Client:
C&S Engineer:
Contractor:
Project:
SUMMARY OF BITUMEN SPRAYING RATE TEST RESULTS For the period …..../…..../….… to ……../……../…….. Item No.
Chainage Test No.
Date From
To
Total Length (m)
Width (m)
Total area 2
(m )
Bitumen Sprayed (Itr.)
Spraying Rate (Itr./m2)
Remarks : ………….……..………………………………….…………………………………………………………………… ……..……………………...……………………………………………………………………………………………………… FORM NO. QR/SBSR
Client:
C&S Engineer:
Contractor:
Project:
SUMMARY OF FIELD DENSITY TESTS
For the period ……./……./……. to ……./……./……. From Std. Compaction Test Sample Ref.
MDD 3
(mg/m )
OMC (%)
Test Ref. No.
Date
Chainage / Offset
Tested Reduced Level (m)
Density Field 3
mg/m
MC Achieved % Achieved Target % of MDD
Passed / Failed
Density Field (Retest) mg/m
3
MC Passed Achieved / Failed % Achieved Target % of MDD
Remarks : ………………………………………………………… ………………………………………………………………………. ……………………………………………………………………… …. …………………………………………….………………………………………………………………..……………………………………………………………………………………………………………………… …………
Contractor
Prepared By:
Check By: JPW (Clerk of W ork)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QR/FDT
Client:
C&S Engineer:
Contractor:
Project:
SUMMARY OF APPROVALS / REJECTIONS
For the period …..../…..../….… to ……../……../…….. Approval Chit No.
FORM NO. QR/SAC
Date / Time of Request
Approval Granted / Rejected (Give Reason for Rejection)
Date / Time of Date & Time of Execution of Approval the work
Client:
C&S Engineer:
Contractor:
Project:
SUMMARY OF NON - COMPLIANCE REPORT STATUS LOG
For the period …..../…..../….… to ……../……../…….. NCR No.
Date Issued
FORM NO. QR/SNCRSL
Brief Description of Non-Compliance Work
Date Action Satisfactory Taken (Yes / No)
Remarks
Client:
C&S Engineer:
Contractor:
Project:
SUMMARY OF SITE MEMO ISSUED TO CONTRACTOR
For the period …..../…..../….… to ……../……../…….. Site Memo. No.
FORM NO. QR/SM
Date Issued
Brief Description of Work
Date Action Satisfactory Taken (Yes / No)
Remarks
Client:
C&S Engineer:
Project:
Contractor:
SUMMARY RECORD FOR COMPRESSIVE STRENGTH OF CONCRETE Floor:
Structure Type (ST):
F = Foundation, B = Beam, C = Column, S = Slab, O = Others
For the period ……./……./……. to ……./……./…….
Item No.
Location / B lock / Area
Cube Ref. No.
e p y T e r u t c u r t
S
3 DAYS Source of Concrete
Grade of Concrete (N/mm2)
Date of Concrete
Slump at Site (mm)
Date Tested
Comp. Strength (N/mm2)
7 DAYS Average Comp. Strength (N/mm2)
Date Tested
Comp. Strength (N/mm2)
28 DAYS Average Comp. Strength (N/mm2)
Date Tested
Comp. Strength (N/mm2)
Average Comp. Strength (N/mm2)
Client:
C&S Engineer:
Contractor:
Project:
SUMMARY OF PILING RECORD Location / Block / Area : For the period ……./……./……. to ……./……./……. Pile Cap Location Item No.
Date Driven
Ftg. Type
Grid Line
. o N t n i o P
1st pile Pile Ref. No.
2nd pile (m)
Pile Ref. No.
3rd pile (m)
Pile Ref. No.
A
B
(C) = (A)-(B)
Supply Length (m)
Cut-off Length (m)
Penetration Length (m)
4th pile (m)
Pile Ref. No.
(m)
TOTAL
Prepared By: Contractor
Check By: JPW (Clerk of Work)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
Total Joints
Remarks
FORM NO. QR/SPR
Client:
C&S Engineer:
Contractor:
Project:
MONITORING OF SETTLEMENT GAUGES Settlement Gauge Ref. No. :
Original Ground Level (Plate Level) (mm) :
Date of Installation :
Thickness of Fill Required (mm) - (including sand + surcharge) :
Form Page No. :
Surcharge Reduced Level (m) :
Date
Note :
(a)
(b)
(c)
(d)
Elevation of Top of Rod (mm)
Reduced Level of Fill (mm)
Height From Top of Rod to Fill Level (mm)
Length of Rods (mm)
1.
Col (c) = Col (a) - Col (b)
2.
Col (e) = Col (d) - Col (c)
3.
Col (f) = Col (b) - Original Ground Level
(e)
Settlement (mm)
(f)
Total Fill Total Fill Thickness incl. Thickness (mm) Settlement (mm)
Remarks Incremental
Remarks : …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………….
Prepared By: Contractor
Check By:
Approved By:
JPW (Clerk of Work)
JPW (RE/ARE)
Cummulative
Day
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QR/MSG
QR.SDR.M3 Client:
C&S Engineer:
Contractor:
Project:
SITE DAILY REPORT Date : ………………………
I. WEATHER CONDITIONS : * Previous Night (if available) …………………. * 7:00 am to 7:00 pm CONDITIONS
TIME FROM TO
TIME FROM
TO
TOTAL TIME (HRS)
Rain Gauge Reading
Heavy Rain Normal Rain Drizzle TOTAL
II. PLANT / EQUIPMENT / VEHICLES ON SITE Type (Capacity / Model / Make)
#1 : Please insert "OK" for in use
Unit
"b/d" for breakdown
Working Hours
Condition ( See # 1 bel
"s/b" for standby APPEN Pag
Page 12
QR.SDR.M3
III. ACTIVITIES / ITEMS INSPECTED Work / Items
Location
Comment
IIIa. Specification Violations :
APPEN Pag
IV. WORK FORCE WORKING ON SITE Trade Project Manager Site Engineer Supervisor Foreman Surveyor Chainman
Nos.
Trade General Workers Mechanic Electrician Carpenter Bar Bender Rigger
Nos.
Page 13
Trade Painter Plumber
Nos.
QR.SDR.M3 Driver Truck Driver Machinery Operator Mason Roofer
Welder Male Labourer Female Labourer Bricklayer Pavior
V. MATERIALS DELIVERED TO SITE Item
Quantity
Item
VI. INSTRUCTION GIVEN :
VII. GENERAL REMARKS :
VIII. VISITORS Name & Designation
Time From
Name & Designation
To
Ti From
Prepared By: Contractor
Check By: JPW (Clerk of Work)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
APPEN Pag
FORM NO. QR/SDR
Page 14
QR.SDR.M3
………..
Works Stop Due To Rain
s ow)
IX "A" e¼
Page 15
QR.SDR.M3
s
IX "B" 2/4
Page 16
QR.SDR.M3
Quantity
e To
IX "C" 3/4
Page 17
QR.SDR.M3
Page 18
QR.SDR.M3
Page 19
QR.SDR.M3
Page 20
QR.SDR.M3
Page 21
Client:
C&S Engineer:
Contractor:
Project:
SITE DAILY REPORT Date : ………………………………..
I. WEATHER CONDITIONS : * Previous Night (if available) …………………. * 7:00 am to 7:00 pm CONDITIONS
TIME FROM
TIME TO
FROM
TOTAL TIME (HRS)
TO
Rain Gauge Reading
Works Stop Due To Rain
Heavy Rain Normal Rain Drizzle TOTAL
II. PLANT / EQUIPMENT / VEHICLES ON SITE Type (Capacity / Model / Make)
#1 : Please insert "OK" for in use
Unit
"b/d" for breakdown
Working Hours
Conditions ( See # 1 below)
Working Location
"s/b" for standby APPENDIX "A" Page ¼
III. ACTIVITIES / ITEMS INSPECTED Work / Items A) LONG MENAPA
MANPOWER :
B) LONG LUAR
MANPOWER :
C) LONG TANGAU
Location
Comments
PROJECT :
INSPECTION REPORT WORK / OPERATION INSPECTED
Check List 1. Setting Out 2. Prior Work 3. Dimensions 4. Equipment 5. Labour
FORM NO. QR/IR
6. Materials 7. Testing 8. Compaction 9. Workmanship
CHECKS
TIME
1 2 3 4 5 6 7 8 9
Check Marks All as required
/
Deficient
X
Not applicable
-
Not checked
O
FOR RESIDENT ENGINEER'S STAFF USE ONLY Name : …………………………… Position : ………………………… Date : ……………………………… COMMENTS (Deficiencies, Degree of Completion, Weather, Other)
Checked By (Contractor) :
Inspected By (Clerk of Works) :
Approved By (RE / QAE) :
Client:
C&S Engineer:
Contractor:
Project:
SITE PREPARATION, SITE CLEARING AND EARTHWORK INSPECTION FORM Location/Area: Date of 1st Inspection:
Time of 1st Inspection:
Date of 2nd Inspection:
Time of 2nd Inspection:
CHECK LIST 1st Inspection
Item No.
2nd Inspection
Description of Works
REMARKS OK
Not OK
OK
Not OK
Approval Chit Ref. No. 1
SITE PREPARATION (a) Setting Out
2
SITE CLEARING (a) Clearing of Trees and Shrubs (b) Grubbing (c) Removal of Stumps/Roots (d) Disposal of Cleared Vegetation (e) Temporary Drainage
3
EARTH WORK (a) Filling Material Used (b) Level
General Comments:
(Note: To attach additional documents for further clarification, if necessary)
Prepared By: Contractor
Check By: JPW (Clerk of Work)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QM/SPSCEW
Client:
C&S Engineer:
Contractor:
Project:
PILING SETTING OUT INSPECTION FORM Location / Block / Area: Date of 1st Inspection:
Time of 1st Inspection:
Date of 2nd Inspection:
Time of 2nd Inspection:
CHECK LIST Item
1st Inspection
Description of Works
OK
Not OK
2nd Inspection OK
REMARKS
Not OK
Approval Chit Ref. No. : 1
Pile Location :
1a
Setting Out/Alignment
1b
Position of Peg
2
Pile Location :
2a
Setting Out/Alignment
2b
Position of Peg
3
Pile Location :
3a
Setting Out/Alignment
3b
Position of Peg
4
Pile Location :
4a
Setting Out/Alignment
4b
Position of Peg
5
Pile Location :
5a
Setting Out/Alignment
5b
Position of Peg
6
Pile Location :
6a
Setting Out/Alignment
6b
Position of Peg
General Comments:
(Note: To attach additional documents for further clarification, if necessary)
Prepared By:
Check By:
Approved By:
Contractor
JPW (Clerk of Work)
JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QM/PSO
Client:
C&S Engineer:
Contractor:
Project:
PILING RECORD SHEET Location (Building) :
Pile Point No. :
Pile Cap Location (Grid Line) :
Pile Type & Size :
LENGTH SUPPLY 1st Length
m
Date Driven
Ground Level
2nd Length
m
Type of Hammer
Penetration to Ground Level
3rd Length
m
Weight of Hammer
Existing Ground Level
4th Length
m
Height of Hammer
Temp Compression
5th Length
m
Cut Off Level
Penetration (m)
No. of Hammer Penetration Blows Drop (m)
No. of Blows
Hammer Penetration Drop (m)
0.5
17.5
34.5
1.0
18.0
35.0
1.5
18.5
35.5
2.0
19.0
36.0
2.5
19.5
36.5
3.0
20.0
37.0
3.5
20.5
37.5
4.0
21.0
38.0
4.5
21.5
38.5
5.0
22.0
39.0
5.5
22.5
39.5
6.0
23.0
40.0
6.5
23.5
40.5
7.0
24.0
41.0
7.5
24.5
41.5
8.0
25.0
42.0
8.5
25.5
42.5
9.0
26.0
43.0
9.5
26.5
43.5
10.0
27.0
44.0
10.5
27.5
44.5
11.0
28.0
45.0
11.5
28.5
45.5
12.0
29.0
46.0
12.5
29.5
46.5
13.0
30.0
47.0
13.5
30.5
47.5
14.0
31.0
48.0
14.5
31.5
48.5
15.0
32.0
49.0
15.5
32.5
49.5
16.0
33.0
50.0
16.5
33.5
50.5
17.0
34.0
51.0
No. of Blows
Hammer Drop
REMARKS CUT OFF LENGTH 1st Length:
m
2nd Length:
m
3rd Length:
m
4th Length:
m
5th Length:
m
***Neglect below if not relevant. FINAL SETS: 1st 10 Blows___________mm 2nd 10 Blows___________mm 3rd 10 Blows___________mm
Prepared By: Contractor
Check By: JPW (Clerk of Work)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QM/PRS
Client:
C&S Engineer:
Contractor:
Project:
REINFORCED CONCRETE INSPECTION FORM Location/Building :
Structure Type (ST):
Location (Grid Line) :
Floor/Level :
B = Base Slab, W = RC Wall, T + Top Slab/Cover, 0 = Others
CHECK LIST Inspection by Contractor Item No.
Description of Works
Inspection by Clerk of Works
Date:
Date:
Time:
Time:
ST:
(Deficiencies, Degree of completion, weather, others)
ST: OK
Not OK
OK
Not OK
Approval Chit Ref. No. : 1 (a) (b)
2
Settin g Ou t / Po sitio n Alignment Lines & Lev els
Formwork
(a)
Dimension level, verticality
(b)
Adequately supported or propped
(c)
Joints tightness
(d)
Surface of forms acceptable
(e)
3 (a) (b)
4
All sawdust & rubbish removed
Blinding Dry and clean Correct level and thickness
Reinforcement
(a)
Correct grade, size, number
(b)
Correct lap/anchorage length
(c)
Adequate chairs, spacers, etc
(d)
Cover as required
(e)
No mud, oil, loose rust, etc
(f)
Damp proof course
5
M & E Opening & Pipe Sleeves
(a)
Electrical conduits
(b)
Soil & waste pipe
(c)
Cold/hot water plumbing
(d)
RWDP
6
Curing
(a)
PVC cover, gunny sack & watering
7
Bond Tie
8
Co ns tru ctio n J oin t
9
Concrete Floor Surface Roughering (Broom Brush)
10
Just prior to concreting
(a)
Access to pour (incl. labour & materials) and safety
(b)
Availability of concrete
(c)
Availability of labour
(d)
Availability of plant & equipment
(e)
Standby equipment for contigencies (including rain)
General Comments:
(Note: To attach additional documents for further clarification, if necessary)
Prepared By: Contractor
Check By: JPW (Clerk of Work)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QM/RCIF
Comment / Remarks :
Client:
C&S Engineer:
Contractor:
Project:
CONCRETE DRAIN / CULVERT INSPECTION FORM Location / Area :
B = Base Slab, W = RC Wall, T + Top Slab/Cover, 0 = Others
Structure Type (ST):
Drain / Culvert Type :
CHECK LIST Inspection by Contractor Item No.
Description of Works
Inspection by Clerk of Comment / Remarks : Works
Date:
Date:
Time:
Time:
ST:
(Deficiencies, Degree of completion, weather, others)
ST: OK
Not OK
OK
Not OK
Approval Chit Ref. No. : 1
Setting Out/Alignment
2
L evel (Ex ca va tion )
3
Piling
4
Blinding / Pile Cut Off Level
5
Invert Level
6
Formwork (a) Dimension, Level, Verticality (b) Adequately Supported or Propped (c) Joints Tightness (d) Surface of Forms Acceptable (e) All Saw Dust & Rubbish Removed
7
Reinforcement (a) Correct Grade, Size, Number & Spacing (b) Correct Lap/Anchorage Length (c) Adequate Chairs, Spacers, etc (d) Cover as required (e) No Mud, Oil, Loose Rust, etc
8
M & E Opening and Pipe Sleeves (a) Soil & Waste Pipe (b) RWDP (c) Others
9 10
Weep Hole Dra in T op L eve l
11
Curing
(a)
PVC cover, gunny sack & watering
12
Bond Tie
13
Construction Joint
14
Concrete Floor Surface Roughering (Broom Brush)
15
Just prior to concreting
(a)
Access to pour (incl. labour & materials) and safety
(b)
Availability of concrete
(c)
Availability of labour
(d)
Availability of plant & equipment
(e)
Standby equipment for contigencies (including rain)
General Comments:
(Note: To attach additional documents for further clarification, if necessary)
Prepared By: Contractor
Check By: JPW (Clerk of Work)
Approved By: JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
FORM NO. QM/CIF
PROJECT :
APPROVAL CHIT NO.
From :
Contractor
To :
Resident Engineer / QAE
We request permission to proceed with the following work : …………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………….. At the following location : ………………………………………………………………………………………
Signed : …………………………
Received : ………………………
Time : ………………………….
Date : ……………………..
Survey :
Inspection :
Testing :
Ref.:
From :
Resident Engineer / QAE
To :
Contractor
Your request to proceed with the above mentioned work IS APPROVED ............................................................................................................................................... ............................................................................................................................................... IS NOT APPROVED for the following reasons :
………………………………………………………………………………………………. ……………………………………………………………………………………………….
Signed : ………………………… Time : …………………………… Received for Contractor …………………………….. FORM NO. QM/AP
Date : ………………………
Neither the endorsement of this Form nor anything written on it is intended to convey final approval for any part of the works.
Client:
C&S Engineer:
Non - Compliance Report (NCR)
Contractor:
Project:
NCR Reference No. : ………………...…………………………………………… Date Issues : ………………...……………………………………………………….
Subject : ………………………………………………………………………………………………………………………………. PART A : Details of Non - Compliance
(to be completed by RE / QAE)
(Refer to relevant inspection and results, if appropriate)……………………………………………………………………………………………………… ………………………………………………………………………………………………….…………………………………………………………………… ………………………………………………………………………………………………….…………………………………………………………………… Received by : Signature :
…………...………………………………….
Signature :
Name :
…………...………………………………….
Name :
(Contractor)
…………...…………………………………. …………...…………………………………. (Resident Engineer / QAE))
PART B : Proposed Corrective Action
(to be completed by Contractor)
1. Rework to meet specification
3. Repair
2. Scrap / Demolished
4. Others
If others, please clarify : ………………………………………………..………………………………………………………………………………………… ……………………………………………………..………………………………………………………………………………………………………………… ……………………………………………………..………………………………………………………………………………………………………………… DATE OF CORRECTIVE ACTION TO BE COMPLETED : …………………………………………………………………….. Signature :
……………………………...………………
Signature :
………………………...……………………………
Name :
……………………………...………………
Name :
………………………...……………………………
(Contractor) Date :
(Resident Engineer / QAE)) Date :
……………………………...………………
………………………...……………………………
ACTION TO BE TAKEN TO PREVENT RECURRENCE : …………………………………………………………………………………………………… …………………………………………………………….………………………………………………………………………………………………………… …………………………………………………………….………………………………………………………………………………………………………… DATE ACTION TO PREVENT RECURRENCE TO BE COMPLETED : …………………………………………………………………….. Signature :
……………………………………...………………………………….
Name :
……………………………………...…………………………………. (Contractor)
Date :
……………………………………...………………………………….
PART C : Follow - up, Close out & Verification of corrective action
PROPOSED FOLLOW - UP DATE : …………………
Remarks :
(to be completed by RE / QAE)
………………………………………………………………………… …………………………………………………………………………
NCR CLOSED OUT
Yes / No
Closed Out Date
: ………………………
…………………………………………………………………………
Verify by
: ………………………………………………. (Resident Engineer / QAE)
Date
FORM NO. QM/NCR
: ……………………………………………….
Client:
C&S Engineer:
Contractor:
Project:
DELIVERY OF READY MIXED CONCRETE Building Type / Other Structure : ……………………………………
Structure Type (ST) : B = Base Slab, W = RC Wall, T = Top Slab/Cover, F = Foundation, B = Beam, C = Column, S = Slab, O = Others
Element / Component / Grid : …………………………………………. Structure Type : ……………………………………….. Floor (for building) : ………………………………………….. Specified Slump : ……………………………………….. Specified Concrete Grade : ………………………………………….. Ref. To Approval Chit No. : ………………………………………….. Date & Time of Concreting : …………………………………………..
Mixer Truck No.
Volume Delivered 3
(m )
Time of Loading
Time of Delivery
Time of Placing
Measure Slump at Site (mm)
Date for testing of cube 3 days : …………………… 28 days :
Cube Identification No.
Remarks
…………………………
7 days : ………………………… Remarks :
…………………………………………………………………………………………………………………
………………………………………………………………………………...……………………………..……………..…..
Prepared By:
Check By:
Approved By:
Contractor
JPW (Clerk of Work)
JPW (RE/ARE)
Name:
Name:
Name:
Signature:
Signature:
Signature:
