONCRETE TYPE MIX NO. ADDITIVES COMPUTED QTY

LOCATION SKETCH – PROVIDE SPECIAL DIRECTIONS, DETAILS, FLOW DIRECTION, ETC.

REPLACEMENT VERIFICATION
1. ELECTRICAL SUPERVISOR: ITEMS TO BE CHECKED

CABLES/GROUND WIRE CONDUIT BOXES OTHER

COMPLETE/ACCEPTABLE TO DRAWING REV.


SIGNATURE DATE
2. MECH./PIPING SUPERVISOR: ITEMS TO BE CHECKED

MECHANICAL INSERTS PIPING SLEEVES MECH. FRAMES OTHER

COMPLETE/ACCEPTABLE TO DRAWING REV.


SIGNATURE DATE
3. CIVIL/STRUCT. SUPERVISOR: ITEMS TO BE CHECKED
ROCK CROSS SECTIONS TAKEN ROCK SURFACES PREPARED
SCREEDS SET LINE AND GRADE ESTABLISHED

FORMS REINFORCING STEEL


ALIGNMENT BRACING/SHORING CORRECT SIZE/GRADE LOCATION
INTERIOR SURFACE RELEASE AGENT LAPS. ADEQ. SECURED LEAN
CONSTRUCTION JOINTS PREPARED WATER STOPS WIRE TIES/FORM RODS
PLACEMENT/CONSOLIDATION EQUIPMENT AVAILABLE/ADEQUATE

SAFETY PRECAUTIONS OBSERVED ICE, SNOW, WATER REMOVED


FINAL CLEANING ACCEPTABLE

COMPLETE/ACCEPTABLE TO DRAWING REV.


SIGNATURE DATE

QUALITY CONTROL INSPECTION VERIFICATION


SIGNATURE DATE

OBSERVATIONS/REMARKS

AUTHORIZATION FOR PLACEMENT


CONSTRUCTION MANAGER DATE
Job Number Project Page of
Field Inspection Checklist
Placing, Consolidation, Finishing, Curing and Repair of Concrete ½

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

A PLACING

1. Pre-placement checklist completed? Placement authorized?

2. Concreting surfaces cleaned, moistened when required?

3. Conveying equipment suitable for placement?

4. Conveying equipment clean, properly maintained?

5. Vertical drop limits not exceeded?

6. Horizontal layers not exceeding two-feet in depth?

7. Flow of placement per sketch details?

B CONSOLIDATION

1. Vibrators previously tested and approved?

2. Systematic pattern used during vibration?

3. Vibrators:

a) Penetrating previous layer?

b) Not used for horizontal movement of concrete?

c) Withdrawn slowly?

d) Not over vibrating?

C FINISHING

1. Surface top properly screened, when required?

2. Finishing tools used for intended purpose?

3. Desired finish obtained? Even, smooth and level?

4. Joints, edges, corners properly finished?

D CURING

1. Forms left in place per construction specifications requirements?

2. Curing operations started immediately, adequate?

3. Curing protection periodically checked and maintained?

4. Curing is continuous to specified length of curing process?

5. Traffic and loading over surfaces controlled during curing?

C-9
٨٢٢
Job Number Project Page of
Field Inspection Checklist
2/2
Placing, Consolidation, Finishing, Curing and Repair of Concrete

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

E REPAIR

1. Surfaces inspected? Serious defects documented?

2. Cosmetic repairs made?

3. Structural defects repaired in accordance with approved procedures?

REMARKS: _

QC SIGNATURE: _ DATE:
Job Number Project Page of
Field Inspection Checklist
1/2
Cast Concrete Piles

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

1. Receipt inspection performed including:

a) Dimensions?

b) Visual?

c) Material test reports for cement, concrete, reinforcing steel, shells, mix test reports, etc.?

d) Reinforcing steel for spacing, clearance, size, dowel and tendon extensions?

2. Piles properly casted?

3. Safety conditions observed?

4. Contractors approved procedures complied with?

5. Test piles required?

6. Proper protection, pre-cautions taken for adjacent structures, utilities?

7. Piles properly placed, sequenced according to plan, and plumb?

8. Inside properly cleaned, cross section verified, bottom interior cleaned of loose materials?

9. Concrete delivery method approved? (tremie, pump, limited free fall)

10. Concrete fill placed in single, uninterrupted operation?

11. Top of pile properly consolidated?


12. Volume of concrete properly measured and checked?

13. Piles cut-off to specified elevation? Cut-off level?

14. Load test (if required) performed to approved procedures?

15. Load test results evaluated, approved?

16. Contractor’s Daily Report includes:


a) Identification of Contractors Supervisory personnel?

b) Pile type, length, splices, location, calculated safe load?

c) Penetration under last five hammer blows?


d) Unusual conditions, obstructions, replaced piles, etc.?

e) Results of tests, if any?


Job Number Project Page of
Field Inspection Checklist
2/2
Pre-Cast and Cast-In-Place Concrete Piles

CONTRACTOR: _ CONTRACT NO:

REFERENCES (DRAWING, SPECIFICATION, PROCEDURE): _

ATTRIBUTE YES NO N/A

21. Inspectors records include:


a) Make, model of hammer

b) Energy source

c) Weight of striking parts

d) Height of fall of striking parts

e) Weight of pile

f) Blows per unit of penetration

REMARKS: _

QC SIGNATURE: _ DATE:

C-10
١٣٢

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