Académique Documents
Professionnel Documents
Culture Documents
INSPECTION CHECKLIST
OTHER REFERENCE
DOCUMENT REF:
SECTION
CONTENTS
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DESCRIPTION
Inspection Checklist
Drawing Register
Instruction Register
Submission of Request for Work / Inspection Forms
Outside Testing of Materials
Materials / Manufactured Material for Used on Site
Request for Inspection and Testing
Request for Inspection
Final Inspection and Test Checklist
Project Handover Form
Project Filing Index
PQS Change Form
Non-conformances Report
Corrective Action Request
Log :Non-Conformance
Log : Corrective Action
Form IA : Complaint/Routine Inspection Form (Rd. Maint.)
Form 1B : Remedial Action Request Form (Rd. Maint.)
Form IC : Project Record (Rd. Maint.)
Form 2A : Accident Report Form
Form 2B : Remedial Action Request (Road Accident)
Form 2C : Project Record (Road Accident)
Checklist : Receiving Items - Materials & Equipment
Checklist : Earthworks - Site Clearing
Checklist : Earthworks - Replacement of Unsuitable Material
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Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Earthworks-Sand filling
Earthworks - Detailed Excavation
Earthworks - Excavation in Cut
Earthworks - Trimming to Formation Fill / Cut
Earthworks - Filing to Form Embankment
Toe Drain/ Berm/ Interceptor Drains
Roadside/ Median/ Shoulder Drains
Cast-in-situ - RC - Inspection of Reinforcement
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Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
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Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
Checklist :
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45
46
47
48
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OTHER REFERENCES
QUALITY CONTROL PLAN
DOCUMENT REF :
SECTION
NO
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TECHNICAL PROCEDURE
INSPECTION CHECKLIST
CONSTRUCTION PROCESS
Inspection Checklist
Drawing Register
Instruction Register
Submission of Request for Work / Inspection Forms
Outside Testing of Materials
Materials / Manufactured Material for Used on Site
Request for Inspection and Testing
Request for Inspection
Final Inspection and Test Checklist
Project Handover Form
Project Filing Index
PQS Change Form
Non-conformances Report
Corrective Action Request
Log Non-Conformance
Log Corrective Action
Form IA : Complaint/Routine Inspection Form (Rd. Maint.)
Form 1B : Remedial Action Request Form (Rd. Maint.)
Form IC : Project Record (Rd. Maint.)
Form 2A : Accident Report Form
Form 2B : Remedial Action Request (Road Accident)
Form 2C : Project Record (Road Accident)
Checklist : Receiving Items - Materials & Equipment
Checklist : Earthworks - Site Clearing
Checklist : Earthworks - Replacement of Unsuitable Material
Checklist : Earthworks - Sand filling
Checklist : Earthworks - Detailed Excavation
Checklist : Earthworks - Excavation in Cut
Checklist : Earthworks - Trimming to Formation Fill / Cut
Checklist : Earthworks - Filing to Form Embankment
Checklist : Toe Drain/ Berm/ Interceptor Drains
Checklist : Roadside/ Median/ Shoulder Drains
Checklist : Cast-in-situ - RC - Inspection of Reinforcement
Checklist : Cast-in-situ - RC - Inspection of Formwork
Checklist : Cast-in-situ - RC - Pre-Pour & During Pour Check
Checklist : Delivery & Discharge Record for Ready Mix
Checklist : Conduit Installatioan In Concrete Element
Checklist : Load Test for Pile
Checklist : Laying of Sub Base - Road Base Wet Mix
Checklist : Premix Laying
Checklist : Premix Laying (Post Laying)
Checklist : Tack/ Prime Coating
Checklist : Kerbworks
Checklist : Road Diversion (Prior to opening to Traffic)
Checklist : Road Diversion (After opening to Traffic)
Checklist : Electrofusion Joint Record
Checklist : Butt Fusion Joint Record
Checklist : Lightning Protection System
REPONSIBILITY
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor/RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
Contractor / RE
REFERENCES
Contract Reference:
N
O
DESCRIPTION
DRAWINGS REGISTER
JOB NO:
Received From:
SYNMORE BRIDGE CONSULT
DRAWING
NO
DATE
ISSUE
DATE
RECEIVE
D
REVISION
NO.
SUBMITTE
D TO
SUBMITTE
D BY
R
D
ITEM
INSTRUCTION REGISTER
Received From:
JOB NO:
INSTRUCTION NO.
DATE
INSTRUCTION DETAILS
START
Site clerk will check and acknowledge receipts. The request will be
handed to the respective Resident Engineer for further action.
LATE
ACCEPT
Resident
Engineers
will comment
on thefor
requests,
if any,
and will
The
C.O.W
will scrutinize
the requests
missing,
incomplete
them
to the
C.O.W.,
before 5.00
p.m.
theHe
same
or distribute
wrong data,
such
as date,
signature,
stamp,
etc.
willday.
refer
to the parties concerned for correction. After correction, he will
then
check the
of requeststhe
given
to him
against
After
attending
to numbers
the work requested,
C.O.W.
or in
certainthe
case
summary
sheet.
Only
when
these
requests
tally
will
he
sign,
may be RE or ARE will comment and sign and date on
thedate
and
the requests
together
with
thesign
summary
sheet
to the
Thereturn
engineers
will comment,
date
and
on these
requests.
requests.
These
requests
are to be
returned
to Contractor
latest
by
admin
clerk
for
filing
purpose.
The requests
are
hen
sent
to
the
C.O.W
for
final
checking.
END had been carried out.
the day after the inspection
START
The samples are sent to the outside labs under the supervision of
the Consultant.
Either case, the result of the testing are to be sent directly to the
Consultant site office. All other results are considered not
acceptable.
The Consultant will check the result aqaint the drawings and
specification for compliance.
Not Comply
END
START
FAIL
NO
OK
Material can be used on site
END
TO
ATTN
The following works/ test are ready for inspection / will be conducted
at .................................................(time) on ........................................(date)
DESCRIPTION OF WORKS
Submitted by :
Location
Contractor
Signature
:.................................
Scope of Work
:
Name
:.................................
Received by :
Synmore Bridge Consult
Signature
: .....................................
Name
:......................................
Time / Date
1
2
: .....................................
3
4
Signature : .(SBC)
Date : .
Project Manager
Resident Engineer
Description of works
Location
* see note
*note
:
:
:
:
:
:
:
: include details of materials, labour and plant, and number of delivery trucks to be used.
Engineer's Comments
a.
b.
c.
1. Delete as inapplicable
Inspection passed. The Contractor as allowed to proceed with the works.
Remedial works listed below to be completed and re-inspection is required afterward.
Remedial works listed below to be completed but no further inspection required.
Contractor's Representative
Engineer's Representative
.
on .. at .
on .. at
Contract Reference :
Other References:
Location
Job No : .
Date : ..
Subcontractor : ....................................................................................
NO
ITEMS TO BE CHECKED
ACCEPTABILITY
YES
NO
REMARKS
Comments :
Contractor's Representative
Signature : .
Signature : .
Name
Name
: .
: .
Contract Reference :
Other References:
Date :
CERTIFICATION
HANDOVER : PARTIAL / FULL COMPLETION
The followings components and works of project have been jointly inspected and handed-over to
. subject to the remarks / and or work instruction below ( if any )
EARTHWORKS
RESERVOIR
PIPELAYING
DRAINAGE WORKS
LANDSCAPING
BOOSTER STATION
EARTHWORKS
SCADA
M & E SERVICES
REMARKS / INSTRUCTION
Attachments : Yes / No
VERIFICATION
For
Signature
Signature
Name
Name
Designation :
Designation :
OTHER REFERENCES
SYNMORE BRIDGE
CONSULT
QUALITY CONTROL PLAN
DOCUMENT REF :
SECTION
TECHNICAL PROCEDURE
PROJECT FILING INDEX
CATEGORY
1. Correspondence
2. Contracts
DESCRIPTION
CODE
JBA Incoming
SBC Incoming
SBC Outgoing
General - Incoming
General - Outgoing
Utilities Incoming
Utilities Outgoing
1.Majlis Perbandaran
2.TNB
3.JKR
4.KPLB
5.JABATAN PERHUTANAN
6.LLM
7.Land Matter
Contract Document
Progress Claim Variation
Order Contractual Claim
3. Project Admit)
Site Diary
Request For Inspection
QC Form
NCR Form
CAR Form
Site Instruction
Shop Drawing
Memo
Method Statement
Employee File
Stationary / Office Equipment
Overtime
Petty Cash Claim
ISSUE NO :
REVISION NO :
DATE :
CP - 1.1
CP - 1.2
CP - 1.3
CP - 1.4
CP - 1.5
CP - 1.6
CP - 1.7
CP - 1.7.1
CP - 1.7.2
CP - 1.7.3
CP - 1.7.4
CP - 1.7.5
CP - 1.7.6
CP - 1.7.7
CT - 2.1
CT - 2.2
CT - 2.3
CT - 2.4
PA - 3.1
PA - 3.2
PA - 3.3
PA - 3.4
PA - 3.5
PA - 3.6
PA - 3.7
PA - 3.8
PA - 3.9
PA - 3.10
PA - 3.11
PA - 3.12
PA - 3.13
PA - 3.14
MR 4.1
MR 4.2
MR 4.3
MR 4.4
MR 4.5
MR 4.6
MR 4.7
MR 4.8
LT - 5.1
LT - 5.2
LT - 5.3
LT - 5.4
LT - 5.5
PAGE : 1/2
OTHER REFERENCES
SYNMORE BRIDGE
CONSULT
QUALITY CONTROL PLAN
DOCUMENT REF :
SECTION
TECHNICAL PROCEDURE
PROJECT FILING INDEX
CATEGORY
CODE
DESCRIPTION
LT - 5.6
LT - 5.7
LT - 5.8
LT - 5.9
LT - 5.9.1
LT - 5.9.2
LT - 5.9.3
LT - 5.9.4
LT - 5.9.5
LT - 5.10
LT - 5.11
LT - 5.11
LT - 5.12
LT - 5.13
ISSUE NO :
Boundary
EGL
Soil Profile - remove of unsuitable
Cross - section Plan
As-Built Drawing
SV - 6.1
SV - 6.2
SV - 6.3
SV - 6.4
SV - 6.5
R.O.W.
SV - 6.6
Safety Equipment
Traffic Control
HS - 7.1
HS - 7.2
REVISION NO :
DATE :
PAGE : 1/2
Contract Reference :
Other References:
Document References No
Reasons of Change
Description of Changes
Attachments
Yes / No
Requested by
Date
Date
VERIFICATION
Are Changes Acceptable?
Action / Comments
Verified by
Yes / No
:
Resident Engineer
APPROVAL
Are Changes Acceptable?
Remarks
Approved by
:
Assistant Resident Engineer
Yes / No
Date
Document Ref :
Other References:
NON-CONFORMANCES REPORT
SECTION
.
DATE NCR RAISED
DATE NCR RAISED
OTHER
EXACT LOCATION
LAB
TYPE OF INSPECTION AND TESTING
RECEIVING
IN-PROGRESS
FINAL
.......
Reported by Originator
Received By : . Date :
Date
PROPOSED DIPOSITION
Use-As-Is
Rework
Repair
Removal
Replace
Reject / Scrap
Return to Supplier
PROPOSED
DISPOSITION
COMPLETED
Acceptable
Comments
Verified and Closed Out
By
.
Prepared By
..
Date
..
Approved By
.
Date
Not Acceptable
Reviewed By
.
Date
Date :
Document Ref :
SECTION
Other References:
.
DATE NCR RAISED
DATE NCR RAISED
REFER NCE NO :
EXACT LOCATION
CORRECTIVE ACTION REQUEST
Investigation :
Attachments :
Yes / No
Corrective Action :
Attachments :
Yes / No
Signature of QA / QC Coordinator :
Date :
VERIFICATION / FOLLOW UP
Is Implementation
Verified :
Signature
Yes / No
:
Reporter
Signature
:
Chief Resident Engineer
NON-CONFORMATION LOG
ISSUED TO
DATE ISSUED
CLOSED-OUT
DATE
Job No :
CAR NO.
FOLLOW-UP
DATE
ACTION/
DESPOSITION
NON-CONFORMATION LOG
ISSUED TO
DATE ISSUED
CLOSED-OUT
DATE
FOLLOW-UP
DATE
CORRECTIVE
ACTION BY
FORM
1A
Report No :
1.
LOCATION
* Please mark and attach herewith the related existing road layout sketch
2.
TYPE OF DAMAGE
To be filled by complainer / SO
Contract Reference :
Other References:
SIGNED BY :
.
COMPLAINER / S.O.
NAME
DATE
FORM
1B
Report No :
REMEDIAL ACTION REQUEST FORM
1.
Contract Reference :
Other References:
REMEDIAL ACTION
DESCRIPTION OF REMIDIAL TO BE CARRIED OUT :
_________________________
S.O.
DATE : ____________________
ITEM
MATERIAL
MACHINERY
MANPOWER
QUANTITY
AMOUNT (RM)
OTHER
TOTAL (RM)
2.
COMMENTS
DATE
Clerk of Works
Resident Engineer
Assistant Resident Engineer
FORM : 1C
DATE
PROJECT RECORD
REPORT NO
DESCRIPTION
Other References:
RECEIVED
RECEIVED BY
FROM
REMARKS
FORM
2A
Contract Reference :
Report No :
Other References:
AREA : ___________________________
DATE : ___________________
1. DETAILS OF PERSON
SURNAME
GIVE NAME
OCCUPATION :
TIME INTO SHIFT :
EMPLOYER
NATURE OF DAMAGE
ENVIRONMENTAL CONCERNS
3. DESCRIPTION OF INCIDENT
FULL DESCRIPTION OF INCIDENT/NEAR MISS (PROVIDE SKETCH/PHOOGRAPHS AS NECESSARY)
LT1
FAC
MTC
PD
FC
NM
HOURS
MINS
5. EVALUATION
POTENTIAL FOR SERIOUS HARM /
DAMAGE
HIGH
MEDIUM
LOW
OCCASIONA
L
RARE
FORM
2B
Contract Reference :
Report No :
Other References:
DATE : ___________________________
IN ATTENDANCE :
TIME : ___________________
NO. OF PAGES : ____________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
________________________________________
ITEM
DISCUSSION
ACTION BY
DATE
COMMENTS :
__________________________________________________________________________________________________________
__________
__________________________________________________________________________________________________________
__________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
____________________
DISTRIBUTION-DATE-RECEIVED
INITIAL
DATE
INITIAL
DATE
INITIAL
DATE
INITIAL
DATE
FORM : 2C
DATE
DESCRIPTION
Other References:
RECEIVED
RECEIVED BY
FROM
REMARKS
IN-COMING INSPECTION
DELIVERED BY OTHER
MATERIAL AND EQUIPMENT
Document No. :
Serial No.
:
Received By
:
Date : ......................
Time : ..............
Delivery Location
: ..............
: ....................................................................
: ....................................................................
D/O Number
: ....................................................................
: ....................................................................
Item
Nature of Inspection
QUANTITY
DIMENSION / SIZE
MATERIAL/EQUIPMENT REJECTED
Yes
No
Yes
No
Yes
No
Signature of Contractor
Full Name in block letters
Yes
No
. ................................................................................
: ................................................................................
. ................................................................................
: ..
QUALITY CONTROL
INSPECTION CHECKLIST
CONSTRUCTION PROCESS :
Document No. :
Serial No.
:
Received By
:
Date : ......................
EARTHWORKS______
SITE CLEARING
Time : ..............
Location : ......................................................
Item
1
Inspection Attributes
SURVEY
Contractors Rep.
(Name in block letter)
Pass
Consultant Rep.
Survey alignment
Fail
Pass
a
b
b
c
d
e
f
2
Centre line
R.O.W setting out
Identifying R.O.W markers
Other
Final Inspection for this item
c
d
e
(Name in block letter)
Pass
Fail
Pass
TNB Cable
Telecom cable
Other services
Signature of Contractor
Full Name in block letters
: .
: .
Date : Time : ..
Date : Time : ..
: ..
: ..
Date : Time : ..
Date : Time : ..
QUALITY CONTROL
INSPECTION CHECKLIST
CONSTRUCTION PROCESS :
Document No. :
Serial No.
:
Received By
:
Date : ......................
EARTHWORKS______
REPLACEMENT OF UNSUITABLE
MATERIAL
Time : ..............
Location : ......................................................
Item
1
Inspection Attributes
Contractors Rep.
a
b
c
d
Consultant Rep.
Fail
Pass
a
b
c
d
e
Fail
e
f
g
h
f
g
h
Signature of Contractor
Full Name in block letters
: .
: .
Date : Time : ..
Date : Time : ..
: ..
: ..
Date : Time : ..
Date : Time : ..
QUALITY CONTROL
INSPECTION CHECKLIST
CONSTRUCTION PROCESS :
Document No. :
Serial No.
:
Received By
:
Date : ......................
EARTHWORKS______
SAND FILLING
Time : ..............
Location : ......................................................
Item
1
Inspection Attributes
FILLING
Contractors Rep.
(Name in block letter)
Pass
a
b
c
d
e
f
Consultant Rep.
Fail
Pass
a
b
c
d
e
f
Fail
Signature of Contractor
Full Name in block letters
: .
: .
Date : Time : ..
Date : Time : ..
: ..
: ..
Date : Time : ..
Date : Time : ..
QUALITY CONTROL
INSPECTION CHECKLIST
CONSTRUCTION PROCESS :
Document No. :
Serial No.
:
Received By
:
Date : ......................
EARTHWORKS______
DETAILED EXCAVATION
Time : ..............
Location : ......................................................
Item
1
Inspection Attributes
SETTING OUT
Contractors Rep.
(Name in block letter)
Pass
a
b
c
d
e
f
2
Consultant Rep.
Fail
Plan set-out
Profile
Fails and grades
Clearance from building and boundaries
Other .
Final Inspection for this item
Pass
Fail
a
b
c
d
e
f
Pass
Fail
a
Fail
Silt trap
Temporary data
Others .
f
g
Signature of Contractor
Full Name in block letters
: .
: .
Date : Time : ..
Date : Time : ..
: ..
: ..
Date : Time : ..
Date : Time : ..