Doc No

HCC F 37 17 37 0 01.09.05 1

CHECK LIST FOR CUTTING EDGE

Contract: Client: Engineer: Contractor: Bridge no Structure: Sub-Component: Approved/ Accepted LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Hindustan Construction Co. Ltd Date: RFI No: /

Rev No Date of Rev Page

Sl no 1 Dinemsion details Size of angle

Item

Rectification required

Remarks

Thickness of plate No of stiffners Diameter of cutting edge Profile of cutting edge No of dowel bars Section of cutting edge 2 3 4 5 Welding Splicing Centre of well Ground level of cutting edge

Contractor Desig: Sign: Date: Desig: Sign: Date:

Engineer

Doc No

HCC F 37 17 36 0 01.09.05 1

CHECK LIST FOR CONCRETE

Contract: Client: Engineer: Contractor: Bridge no Structure: Sub-Component: Approved/ Accepted LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Hindustan Construction Co. Ltd Date: RFI No: /

Rev No Date of Rev Page

Sl no 1 Pouring equipment

Item

Rectification required

Remarks

Vibrators (Shutter vibrators for super structure)

Needles

Transit mixer

Generator

Lighting arrangement

Manpower

Working platform / Safety arrangement

Cube mould / Slump cone

10

Material for concrete

11

Curing arrangement

Contractor Desig: Sign: Date: Desig: Sign: Date:

Engineer

Doc No

HCC F 25 17 35 0 01.09.05 1

CHECK LIST FOR SHUTTERING

Contract: Client: Engineer: Contractor: Bridge no Structure: Sub-Component: Item Dimensions: a. Length b. Breadth/Thickness 1 c. Depth /Height d. Diameter e. Demoulding agent f. Verticality Supporting arrangement: 2 a. Supports b. Bolting 3 Anchor coil a. Staging arrangement: (Approved drawing designator false work) a. No. of supports 4 b. Spacing of supports c. Position of supports Shuttering position: a. Line 5 b. Level c. Placement inposition Approved/ Accepted LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Hindustan Construction Co. Ltd Date: RFI No: /

Rev No Date of Rev Page

Sl no

Rectification required

Remarks

Contractor Desig: Sign: Date: Desig: Sign: Date:

Engineer

Doc No

HCC F 37 17 34 0 01.09.05 100%

CHECK LIST FOR REINFORCEMENT

Contract: Client: Engineer: Contractor: Bridge no Structure: Sub-Component: Approved/ Accepted LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Hindustan Construction Co. Ltd Date: RFI No: /

Rev No Date of Rev Page

Sl no 1 Reinforcement details:

Item

Rectification required

Remarks

Dimensions of reinforcement Diameter of bar Lapping No of bars Spacing of bars Shape of bars 2 3 4 5 Binding of steel Cover for reinforcing bars Clearing of reinforcement Chairs / Spacers adequate other suppors

Contractor Desig: Sign: Date: Desig: Sign: Date:

Engineer

BAR BENDING SCHEDULE REPORT

Contract: Client: Engineer: Report No. Structural Identification no. Sr.No. Description Bar Mark No. Bar Dia. Spacing Numbers LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Date Ref.Drawing Nos. Shape of Bar

Doc No. Rev No. Date of Rev. Page

HCC F 37 17 02 1 01.09.05 1

Length (m)

Total length (m)

Unit Weight of Bar

Total Weight

Contractor's Representative

Engineer's Representative Name & Desig Sign Date

Name & Desig Sign Date

Concrete Pour Register

Contract: Client: Engineer: Location Structural Component being cast LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited : : Check list form No. Drawing No. : :

Doc No: Rev.No. Date of Rev. Page

HCC F 37 17 03 0 01.09.05 1

Readiness of Equipment and Accessories

Batching Plant Transit Mixer Concrete pump Vibrators Needle Slump cone Hessian cloth Thermometer Cube moulds : : : : : : : : : Concrete Grade : Cement content Micro silica W/Cm ratio Aggregate 40 mm 20 mm 12.5 mm 6 mm Sand : : : : : : : :

Details of Mix to be used

Admixture : Design concrete vol. Design Slump Date & Time of concrete start Date & Time of concrete finish Maxm Temperature allowed Temperature at the time of casting : : : : : :

Curing arrangement : Alternate arrangements in case on mechanical failure (Give Details) :

Time Delivery Concret Batched Time Poured Ticket e Vol. Start/ Finish Start/ No. M3 Finish

Air Concret No. of Slump at Sample Tempe- e Tempecubes site No rature rature sampled

Cube designation

Remarks / Any other Information

Contractor's Representative Name Desig: Sign Date Name Desig: Sign Date

Engineer's Representative

Comments (if any)

Sign: 1

Date:

Desig:

Name:

Contract: Client: Engineer:

Date

Lowest Bed Level Height of curb

Daily Casting 2 Total casting 3 4 RL of top of steining before casting

Contractor's Representative RL of top of steining after casting Metre 5 Height of stening cast (Col 4- col-3)

Sign: Engineer's Representative

LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited

Date:

Desig:

Name:

Metre 6 7 Metre 8 Metre 9 Metre 10 Metre 11

Total height of stening (Including curb & cutting edge (Col 4 - col3) RL of reference level (at which cutting edge is placed)

Initial gauge reading

Final gauge reading

Lowest water level Height of Cutting edge Sinking during the day (Col 9 - Col 8) RL of bottom of cutting edge (Col 7 - Col 8) Metre 12 Depth of sump below cutting edge

HISTORY OF WELL-SINK

Remarks

13 Tonnes 14 Metre 15 Metre 16 M3 17 18 19 20 21

Strata met with

Weight

Kentledge Ecentricity along X-axis Eccentricity along Y-axis Quantity of dredged Material Higest Flood Level Founding Level Report regarding obstacles or sand below during sinking Report any special method of sinking employed Doc No Rev No Date of Rev Page HCC F 37 17 15 0 01.09.05 1 Remarks Signature of supervising officer

TILT & SHIFT IN WELL

Contract: Client: Engineer:
Tilt & sift in well no: Reduced levels (RL's) of Gauge marks Date Total stening Total sinking Along X-axis (Place) End
4

Doc No Rev No Date of Rev Page

HCC F 37 17 16 0 01.09.05 1

LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited
APPENDIX-1200 / II Resultant Tilt along Tilt along tilt X-axis Y-axis (Col 6 / (Col 9 / Col10 2 + Col11 2 Difference Well dia) Well dia) (Col 8 - Col 7) (m)
9 10 11 12

Along Y-axis Difference

(Col 5 - Col 4)

(Place) End
5

(U/S)
7

(D/S)
8

Along X-axis with direction (m)

13

Along Resultant Y-axis Action taken S (Col13) 2 + with for {( Col14) 2 }x0.5 direction ... rectification (m) Metre
14 15

Remarks

Signature of Supervising officer

Contractor's Representative Name: Desig: Sign: Date: Name: Desig: Sign: Date:

Engineer's Representative

Remarks

Doc. No

HCC F 37 17 21 0 01.09.05 1

LEVEL SHEET
Contract: Client: Engineer: LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited No: Subject: . Chainage Off. Dist B.S I.S F.S H.I R.L

Rev. No Date of Rev. Page

Date:. Side:.. Remarks

Contractor's representative NAME DATE NAME DATE

Engineer's representative

DOC NO

HCC F 37 17 22 0 1

LIST OF CONTROL POINTS

Contract: LMNHP-EW II (WB-1) Client: National Highways Authority of India Engineer: Lea Associates South Asia Private Limited Chainage: From km. To Km CO- ORDINATES S L No Northing Easting ELEVATION REFERENCE LOCATION

Rev. No. Ref. Page.

Date of Rev. 01.09.05

Date:
REMARKS

Contractor's representative Name Date Name Date

Engineer's representative

ALIGNMENT FIXING
Contract: LMNHP-EW II (WB-1) Client: National Highways Authority of India Engineer: Lea Associates South Asia Private Limited Chainage: From km. To Km DESIGNED(A) S L No CHAINAGE OFFSET DIST FROM PCL TO RRE/LRE OFFSET DIST FROM PCL TO EXISTING CWC FIELD(B) OFFSET DIST FROM PCL TO EXISTING CWC

DOC NO Rev. No. Date of Rev. Ref. Page.

HCC F 37 17 23 0 01.09.05 1

(A-B) DIFF. REMARKS

1. PCL; Proposed Center Line Contractor's representative Name Date 2.6 Name Date

2. RRE; Existing Road (Bituminous) Right Side Pin Point Edge Engineer's representative

DOC NO

HCC F 37 17 25 0 01.09.05 1

SETTING OUT WORKS

Contract: Client: Engineer: Report No. Instrument Used Structure Location Survey Check point location LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Date & Time of Survey Station Identification Set Station: S3 Reference Station: S1 Co-ordinates As per Drawing Actual checked Northing Easting Northing Easting Co-ordinates Northing Easting

Rev. No. Date of Rev. Ref. Page.

Reduced Level

Levels Back Sight Interme. Sight Fore Sight

S.No.

Ht.of Instrum .

R.L. Field

R.L Design

R.L Diff.

Remarks

Contractor's representative Name Date Name Date

Engineer's representative

Doc. No

HCC F 37 17 26 0 01.09.05 1

LEVEL CHECK-SHEET
Contract: Client: Engineer: No: Item: R/Kerb edge (m) Offset Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Des. Ach. Diff. Taken by: Contractor Name: Desig: Sign: Date: Name: Desig: Sign: Date: Checked by: Engineer Name: Desig: Sign: Date: LMNHP-EW II (WB-1) National Highways Authority of India Lea Associates South Asia Private Limited Date: Layer's Tolerence:

Rev. No Date of Rev. Page

Chainage (Km)

Approved by: RE-Engr