CONCRETE INSPECTION CHECKLIST Version 1.
Structural Member Mix Type
Pour Date Concrete Quantity
Pour Time Location
Checklist Completed by Page 1 of 2
PRE-POUR
REINFORCEMENT SETUP CHECKS
Reinforcement - Bar Sizes Correct Yes / No
Reinforcement - Spacing Correct Yes / No
Reinforcement - Lap Lengths Correct Yes / No
Reinforcement - 60mm Cover All Sides Yes / No
Reinforcement - Electrical Conductivity Yes / No
Reinforcement - Welding of Reinforcement to AS1554.3 (if applicable) Yes / No / NA
EPCM Supervisor Initial and Date
CASTING SETUP CHECKS
Formwork - Aligned and Straight (< 4mm or L/1000) Yes / No
Mould Oiled Yes / No
Void Former Installed - Location Correct and Secure Yes / No
Cast-in Ferrules / Bolts - Location Correct and Secure Yes / No
Cast-in Swift Lifts - Location Correct and Secure Yes / No
Other Embedded Items - PVC Pipes etc Location / Diameter Correct and Secure Yes / No
Physical Checks - Length, Width and Depth Dimensions Correct Yes / No
Fillets / Chamfers - Width of Bevel shall be 25mm Yes / No
EPCM Supervisor Initial and Date
STRESSING SETUP CHECKS
Prestressing Strands - Coil Identification Recorded Yes / No / NA
Prestressing Strands - Correct Number Yes / No / NA
Prestressing Strands - Correct Configuration Yes / No / NA
Prestressing Strands - Stressing Sequence Confirmed and Attached Yes / No / NA
Prestressing Strands - Stressing Loads Achieved. Documentation Attached Yes / No / NA
Debonding Tendons - Location Correct and Secure Yes / No / NA
Visual Check Carried Out - Location Correct and Secure Yes / No / NA
EPCM Supervisor Initial and Date
POUR
** For the initial pours, check the uniformity of batching tolerances shown in the delivery dockets compared with the approved mix design**
CONCRETE CHECKS
Weather conditions - Rain imminent Yes / No / NA
Ambient Temperature - if > 30 C then forms watered down; aliphatic alcohol applied
o
Yes / No / NA
Delivery Docket Numbers -
Concrete Additives - Silica Fume - Addition of Microsilica in Accordance with the Mix Design Yes / No
Concrete Additives - Superplasticer - Addition of Daracem in Accordance with the Mix Design Yes / No
Time of Placement - Has Not Exceeded 90min from Time of Batching Yes / No
Concrete Temperature - Less than or Equal to 30oC Yes / No
Concrete Testing to AS1379 - See cl 4.5.3.2 of SPEC-XXXXXXX Yes / No
Concrete Field Testing Worksheet No. -
Concrete Slump - Compliance with Proposed Design Slump of 150 +/- 30mm Yes / No
EPCM Supervisor Initial and Date
Agyle Diamond Mine
Underground Project CONCRETE INSPECTION CHECKLIST Version 1.0
Contract Number AN4Q
Structural Member
Destressing Date
Checklist Completed by Page 2 of 2
DE-STRESSING / STRIP / INSPECT AND STACK CHECKS
De-stressing Strength of Plank - Minimum 35 MPa Yes / No
Prestressing Strands - De-stressing Sequence Confirmed Yes / No
Prestressing Strands - Grouting Completed in Accordance with the Drawings Yes / No
Surface Finish - Plank Visually Conforming to Class 2 Finish (incl. Bottom Face) Yes / No
Scabbling of Top Face / Const. Joints - Laitence Removed / Scabbled to Expose Aggregate to a Depth of 6mm Yes / No / NA
Curing Commmencement Date -
Curing Completed Date -
Total Water Cured Days -
Stripping of Formwork - Stripping in Accordance with cl 8.7.1 of SPEC-XXXXXXXXX Yes / No
Physical Checks - Dimensional Checked Plank Yes / No
Stacking of Precast Units - Stacked on Timber Spacers/Gluts in Accordance with ITP Yes / No / NA
Plank Labelling - Plank Clearly Labelled Yes / No
EPCM Supervisor Initial and Date
COMPLIANCE
Any Non-Conformances Closed Out - Yes / No / NA
Non-Conformance Report No. (if applicable)
OTHER NOTES AND COMMENTS
WORK COMPLETE AND INSPECTIONS / CHECKS COMPLETE SIGNED
DATE
