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Authority : National Highways Authority of India (Ministry of Road Transport and Highways)

Authority Engineer : Chaitanya Projects Consultancy Pvt. Ltd. In Association with M/S Infrailluminations LLP

EPC Contractor : Patel Infrastructure Limited


FORMWORK INSPECTION CHECK LIST - B1
Structure Name & Location : Element/Part :
Contractor's Inspection Request No. & Date:
Contractor's Drg or Sketch no. :
RL of last Concrete :
RL of Concrete to be Done :
No. Item Particulars Yes No NA
1 Formwork design / drawing sketch approved de-shuttering arrangements.
2 Formwork alignment correct
3 Formwork levels correct, including screeds.
4 Formwork dimensions correct.
5 Formwork member spacing correct.
6 Formwork member material quality acceptable.
7 False work member sizes correct.
8 False work member spacing correct.
9 Flash work member material quality acceptable.
10 Gaps between primary & secondary members closed/wedged.
11 Face boarding / Plywood / Metal thickness correct.
12 Panel flatness acceptable.
13 Tie rod material and sizes correct.
14 Tie rod spacing correct.
15 tie rod tight, face cones flush.
16 spacers between shutter surface tightly fitting.
17 Box outs, cast-in items, ducts fixed correct, secure.
18 Empty sheating secured against floatation.
19 Chamfers / fillets sizes, straightness, fixing acceptable.
20 Formwork clean.
21 Formwork release oil material approved.
22 Formwork release oil applied correctly.
23 Construction joint preparation satisfactory.
24 Construction / expansion joint preparation satisfactory.
25 Adequate work space provide for labour, equipment.
26 Shutter vibrators (If required) location & fixing arrangements approved.

For EPC For Authority Engineer

Designation : Designation :
Signature : Signature:
Date: Date:

233
Authority : National Highways Authority of India (Ministry of Road Transport and Highways)

Authority Engineer : Chaitanya Projects Consultancy Pvt. Ltd. In Association with M/S Infrailluminations LLP
EPC Contractor : Patel Infrastructure Limited
REINFORCEMENT INSPECTION CHECK LIST -B2
Structure Name & Location :
ELEMENT / PART :

Contractor's Inspection Request No. & Date :

Contractor's Drg. Or Sketch No. :


No. Item Particulars Yes No NA
1 Working drawing checked and approved
2 Latest revision being used.
3 Bar Bending schedules approved.
4 Reinforcing steel material approved.
5 Bar bending & cutting satisfactory.
6 Corrosion treatment to bars, if required, satisfactory.
7 Bar sizes correct.
8 Bar spacing correct.
9 Bar lap lengths correct.
10 Bar laps at correct locations.
11 Bar tied as specified.
Bar assembly rigid and adequately supported (including spacers / chair
12
supports.)
13 Cover to bottom bars correct.
14 Cover to side bars correct.
15 Cover to top bars correct.
16 Cover blocks approved including fixing.
Remarks:

For EPC For Authority Engineer


Designation : Designation:
Signature : Signature:
Date: Date :

234
Construction of Four Laning of Pinjore(End of Pinjore Bypass)-Nalagarh Section from Km
4+200 to km 35+395 on NH-105(old NH-21A) in the State of Haryana and Himachal Pradesh
on EPC Mode under Bharatmala Pariyojna
Authority : National Highways Authority of India (Ministry of Road Transport and Highways)

Authority Engineer : Chaitanya Projects Consultancy Pvt. Ltd. In Association with M/S Infrailluminations LLP

EPC Contractor : Patel Infrastructure Limited

INSPECTION CHECK LIST BEFORE APPROVAL TO CONCRETE-B3


STRUCTURE NAME & LOCATION ELEMENT / PART :
CONTRACTOR'S INSPECTION REQUEST NO. : DATE :
No. Item Particulars Yes No NA

1 Method statement approved


2 Standby batcher in working order.

3 Water, Sand, Coarse Aggregate, Admixture, Cement Stock sufficient

4 Water, Sand, Coarse Aggregate, Admixture approved


Concrete covering arrangement (including transit mixers) Available in working condition and of
5
sufficient capacity.
6 Formwork approved
7 Reinforcement approved
8 Prestressing sheating approved.
9 Concreting equipments in working order
10 Vibrators present.
11 Safety arrangements adequate.
12 Lighting provided.

13 Arrangements for arranging suspension / stoppage of concrete provided.

14 Curing arrangements made.


15 Laboratory notified.

Remarks:

Approved / Not Approved for concreting.

For EPC For Authority Engineer

Designation : Designation :

Signature : Signature:

Date: Date:

235

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