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CONCRETE FIELD TESTING DATA SHEET NO

DATE:
STRUCTURAL MARK:
PREPARED BY:

PROJECT NAME:

CONCRETE STRENGTH
TRUCK

TIME

O.R. NO.
NO.

SLUMP (in.)

VOL. (m3)

AIR
CONTENT
(%)

REMARKS:_______________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_______________________________________________________

EQUIPMENT USED

SPECIFIC REQUIREMENTS

AIR METER NO.

AIR (%)

THERMOMETER NO.

TEMP. (◦F)

U.W. MEASURE NO.

SLUMP (in.)

FIELD TESTING DATA SHEET NO. ______

PROJECT LOCATION:
LOCATION/GRID LINE:
CONCRETE STRENGTH:
CONCRETE
TEMP. (◦F)

AIR TEMP.
(◦F)

UNIT
WEIGHT
(lb/ft3)

NOTES

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_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
____________________________________________________

SPECIFIC REQUIREMENTS

R (%)

EMP. (◦F)

LUMP (in.)

_____________________
QC REVIEWER
________________
DATE

FIELD MONITORING REPORT
PROJECT NAME:
PROJECT LOCATION:
PREPARED BY:
PAGE___ OF___

M
ESTIMATED QUANTITY (m )
OTHERS
3000PSI
SPECIFY
3

SECTION/MEMBER
FOOTING/COLUMN
BEAM/SLAB
STAIRS/MISCELLANEOUS

MANPOWER
WORKERS NAME
GROUP NAME

SKILL

UNSKILL

HOURS EXPENDED
TOTAL

PREPARATION

POURING

TROWELLING

BROOMING

TORING REPORT
DATE: _______________________________
LEVEL/GRIDLINE: _____________________
POURING TIME:
START_____________
FINISH_____________
MATERIALS
ACTUAL QUANTITY (m3)
OTHERS
3000PSI
SPECIFY

OTHER MATERIALS
ITEM

UNIT

QUATITY

EQUIPMENT
EXPENDED
CURING

RETOUCH

TOTAL

DESCRIPTION

NUMBER

OPERATING
HOURS

REMARKS

.

WORK ACCOMPLISHMENT REPORT PROJECT NAME: _____________________________ PROJECT LOCATION: _________________________ FLOOR LEVEL SECTION/ MEMBER FOOTING COLUMN/ WALL FOUNDATION BEAM/ SLAB STAIRS/ MISC. COLUMN/ WALL 2ND LEVEL BEAM/ SLAB STAIRS/ MISC. COLUMN/ WALL 3ND LEVEL BEAM/ SLAB STAIRS/ MISC. ESTIMATED QUANTITY (m3) . COLUMN/ WALL GROUND BEAM/ SLAB STAIRS/ MISC. COLUMN/ WALL 4ND LEVEL BEAM/ SLAB STAIRS/ MISC.

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WORK ACCOMPLISHMENT REPORT NO: ____ RUN DATE: ________________________ PREPARED BY: _____________________ PAGE _____ O F______ PREVIOUS ACCOMPLISHMENT (m3) TO DATE (m3) TOTAL TO REMAINING (m3) DATE (m3) % COMPLETE .

.

__________ __________ REMARKS .

.

IF ANY: ________________________________ ________________________________________________________________________________________________ 9.COMPLETE CHECK-LIST OF POSSIBLE CAUSES ON OTHER SIDE 13. O RECORDABLE INJURY. MEDICAL ATTENTION AUTHORIZED BY: __________________________________________________________ 7. RESPONSIBILITY FOR THIS ACCIDENT: O EMPLOYEE _________________________________ (EXPLAIN REASON) O SUPERVISION ______________________________ O ____________________________________________ 16. ADDITIONAL INVESTIGATION O IS NEEDED O IS NOT NEEDED DATE OF REPORT:______________________ PREPARED BY: ________________________________ SUPERVISOR: ________________________________ O FIRST AID ONLY REQUIRED. WHAT UNSAFE ACT IS COMITTED? _____________________________________________________________ 12. 4. WHO WITNESSED ACCIDENT? __________________________________________________________________ 8. FIRST AID ADMINISTERES BY: ___________________________________________________________________ 6. NON-RECORDABLE INJURY. 3. WHAT HAPPENED? _____________________________________________________________________________ ________________________________________________________________________________________________ 10. WHAT SHOULD BE DONE TO PREVENT SIMILAR ACCIDENT? _______________________________________________________________________________________________ _______________________________________________________________________________________________ 15. . HOW DID IT HAPPEN? _________________________________________________________________________ ___________________________________________________________________________________________________ 11. O MEDICAL TREATMENT REQUIRED/PHYSICIAN TO INDICATE IF INJURY IS RECORDABLE. LIST ANY UNSAFE CONDITIONS WHICH CONTRIBUTED TO ACCIDENT/INJURY: .)__________________________________________ EQUIPMENT INVOLVED________________________________________________________ EMPLOYEE(S) INVOLVED: AGE JOB CLASSIFICATION 5.REPORT OF ACCIDENT TO BE COMPLETE FOR ALL ACCIDENTS. DESCRIBE ACCIDENT AND NATURE OF INJURY. 2. EVEN IF NO INJURIES WAS SUST 1. COULD THIS ACCIDENT HAVE BEEN PREVENTED? EXPLAIN: _______________________________________________________________________________________________ _______________________________________________________________________________________________ 14. DATE AND TIME OF ACCIDENT_____________ LOCATION OF ACCIDENT (AREA/DEPT.

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.CCIDENT VEN IF NO INJURIES WAS SUSTAINED ________AM _____________ ____________ _________PM IF INJURED MEDICAL ATTENTION FIRST AID GIVEN NEEDED _______________________________________ _______________________________________ ______________________________________ ____________________________________________________ ___________________________________ ____________________________________ __________________________________ _____________________________________ __________________________________ _______________________________________ NT/INJURY: ___________________________________ ___________________________________ ___________________________________ ___________________________________ _______________________________________________ _______________________________________________ ______________________________________________ O IS NOT NEEDED ______________________________________ ______________________________________ Y IS RECORDABLE.

________ .FILE/LOG NO.

PROJECT NAME: ______________________________ WORK ITEM: _________________________________ PREPARED BY: _______________________________ ACCOMPLISHMENT STRUCTURAL MARK ESTIMATED WEIGHT (kg) PREVIOUS (kg) TO-DATE (kg) .

TOTAL .

FIELD MONITORING REPORT ISHMENT WORKERS TOTAL TO-DATE (kg) SKILLED UNSKILLED TOTAL .

.

DATE: ___________________________ LEVEL/GRIDLINES: _________________ PAGE ______ OF ________ HOURS EXPENDED SKILLED UNSKILLED TOTAL .

.

REMARKS .

.

PROJECT: _______________________________________________ PREPARED BY: ___________________________________________ BAR DESCRIPT STRUCTURAL MARK ITEM DETAILS DIAMETER (mm) LENGTH (mm) .

.

OF BENDS CUTTING EQUIPMENT BENDING EQUIPMENT . OF HOOKS MECHANIZED NO.FABRICATION WORK SHEET BAR DESCRIPTION GRADE WEIGHT PER PIECE (kg) METHODS NO.

.

TOTAL WEIGHT WORKERS SKILL UNSKILL .RK SHEET DATE: ______________________ PAGE _______ OF _______ METHODS OUTPUT MANUAL CUTTING TOOL BENDING TOOL # OF PCS.

.

___________ WORKERS # OF HOURS WORK RATE (kg/mhr) REMARKS .

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BAR SPACING AS PER SCHEDULE (COMPLIES WITH 1. TRIMMER BARS AROUND SLEEVES IN PLACE? 9. EXTRA BOTTOM BARS D. APPROVED SCHEDULE AT HAND? 3. APPROVED CUTTING LIST AT HAND? 2. CHAIR BARS ADEQUATE AND SET PROPERLY? .PROJECT: CONTRACT NO. SPLICES OF CORRECT LENGTH(S) OR STAGGERED? 7. MAIN BARS B. SHEAR BARS AT CONSTRUCTION JOINT 2. AND LEGIBLE AFTER PLACING REINFORCING BAR 1. HEAVY RUST. EXTRA TOOP BARS C. BARS AT BEAM COLUMN JUNCTION ARE NOT CONGESTED TO PREVENT PROPER CONCRETE PLACEMENT AND 8. OR OTHER DELETERIOUS MATERIALS 3. TIES AND STIRRUPS AS PER SCHEDULE? 4. BARS ARE FREE OF DIT. TRIMMER BARS AROUND BLOCKOUTS? 10. GREASE. LOOSE MILL SCALE.: COMPONENTS PLANS / DESIGN 1. CHECK THE LENGTH OF DOWELS IN ACCORDANCE WITH CODES? 6. STIRRUPS E. BAR IDENTIFICATION ARE INTACT. BARS ARE NOT MISBENT OR DAMAGED? 2. LOCATION AT SPLICE F. BAR DIAMETER AS PER SCHEDULE? A. BARS ARE STABLE AND WELL SUPPORTED OR CHAIRS OR CONCRETE SPACERS? 5. APPROVED STRUCTURAL BODY PLANS AVAILABLE? REBARS BEFORE PLACING 1. A TO F)? 3.

SHEARWALL)? 3. REBENT OR STRAIGHTENED BARS ARE FREE OF CRACKS OR DAMAGE? FINAL CLEAN-UP 1. OR OTHER SUBSTANCE CAPABLE OF DESTROYING BON 12. AND DEBRIS WHICH COULD JEOPARDIZE THE FORMWORKS 1. GREASE. COLUMN. CAMBER/SLOPE PER STRUCTURAL NOTES? THIS RECORD HAS BEEN CLOSED ON DATE: DISTRIBUTION . PERMANENT SHORES IN POSITION AND PROPERLY FIXED BASED ON FORMWORKS PLAN? 5. SCREW JACKS ARE NOT OVER EXTENDED? 7. IS POURING AREA CLEAN AND SEROJO AREA PROVIDED? 11. BARS ARE FREE OF LOOSE MORTAR. RUST. FLATNESS. SUPPORTING SYSTEM AS PER APPROVED DESIGN? (FORM TIE.11. CORRECT SETTING OUT OF LINES AND LEVELS? 2. DIMENSION OF STRUCTURE AS PER APPROVED PLAN (EACH BEAM. SURFACE ARE AIS CLEAN AND FREE OF LOOSE CONCRETE MUD. IS FORMWORK JOINTS & SEAMS TIGHT AGAINST GROUT LEAK AND PROPERLY SEALED? 9. FIELD BENDING OR STRAIGHTENING OF REBARS IS DONE IN ACCORDANCE WITH THE SPECIFICATION? 13. SLAB. SHORING SET ON FIRM LEVEL BASE? 6. CONCRETE COVER SPACER ADEQUATELY PROVIDED? 12. & SPACING OF PROPS? 13. CORRECT LOCATION(S) AND SIZE(S) OF OPENING(S) IN FORMWORK (BLOCKOUT)? 10. TURN BUCKLE) 4. FORMWORK SIDES AND SCAFFOLDING ARE ADEQUATELY BRACED? 8. CORRECT PLUMBNESS.

A TO F)? AIRS OR CONCRETE SPACERS? E WITH CODES? D? NGESTED TO PREVENT PROPER CONCRETE PLACEMENT AND VIBRSTION? (NOT LESS THAN ONE INCH) . GREASE.DATE SUBMMITED: BUILDING AREA/LEVEL: INSPECTION DATE: GRIDLINE/AXES: WORK LOCATION: ACCEPTED COMPONENTS YES E? BEFORE PLACING VY RUST. OR OTHER DELETERIOUS MATERIALS AFTER PLACING REINFORCING BAR H 1.

QA/QC DRME . COLUMN. SHEARWALL)? ? (FORM TIE. OR OTHER SUBSTANCE CAPABLE OF DESTROYING BOND? S IS DONE IN ACCORDANCE WITH THE SPECIFICATION? CRACKS OR DAMAGE? ONCRETE MUD.IN-CHARGE BUILDING CONSTRUCTION .ASE. SLAB. AND DEBRIS WHICH COULD JEOPARDIZE THE QUALITY OF STRUCTURE. LAN (EACH BEAM. TURN BUCKLE) Y FIXED BASED ON FORMWORKS PLAN? QUATELY BRACED? GROUT LEAK AND PROPERLY SEALED? G(S) IN FORMWORK (BLOCKOUT)? OVIDED? DED? F PROPS? REMARKS: INSPECTED BY: VERIFIED BY: DRME .

: ICS______ WORK LOCATION: ACCEPTED NO INSPECTION TIME: REMARKS / WHY NOT? N/A .INSPECTION DATE: CHECKLIST NO.

Project Engineer .IN-CHARGE BUILDING ONSTRUCTION REVIEWED BY: DRME .

FORM NO.: REWORK RECORD NO.: CORRECTIVE ACTION TO BE TAKEN ON (TARGET DATE) .

Project Engineer .ME .

In-Charge Building . AVAILABLE? CONCRETING 1. CASTING HEIGHT (1.: DATE SUBMMITED: BUILDING AREA/LEVEL: GRIDLINE/AXES: COMPONENTS 14.CHECKLIST PROJECT: CONTRACT NO. DIRT. CONFIRMED CONCRETING METHODOLOGY (CRANE & BUCKET OR PUMPCRETE)? 2. CHAMFER STRIPS ARE PROPERLY INSTALLED? 21. SAWDUST. OIL.DEQUATE ILLUMINATION IS AVAILABLE IN THE WORK AREA? 4. SHEAR KEY AS PER APPROVED DETAIL? 19. CONSTRUCTION JOINT/GAP FILLER (PROVIDE EPOXY)? 18. GOOD HOUSEKEEPING IN AREA IN WORK AREA IS MAINTAINED? 3. DOWELA PROPERLY PLACED ON FUTURE MASONRY WALLS? 15. ACCESS TO WORK AREA AVAILABLE AND SAFE? 2. FORMS ARE PROPERLY COATED WITH FORM OIL? ACCESS/HOUSING 1.5m MAXIMUM) TO AVOID SEGREGATION? 16. POURING GUIDE? 17. WATER STOP IN PLACE AS PER APPROVED PLAN? 20. DESIGN MIX APPROVED? THIS RECORD HAS BEEN CLOSED ON DATE: REMARKS: INSPECTED BY: DRME . CLEANOUT FOR DEBRIS.QA/QC DISTRIBUTION VERIFIED BY: DRME . SILT.

: FORM NO.: ICS______ WORK LOCATION: ACCEPTED YES NO INSPECTION TIME: REWORK RECORD NO.: REMARKS / WHY NOT? CORRECTIVE ACTION TO BE TAKEN ON (TARGET DATE) N/A FIED BY: ME .In-Charge Building Construction REVIEWED BY: DRME .HECKLIST INSPECTION DATE: CHECKLIST NO.Project Engineer .

POWER LAYOUT (FEEDER.O. Emergency) 3. SEWER and DRAINAGE LAYOUT 5. Unit. LIGHTING LAYOUT (Admin. UNIT C.: COMPONENTS ELECTRICAL: (Roughing Inns) 1. AIR CONDITIONING FIRE PROTECTION: 9. FDAS b. Auxiliary Layouts a.PROJECT: CONTRACT NO. WATER SYSTEM LAYOUT MECHANICAL: 6. Security c. ACCU) 2.. VENTILATION 8. SPRINKLER SYSTEM (N/A) . CATV d. BMS (if applicable) PLUMBING/ SANITARY: 4. HEATING 7.

THIS RECORD HAS BEEN CLOSED ON DATE: .

. ACCU) ergency) CHECKLIST DATE SUBMMITED: BUILDING AREA/LEVEL: INSPECTION DATE: GRIDLINE/AXES: WORK LOCATION: ACCEPTED COMPONENTS YES .

IN-CHARGE BUILDING CONSTRUCTION .REMARKS: CHECKED BY: VERIFIED BY: DRME .QA/QC DRME .

INSPECTION N/A .INSPECTION DATE: WORK LOCATION: ACCEPTED NO CHECKLIST NO. : ICS______ INSPECTION TIME: FLI .

LDING CONSTRUCTION REVIEWED BY: DRME .Project Engineer .

FORM NO.: REMARKS .: REWORK RECORD NO.

INSPECTED BY: FLI .Engineer .

FIRE PROTECTION N. ELECTRICAL N.A.A.: O PCD (PUMPCRETE DESIGN) 4 BATCH O 19mm or 3/4" PLACEMENT METHOD: (CHECK) O DIRECT METHOD OF CURRING: (CHECK) O PONDING 2ND_______ ______ BATCH 3RD_______ 4TH___ ______ BATCH ______ BATCH O 10mm or 3/8 O BUGGY O PUMP O CONTINUOUS SPRINKLING O CRANE & BU O ABSORP ATTACHMENTS: DISCIPLINE CHECKED AND VERIFY BY (WRIT SUB-CON/ TRADE CON SURVEY (LINE &GRADE) N.A. MECHANICAL N. 1 PROJECT LOCATION: CONTRACT NO. FORMWORKS N.A.PROJECT: RESIDENTIAL CONDOMINIUM BLDG. AUXILIARY N. PLUMBING/SANITARY N. .A.00191 WORK LOCATION: STRUCTURAL FOUNDATION WORK ITEM (DEFINEABLE FEATURE OF WORK) 1 UNIT F-4 2 UNIT F-1 TECHNICAL DATA DESIGN MIX O ORDINARY SLUMP (in): 1ST 1 MAX SIZE OF AGGRE.A. REBAR N.A.: KEMBALI COAST 2016 . FDAS/BMS N.A.A.

PERMITTING: BASED ON THE RECOMMENDATIONS OF THE ABOVE PERSONNEL. PRECAST N. THEREFORE PER 2.ARCHITECTURAL N. SAFETY N. SIGNATURE ABOVE ITEMS ARE EVIDENCE OF ACCEPTANCE. HAVING VERIFIED AND CERTIFIED DRAWINGS AND MATERIALS COMPLY WITH THE LATEST APPROVAL PLANS AND SPECIFICATIONS OF THE SAID AC O SUBMITTED BY: DRME-PROJECT IN CHARGE/MEPF APPROVED BY: FLI .A.Project Engineer IMPORTANT NOTE: 1. OTHERS N. DULY APPROVED AND SIGNED CONTRACTOR'S PERSONNEL INCHARGE AT LEAST 24 HOURS BEF .A.A. THIS FORM MUST BE SUBMITTED TO FLI.A.

A. N.A. N.A. NAME.A. E-10. 2016 TIME: 5:00 PM ACTUAL QUANTITY (m3): 3.5 DATE: JUNE 28. N. 1UNIT CONC. 28-Jun-16 PERMIT REQUESTED BY OPS/SUB CHECKED & VERIFIED BY (QA/QC): DRME DRME GRIDLINE/AXES: FLOOR LEVEL A-11.A. F-10 FOUNDATION PLANNED QUANTITY(m3): 3. OF MIXER TRUCKS: 1 SUPPLIER: DRME O CRANE & BUCKET O OTHERs___________________ O ABSORPTIVE MAT. & DATE BELOW) DRME N. O ADMIXTURE OR COMPOUND EQUIP TO BE USED: 1UNIT TRANSIT MIXER. N. 2016 TIME: 5:15 PM SPECIFIED CONCRETE STRENGHT: 3000PSI ESIGN) 3RD_______ 4TH_______ _ BATCH ______ BATCH UMP RINKLING 1 DATE OF 28-DAY PERIOD: JUNE 26. 2016 TOTAL NO. VIBRATOR KED AND VERIFY BY (WRITE SIGNATURE.CONCRETE POURING DATE PREPARED: REQUEST NO. FLI .35 DATE: JUNE 28. N.A.

A. N.N. NG VERIFIED AND CERTIFIED THAT OTHER WORKS IN THE AREA WIL NOT CONFLICT WITH THE WORK REQUESTED AND THAT SHOP IFICATIONS OF THE SAID ACTIVITY/WORK ITEM HEREBY RECOMMENDS: O APPROVAL O DISAPPROVAL NAME SIGNATURE CEPTANCE. THEREFORE PERMITTING THE EXECUTION OF THE WORK LY APPROVED AND SIGNED BY THE CORRESPONDING RGE AT LEAST 24 HOURS BEFORE THE ACTUAL INSPECTION AND/OR INSTALLATION .A.

1 (QA/QC): RENGHT: 3000PSI JUNE 26. R REMARKS .FORM NO. 2016 CKS: 1 IT TRANSIT MIXER.

H THE WORK REQUESTED AND THAT SHOP DATE/TIME .