TEPI CAMPUS

COLLEGE OF ENGINEERING AND TECHNOLOGY

DEPARTMENT OF CONSTRUCTION TECHNOLOGY
AND MANAGEMENT
HOLISTIC SEMISTER PROJECT
TITLE: work method statement
GROUP 2

SUB GROUP 5

NAME ID NO.
1-TIKO ABDI ETR/826/07
2- KIDIST DEMLA ETR/477/07
3- MEKLIT BEKELE ETR/548/07
4-KIDIST TAMRU ETR/482/07
5- YISEHAK TENKER ETR/890/07

SUBMITTED TO; MR. DAWIT BEZA DATE OF SUBMISSION; 14/07/2010EC

 CHECKLIST FOR WORK

ACKNOWLEDGEMENT
First of all we thank our GOD for everything that we had a strength and commitment to do this

project. Then we would like to thanks Mr. DAWIT BEZA who gives a brief instruction for the

project and also empower us to do it.

Finally we would like to express our sincere appreciation for our group members

encouragement in this Project and to all our friends who have been very supportive in this

venture. Deeply, grateful to all of them.

GROUP -5 Page 2
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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Site Clearance Make a (√)

C NC NA
 Preparation of estimated measurement
 Distance of setting out board from the edge of building
and stabilization means of the setting out erections
 Elevation, Levelness, angle and alignment of the profile
board and strings
 Accuracy of transferred Bench Mark
 Remedy given for physical obstruction
 Means of taking the existing Ground Elevation
 Grid Points considered
 Conformity of the readings with the drawings
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Bulk Excavation works. The take-off sheet of this
activity shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Bulk Excavation Make a (√)

C NC NA

 Preparation of estimated measurement

 Investigation of underground physical obstruction
By the Contractor
 Qualification of Personnel
 Submittal of pre excavation readings on same Grid Points
 Approval of top soil materials Disposal
 Machineries to be applied
 Requisition of Back filling materials test
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Bulk Excavation works. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Pit Excavation Make a (√)

C NC NA
 Conformity of dimension & working space
 Readiness of materials for subsequent works
 Similarity of the soil strata with the log for bulk exc.
 Distance of disposal of Bulk Excavated material
 Checking final layer of excavation work to be
Executed during lean concreting
 Beginning of production of appropriate concrete spacers*
 Readiness to protect the pit wall from falling in
by referring soil log (depending on the soil log)
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Bulk Excavation works. The take-off sheet of this activity
shall immediately be signed upon completion.

.
For the Consultant: - For the Contractor:-
Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Trench Excavation Make a (√)

C NC NA

 Necessity of Masonry Foundation along the stated axes

 Availability of materials for subsequent work
 Submittal of work methodology
 Qualification of work men/ operators
 Equipment for excavation
 Submittal of pre excavation elevation readings
 Readiness to protect trench wall from falling in
Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Trench Excavation works. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Backfilling Make a (√)
C NC NA

 Backfill material (borrowed/from site)

 Submittal of the Backfill material test result
 Necessity of Hard core material testing
 Conformity of readings of the reduced level with the first reading
 Cut surface (reduced ground) compaction before Backfilling begin
 Method of sprinkling of water and its sufficiency
 Method of spreading the fill material
 Method proposed for safety of Sanitary and Electrical pipes
 Moisture content of the area to be filled
 Thickness of backfilling layer
 Method of blending for mixed material
 Decision on No of Test points for Compaction
 Anti Termite solutions (if applicable)
 Surface cleanliness of the area to be filled

Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Trench Excavation works. The take-off sheet of this activity
shall immediately be signed upon completion

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:
=conformed NC= not conformed NA= not applicable

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Stone work
Hard coring makes a (√)
C NC NA

 Fulfilment of Quality of Test Results of the Compaction

 Confirmation of estimated quality against the documents
 Time elapsed after compaction completion
 Surface condition of the area to be covered
 Quality of Hard core material
 Availability of well-graded materials for Blinding

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Hard Coring works. The take-off sheet of this activity shall
immediately be signed upon completion.
.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

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 CHECKLIST FOR WORK

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Stone Masonry Foundation Make a (√)

C NC NA

 Distance of excavated material from the brim of the Trench

 Conducted materials test
 Protection of Trench wall from falling in
 Submittal of scaffolding design
 Type & size of Masonry (Uniformly thick/battered)
 Size of Stone masonry
 Qualification of work men
 Bedding material (lean concrete/50mm aggregate)
 Uniformity of colour, texture, etc of the stone
 Proportion of height to length of the stone
 Checking minimum 3pcsof stones/m2 spanning from
face to face of Masonry
 Means of apportioning courses uniformly throughout the height
 Level of Electrical and Sanitary pipes out let
 Mix ratio of mortar & box size
 W/C ratio of the mortar and program to conduct test

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Stone Masonry works. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Element of Structure: Footing
Formwork Make a (√)
C NC NA

 Type & quality of material to be used for formwork /metal or wood

 Provision of Lean concrete
 Clearing /Disposal/ of excavated material away from the pit.
 Provision of means for draining underground water if there is any
 Similarity of the soil strata with the soil-log assumed during design
 Condition of the bottom of the pit /Crack or any other effect from weather/
 Required working space and means of supporting the wall of the pit for
Preventing from falling down;
 Invert level of excavated pit /care for stress development between
Adjacent footing/
 Foundation depth, width, lines & levels to correspond with the drawing;
(Separate each work)
 Proportion and volume of concrete used to level any irregular surface
for placing foundation.
 Filling over excavation with selected fill class-5 concrete/Cyclopean Concrete
up to the required inverted level;
 Supporting the face of excavation with sheeting, Timbering, strutting
& shoring;
 Decision on underground condition and physical obstruction;
 Submittal of formwork design and method of construction;
 Availability of enough spacer for concrete cover;
 Readiness for preparation of required reinforcement to be placed
on that specific formwork

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Stone Masonry works. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature

GROUP -5 Page 10
 CHECKLIST FOR WORK

Date Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Element of Structure: Footing
Placing of Reinforcement Make a (√)
C NC NA

 Fulfilment of quality test

 Checked for the right dimension, level & straightness of formwork.
 Method used to keep the formwork in position /clamp, bolt or anchors/
 Well braced and strong enough formwork to carry the load
 Rigidity, wrapping & opening of formwork joints due to shrinkage of timber.
 Coated with release agent for the inside surface of formwork;
 Nature & type of release agent;
 Avoiding contact between release agent and reinforcement / care not to be
visible on the finished work/
 Submittal of shop drawing/bar schedule/;
 Handling & storage of reinforcement /raised from ground, protected from
weather effect and appropriate location not to hinder progress of work/
 Availability of reinforcement free from dirt, oil, paint, rust & other foreign
substance;
 Readiness to place the reinforcement as per the drawing;
 Availability of spacer for concrete cover /shape, dimension & type of spacer/;
 Proposed method the prevent displacement of reinforcement from tolerance;
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Placing of Reinforcement. The take-off sheet of this activity
shall immediately be signed upon completion.

For the consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 11
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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Element of Structure: Footing

Placing of Concrete Make a (√)
C NC NA

 Submittal of mix proportion for the mix design;

 Rechecking footing formwork from displacement of the
fixed position, level and alignment.
 Spacer Position
 Rechecking the rigidity of the scaffolding & shuttering
formwork from displacement of the fixed position.
 Leak tightness of joints between form work element;
 Cleanliness of form work
 Cleanliness of Lean concreted area
 Surface condition of reinforcement
 Diameter, location, spacing, required length, required
number, shape, bonding dimension of the reinforcement
both for footing and foundation column.
 Proper positioning of foundation column reinforcement with the footing;
 Alignment of centring of foundation column reinforcements
 Method used for pouring concrete to avoid segregation/Chute,
down pipe, trucking, or any other/
Make (√)

Check the following before production of concrete C NC NA

Aggregates / Fine or Coarse/
 Sufficiency for different size of aggregates piled separately;
 Sufficiency of aggregates protected from contamination, minimized
segregation;
 Prevention of intermingling aggregates with adjacent material;
 Provision of adequate drainage for the piled aggregates
GROUP -5 Page 12
 CHECKLIST FOR WORK

for maintaining uniform moisture content;

Cement

 Fulfillment of quality test

 Type of cement. (Ordinary Portland, pozolana, sulphate resistant etc.)
 Stored separately from other items;
 Protected from dampness, due to weather or ground condition;
 Stored so that the cement will be used on the some order as it is
delivered;
 Free form dampness & partial setting;
 Age of cement
Water
 Protected from contamination
 Quality test for aggressiveness
Admixture
 Stored according to manufacturer’s instruction;
 Preserved & identified with labels;
 Type of admixture
Mix
 Size of gauging box for measuring aggregates;
 Required duration to mix the cement & aggregate thoroughly
/check manufacturer’s instruction of the mixer/ Vibrator R.P.M
 Loading capacity of the mixer
 Capacity of Vibrator
 Maximum size of aggregated allowed in the mix;
 Moisture content of aggregate;
 Temperature of aggregate
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Placing of Concrete. The take-off sheet of this activity shall
immediately be signed upon completion.

For the consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 13
 CHECKLIST FOR WORK

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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Element of Structure: - Column or Grade beam
Formwork Make a (√)
` C NC NA

 Submittal of formwork design with representative sketch showing

size, shape, location of opening for pouring concrete, strength,

 Rigidity, bracing detail, method of fixing, method of removing the

form, detail at joints, method to be used for grouting, Method to
be used for keeping the formwork in position during placing
of concrete;
 Cleanness of starter bar form any cement phase

 Test result of reinforcement for all requirements (Tensile, yield ,elong.)

 Cleanliness of all reinforcement bar (free from dirt, paint, oil,

rust and other foreign substances.)
 Deviation from the drawing in fixing & positioning of reinforcement
 Overlap location and length to be as shown on drawing(30 to 40Φbar);
 Type, shape, dimension, spacing and method of fixing of
spacer to maintain the required concrete cover;
 Alignment of columns along an axis.
 Type of material to be used for form work;
 Method used to treat the formwork for preventing adherence
of concrete from oil, or any other release agent.
 Cleanliness & smoothness for surface of forms to be used;
 Provision of starter bar at location of intermediate structure lintels
to avoid chiselling of concrete on the face of column;

Additional Remarks

For the above items are fulfilled /not fulfilled , the

Contractor is hereby allowed /refused to proceed the Fixing
Formwork.

For the consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date

GROUP -5 Page 14
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C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Element of Structure: - Column and Grade beam

Placing of Concrete Make a (√)
` C NC NA

 Checking of main reinforcement, stirrup & spacer from

displacement of the fixed position, level & alignment;
 Conformity of the formwork with approved formwork design
 Grout tightness & sufficiency of rigidity to prevent disturbance
due to pressure of concrete, effect of vibrator & other load.
 Conformity of proper dimension for the finished surface;
 Provision of opening for maintaining pouring height of concrete
with out segregation;
 Cleanliness, smoothness and treatment with release agent for the
surface of formwork.
 The alignment of column along axis;
 Conformity for right dimension, vertical alignment & level of
finished element;
 Keeping the displacement of reinforcement with in the limit of tolerance;

Check the following before production of concrete

Aggregates / Fine or Coarse/

 Sufficiency for different size of aggregates piled separately;

 Sufficiency of aggregates protected from contamination, minimized
segregation;
 Prevention of intermingling aggregates with adjacent material;
 Provision of adequate drainage for the piled aggregates
for maintaining uniform moisture content;

Cement

 Fulfilment of Quality Test

 Type of cement. (Ordinary Portland, pozolana, sulphate resistant etc.)
 Stored separately from other items;

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 Protected from dampness, due to weather or ground condition;

 Stored so that the cement will be used on the some order as
it is delivered;
 Free form dampness & partial setting;
Water

 Protected from contamination

Admixture

 Stored according to manufacturer’s instruction;

 Preserved & identified with labels;
 Type of admixture
Mix

 Size of gauging box for measuring aggregates;

 Required duration to mix the cement & aggregate thoroughly
/check manufacturer’s instruction of the mixer/
 Loading capacity of the mixer
 Availability of enough number of mixer & vibrator for ensuring
continuous supply & compaction of concrete;
 Cleanliness of the mixer
 Availability of aggregate, cement & equipment for producing
the required volume of concrete
 Submittal of mix proportion for the mix design;
 Maximum size of aggregated allowed in the mix;
 Moisture content of aggregate;
 Slump & water/Cement ratio of freshly mixed concrete
 Workability of concrete for ensuring proper handling and
placing of concrete without segregation/low, medium, high/;
 Weather / care during heavy rain & hot weather/
Additional Remarks

For the above items are fulfilled /not fulfilled , the

Contractor is hereby allowed /refused to proceed the
Placing of Concrete
.
For the consultant: - For the Contractor:-
Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 16
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Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Element of Structure: Suspended Slab/staircase

Placing Of Reinforcement Make a (√)
` C NC NA
 Submittal of form work design;
 Submittal of shop drawing showing Diameter, Spacing, number,
length, shape, method of tying and bending dimension of main
reinforcement bar in accordance with the drawing;
 Cleanliness of all reinforcement bar (free from dirt, paint, oil,
rust and other foreign sunstones;
 Over lap location and length to be as shown on drawing;
 Type, shape, dimension, spacing and method of fixing of
spacer to maintain the required concrete cover;
 Type of material to be used for form work;
 Method used to treat the formwork for preventing adherence
of concrete /coating with oil or any other release agent/
 Cleanliness & smoothness for surface of forms to be used;
 A grout check to provide clean, levelled & horizontal joint
/e.g. Plastic sheet/
 Usage of top form work for casting concrete on surface
Steeper than 20º from horizontal to enable the concrete to
be properly compacted;
 Solidness of support for false work.
Additional Remarks

For the above items are fulfilled /not fulfilled , the

Contractor is hereby allowed /refused to proceed the
Placing of Reinforcement.

For the consultant:- For The Contractor:-

Name Name
Signature Signature
Date Date

GROUP -5 Page 17
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C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Element of Structure: Suspended Slab /stair case

Placing of Concrete Make a (√)
` C NC NA

 Rechecking the level, cleanliness and smoothness of formwork

from displacement of fixed position, level and alignment.
 Diameter, number, length, shape, bending dimension of
main reinforcement bar in accordance with the drawing;
 Spacing, length and method of tying main bar.
 Cleanliness of all reinforcement bar (free from dirt, paint,
oil, rust and other foreign sunstones;
 Deviation from the drawing in fixing & positioning of reinforcement;
 Over lap location and length to be as shown on drawing;
 Type, shape, dimension, spacing and method of fixing of
spacer to maintain the required concrete cover;

 Detail of all reinforcement necessary for positioning &

supporting structural reinforcement /number, length,
diameter & shape for chair & spacing bars;

Check the following before production of concrete

Aggregates / Fine or Coarse/

 Sufficiency for different size of aggregates piled separately;

 Sufficiency of aggregates protected from contamination,
minimized segregation;
 Prevention of intermingling aggregates with adjacent material;
 Provision of adequate drainage for the piled aggregates
for maintaining uniform moisture content;
Cement
 Stored separately from other items;
 Protected from dampness, due to weather or ground condition;
 Stored so that the cement will be used on the some order as it
is delivered;
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 Free form dampness & partial setting;

 Age of cement
Water
 Protected from contamination
Admixture
 Stored according to manufacturer’s instruction;
 Preserved & identified with labels;
 Type of admixture
Mix
 Size of gauging box for measuring aggregates;
 Required duration to mix the cement & aggregate thoroughly
/check manufacturer’s instruction of the mixer/
 Loading capacity of the mixer
 Availability of enough number of mixer & vibrator for ensuring
continuous supply & compaction of concrete;
 Cleanliness of the mixer
 Availability of aggregate, cement & equipment for producing
the required volume of concrete
 Submittal of mix proportion for the mix design;
 Maximum size of aggregated allowed in the mix;
 Moisture content of aggregate;
 Slump & water/Cement ratio of freshly mixed concrete
Additional Remarks

For the above items are fulfilled /not fulfilled , the

Contractor is hereby allowed /refused to proceed the
Placing of Concrete.
For the consultant: - For the Contractor:-
Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

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CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Carpentry and Joinery Inspection

Purlines Make a (√)
C NC NA

 Material, type (Zigba, korero, eucalyptus etc...)

 Lab test of purling material

 Size of purling section (c/s, Diameter)

 Degree of dryness/seasoning

 Degree of paleness

 Sound wood nature

 Presence of loose knots

 Free from warping

 Cleanly cut nature of edges

 State of stacking at stock

 Visibility of cracks

 Method of splice (Vertical, slant angle etc...)

 Stiffener for splice (Linear, Metal stripe etc...)

 Cleat size at truss points

 Shape /Size/Material of wedges

Additional Remarks:

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Purling works. The take-off sheet of this activity shall
immediately be signed upon completion.

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For the Consultant For the Contractor

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Roofing and Wall Cladding Make a (√)

C NC NA

 Protective coat to respective truss & purling members

 Centre to centre distance of purling
 Type of Roofing
 Qualification of work men
 Level nests of the purling
 Length of each plain sheet accessory
 Overlap length (side and end lap) of the roofing/ cladding
 Galvanization nature of the roofing
 Fixing material quality
 Washer’s nature
 Weight per ml of EGA roof
 Thickness of the roofing/Cladding/ sheet accessories
 Proposed access to the roof
 Precedence of fascia board and gutter fixing
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Roof/cladding works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant:- For the Contractor:-

Name Name
Signature Signature
Date Date:

GROUP -5 Page 21
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C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Super Structure
Masonry for Elevation works Make a (√)
C NC NA

 Masonry type/stone, HCB, Brick

 Submittal of work methodology
 Raw materials Quality (Sand, Water)
 Conducted materials test
 Means of transport of goods
 Submittal of scaffolding design
 Type of Masonry (Uniformly thick/battered)
 Size of masonry
 Bondage of Masonry

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Roof/cladding works. The take-off sheet of this activity shall
immediately be signed upon completion

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 22
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CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Plastering work inspection Make a (√)

C NC NA

 Qualification of plasterer

 Location of item wall/ceiling/parapets

 Plumb state of erected wall

 Wall material to be plastered

 Chiselling state of concrete surface

 Testing of pies before plastering

 Condition of surface to be plastered

 Clearing of excess mortar of masonry joints/Recess provision

 Type of plaster mortar /mix proportion for various coats

 Watering of surface before plaster

 Quality of fine aggregate, water, lime etc..

 Method of mixing of mortar;

 Nature of labour tools; (Trowel, ramming pan, Straight edges etc..)

 Max. allowable thickness of coats of plaster(1 st coat, 2nd coat, 3rd coat)

Additional Remarks

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For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Plastering work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Inspection for rendering work makes a (√)

C NC NA
 Qualification of Plasterer

 Area to be rendered with reference to quality

 Checking readiness of surface wall to be rendered

a. Completion of erection of designed surface

b. Dryness of proposed surface

c. Cleanliness of surface from external un - necessities (Dust, Solid etc...)

d. Completion of other embedded element positioning

e. Centering work of areas to be rendered (Level, plumping, shaping etc..)

 Quality of seeved sand, crushed aggregate, water etc..

 Service ability of rendering tool

 Mix ratio of mortar(1:2) and W:C ratios

 Wetting of surface before start of rendering

 Presentation of plots of sample wall (Independent of project part)

 Maximum deviation of rendering components from average coat thickness;

 Checking homogeneity of colour appearance of rendering

Additional Remarks

GROUP -5 Page 24
 CHECKLIST FOR WORK

For the above items are fulfilled /not fulfilled ,the Contractor is hereby allowed /refused
to proceed rendering work. The take-off sheet of this activity shall immediately be
signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Wooden doors Make a (√)
C NC NA

 Location of door/block/floor/room

 Size of door

a) Frame

- Raw material
- Thickness
- Width
- Homogeneity

b) Opening Leaf

- Thickness
- Height
- Width
- Elevation homogeneity
- Raw material (Facing, edges)

 State of stacking at stock

 Surface nature of faces (Solid and flush doors)

 Appearance of panels/patterns of faces

 Type of joints at corners

GROUP -5 Page 25
 CHECKLIST FOR WORK

Additional remarks: _________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed plumbing work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Metal Work Fabrication and Fixing Make a (√)

C NC NA

 Submittal of work methodology

 Completion of 2nd coat plastering
 Label of Door, Window, Sky light
 Type of metal
 Cross section / size of metal
 Qualification of work men
 Submittal of Shop Drawing
 Condition of storage
 Submittal of approval of accessories
 Submittal of approved sample/model
 Fabrication place convenience
 Compatibility of size and shape of glazing bead with the frame
 Availability of anti rust paint at site and 1st coat
 Checking size and no of anchor straps
 Position of fixity w.r.t. Thickness of wall
 Checking of wall opening with tolerance

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Metal Work Fabrication and Fixing work. The take-off
sheet of this activity shall immediately be signed upon completion.

For the Consultant:- For the Contractor:-

Name Name
GROUP -5 Page 26
 CHECKLIST FOR WORK

Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Electrical work Inspection

Pulling of wires/cables and related accessories Make a (√)

C NC NA
 Qualification of electrician/Grade

 Material approval slip number

 Size of wire/Cable/Colour

 Rigidity condition at time of pulling

 Nature of wire connectors

 Sizes of connectors

 Size and nature of insulating tape

 Nature of clamps

 Insulation at point of cable connection

 Angle of bends in section crossing/cables

 Size of connectors

 Tracking connection to walls/ceiling/floor

 Size of pins/brackets for conduits/tracking;

 Spacing of pins/bracket

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Pulling of wires/cables and related accessories work. The
take-off sheet of this activity shall immediately be signed upon completion.

For the Consultant For the Contractor

Name Name
Signature Signature

GROUP -5 Page 27
 CHECKLIST FOR WORK

Date Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Ceiling Work Make a (√)

C NC NA
 Submittal of work methodology
 Preparation of estimated measurement
 Lab test of purling material
 Checking plainness
 Sufficient availability and storage of ceiling board
 Sufficiency of vent openings
 Fixing condition of ceiling to support
 Decision on the pattern of the ceiling
 Provision of ventilation
 Provision of untitermite
 State of flooring (Stage of concrete)
 Uniformity of the Ceiling material w.r.t. Texture, colour, etc.
 Checking stability of battens
 Size of batten and positioning
 Quality test submission for battens
 Maximum spacing of battens (both ways)
 Way of fixing of conduits and junction boxes
 Sufficiency of hangers for ceiling/design
 Check leakage on the roof cover
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Ceiling/Cladding works. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name

Signature Signature

Date Date:

GROUP -5 Page 28
 CHECKLIST FOR WORK

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Cement Screed flooring Inspection Work Make a (√)
C NC NA
 Qualification of mason
 Completion of preceding works/Ceiling/Plastering
 Levelling state of floor to be screed
 Adopted method of levelling course
 Surface nature of floor chiselled/Washed
 Mix proportion of screed material
 Presence of colours pigments in mix
 Quality of fine aggregate, water etc..
 Method of mixing of mortar
 Nature of labour tools (Mason tools)
 Thickness of designed screed
 Precision on the level surface to be screed
 Smooth nature of finished level
 Curing period of screed surface
 Checking of F.F.L form near by rooms
Additional Remarks:

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Cement Screed flooring Inspection works. The take-off
sheet of this activity shall immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 29
 CHECKLIST FOR WORK

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Wall tile coverage inspection work Make (√)
C NC NA
 Qualification of tiller
 Location of item internal /External wall
 Transverse/water absorption test
 Type of tile material ceramic/ precast element etc..
 Design of patterns
 Material approval slip and sample
 Colour of selected tile
 Checking of approved sample with site delivers
 Size of tile and deviation one to the other
 Thickness of tile
 Selection of equal sizes for placing
 Checking of surface nature to be covered
 Maximum projection of tile from wall surface
 Immersion of tiles in water before fixing
 Checking of plumbing, corner angle etc. before placing
 Mix proportion of tile paste
 Quality of adhesive
 Availability of tile spacer
 Cleaning and wetting of surfaces
 Nature of tools
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Wall tile coverage inspection works. The take-off sheet of
this activity shall immediately be signed upon completion.
.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

GROUP -5 Page 30
 CHECKLIST FOR WORK

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Solid Floor tile coverage Terrazzo

Inspection works
Make a (√)
C NC NA
 Qualification of tile layer

 Testing of material

 Material approval slip number and sample

 Nature of tile material ceramic /Terrazzo etc..

 Colour of selected tile

 Size of tile material (Length, width, thickness)

 Comparison of site deliveries with sample

 Selection of equal sizes/colour for placing

 Levelling condition of floor to be covered

 Designed pattern of tile placing

 Nature of binder (mortar) /Mix ratio

 Quality of water, fine aggregate etc..

 Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed floor tile. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

GROUP -5 Page 31
 CHECKLIST FOR WORK

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Plastic/PVC tile flooring work Inspection

Make a (√)
C NC NA

 Qualification of tiller
 Readiness of floor W.R.T other works
 Material approval slip and sample
 Submittal of tiling module
 Colour of selected material
 Size of plastic tile (Length, width, thickness)
 Checking physical properties of sample with site deliveries;
a) Product data of sample with deliveries
b) Flexibility of tile
c) Nature of underneath fiber of tile
d) Smooth/plane nature of surface
e) Nature of adhesive (approved with new deliveries)

 Nature of screed to be tiled, (Clean, washed, dried etc..)

 Levelling state of screed
 Rectification method of defective screed
 Duration from cast of screed to tile placing
 Adhesive application rate per unit area

Additional Remarks: __________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name : Name:

Signature: Signature:

GROUP -5 Page 32
 CHECKLIST FOR WORK

Date: Date: _______

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Marble flooring Work Inspection Make a (√)
C NC NA

 Qualification of tiler
 Designed pattern
 Checking of specified rooms with quantity
 Material approval slip number and sample
 Size of marble checking
a. Length
b. Breadth
c. Thickness
 Edge condition of delivered piees
 Surface nature of delivered pieces (free from cracks, holes perforations)
 Condition of floor to be covered
a. Adopted levelling course correction
b. State of chiselling of surface
c. Washed and free from dust grits etc
d. Checking application of designed mortar thickness
 Type of mortar and mix ratio for laying
 Grouting type (material)
 Quality of fine aggregate, water etc..
 Method of mixing of mortar
: Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed tile working. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:
GROUP -5 Page 33
 CHECKLIST FOR WORK

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Stair tread and riser inspection Make a (√)

C NC NA

 Quality of tiller/ Carpenter.

 Readiness of surface for placing.
 Type of material.
 Cleanness of surface.
a, Chiselling of surface.
b, Impresence of dust, dirt etc.
 Levelling state/plumbing state.
 Designed pattern of placing.
 Comparison of approved sample with deliveries.

a, Width (Tread, Riser)

b, Length
c, Thickness
d, colour
e, Place of production (Type)
. Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Stair tread and riser inspection . The take-off sheet of this
activity shall immediately be signed upon completion

For the Consultant For the Contractor

Name: Name:
Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 34
 CHECKLIST FOR WORK

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Stair Hand Rails Make a (√)

C NC NA

 Location Of item/actual position checking

 Material approval slip number/sample
 Checking physical appearance of sample with deliveries
 Size/Shape of Rungs
 Size/Shape of stringers
 Size/Shape of Support stays
 Size/Shape of support stay anchorages
 Size/Shape of holding down bolts
 Size/Shape of any fastenings
 Type of weld/electrode/size of weld
 Stratum for holding down bolts
 Safety cage necessities/typical designs
 Application of antirust coatings/other paints
 Clearance between stringer and wall
 Projection of stringer over top of last rung
 Shape of stringer at bottom embedment
 Depth of embedment at support stays
Additional Remarks:_________________________________________________________

For the Consultant For the Contractor

Name: Name:
Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 35
 CHECKLIST FOR WORK

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Metal Work Inspection (0510)
Steel Stair Case Components Make a (√)
C NC NA

 Qualification of manufacturer/Onsite production

 Location of time /Actual position checking
 Material approval slip number/sample
 Checking physical appearance of sample with deliveries
 Characteristics of material
 Section of steel angle frame/curbing
 Type of weld/Thickness
 Selected type of paint/appropriateness/Antirust
 Pattern of open mesh floor
 Size of open mesh (Thickness, pattern size)
 Angle of spindle at support/width
 Size/shape of roof covering
 Size/Shape /Nature of main support stand
 Foundation of stand/embedment depth to footing
 Positioning of stand /Location, state of plumbing/
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Steel Structure work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 36
 CHECKLIST FOR WORK

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Painting Make a (√)
C NC NA

 Submittal of work methodology

 Surface Material
 Receive of approved paint schedule
 Submittal of paint manufacturer manual
 Preparation of estimated measurement and storage condition
 Qualified Work men
 Scaffolding design
 Paint type and proposed glue for white wash
 Availability of paint material
 Availability of tools
 Quality of surface area
 Priming paint (etching primer if applied)
 Sufficiency of primer coverage/Painting
 Time gap between successive paint applications
 Quality test of paint materials
 Finishing stage of the corresponding room
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting . The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 37
 CHECKLIST FOR WORK

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Glazing Work Make a (√)
C NC NA

 Label of window/door /roof

 Stability of frame
 Type of glazing
 Colour of glazing
 Qualification of work men
 Estimated measurement preparation
 Size of cut and thickness of glazing material
 Quality of putty
 Quality test
 Fixing of samples with putty application
 Putty application position
 Sufficiency of space for putty application
 Spacing of bead screws/Firmness
 Condition of final coat of paint to frames
 Finishing stage of the wall/room to be glazed
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Glazing Work The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

GROUP -5 Page 38
 CHECKLIST FOR WORK

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Plumbing and sanitary work inspection
Make a (√)
C NC NA

 Qualification of plumber

 Location of item floor/wall/roof

 Material approval slip number(Date)

 Checking physical properties of approved sample with deliveries

 Pipe position(Surface/embedded)

 Nature of wall/ thickness

 Fixtures
a. Colour appearance
b. Formation of threads
c. On site random manual thread formation against the approval
d. Checking of weight of specimen
e. Presence of cracks

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting . The take-off sheet of this activity shall
immediately be signed upon completion

For the Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
GROUP -5 Page 39
 CHECKLIST FOR WORK

Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Down pipe Make a (√)
C NC NA

 Submittal of detail shop drawing

 Thickness, width and length of the brackets
 Type of Down pipe
 Nature of the material (its galvanization and the like)

 Type of lead materials

 No of joints; and type of connectors (for UPVC Down pipes)
 Sufficiency of overlap length
 Precedence of Fascia board/ final plastering
 Slope of Down pipe
 Spacing of the straps
 Detailing of Roof treatment connection with the Down pips
 Means of fixity
 Qualification of work men
 Sample preparation

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting . The take-off sheet of this activity shall
immediately be signed upon completion

For the Consultant For the Contractor

Name: - Name:-

Signature: - Signature:-

Date: - Date:-

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:

GROUP -5 Page 40
 CHECKLIST FOR WORK

Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Gutter Work Make a (√)
C NC NA
 Submittal of detail shop drawing
 Thickness, width and length of the brackets
 Type of Gutter
 Nature of the material (Its galvanization and the like)
 Type of lead materials
 No of joints; and type of connectors (for U PVC Down pipes)
 Sufficiency of overlap length
 Precedence of Fascia board/ final plastering
 Slope of gutter
 Spacing of the straps
 Detailing of Roof treatment connection with the Down pips
 Means of fixity
 Qualification of work men
 Sample Preparation
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Gutter work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
GROUP -5 Page 41
 CHECKLIST FOR WORK

Consultant: Floor:
Location:
Document Referred:
Plumbing and Sanitary work Inspection Make a (√)
Sanitary Fixtures C NC
NA

 Presentation of Methodology
 Qualification of Plumber
 Location of fixture
 Positioning of fixture
 Material approval slip number (Date)
 Checking physical properties of sample with deliveries
a. Colour
b. Shape
c. Flusher accessories
d. Shape of discharge outlet
e. Lid cover
f. Solidness of full set
g. Position of outlet of siphons
 Fitting compliance with product data
 Dimensional measurement for fixing
a. Horizontal
b. Vertical
c. With reference to floor/ceiling
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:

GROUP -5 Page 42
 CHECKLIST FOR WORK

Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Electrical work Inspection
Fixing of Boards/Breakers/Bell Control Make a (√)
C NC NA
 Qualification of electrician /Grade
 Location of item wall/ceiling/floor

 Material approval slip number/Date/

 Material type plastic/metal

-Thermoplastic
-Thermosetting
 Nature of fixing to proposed position product data/New idea
 Clamp nature at joint of boards to cables

 Grounding accessories destiny

 Visibility of cable lining and ease to identification

 Height of fixtures from floor (EELPA)

 Method of insulation at connections

 Horizontal off sets measurement formwork

 The size and type of cable to sub-boards

 Material type and size of riser duct (Manhole to boards

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name Name

Signature Signature

Date Date:

C=conformed NC=not conformed NA=not applicable

CHECK LIST FOR WORK PERMIT

Project:

GROUP -5 Page 43
 CHECKLIST FOR WORK

Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Electrical work Inspection

Fixing of electrical fittings/points Make a (√)
C NC NA
 Qualification of electrician/Grade

 Location of item wall, ceiling, floor

 Material approval slip number(Date)

 Comparison of product data, approved sample and new arrivals

a. Checking the approved data with new arrival data

b. Physical comparison study of sample with the arrival;

 Fixing condition to proposed position product data guide line/other

 Angle of suspend with the illuminated Surface

 Height with reference to floor (EELPA standard/designed height)

 Horizontal off sets measurement from walls

 Position of access for change of damages/bulbs

 Precaution any measure for protection from last coat of paint

 Protection measure for incidental REDOX action at point of screws and slots;

. Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
GROUP -5 Page 44
 CHECKLIST FOR WORK

Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Electrical work Inspection

Lighting Arrestor system Make a (√)
C NC NA
 Qualification of electrician/Grade

 Material approval slip (Date)

A. Location of copper plates roof/wall

 Length of plate

 Width of plate

 Thickness of plate

 Method of splice of plates

 Connection to roof elements/wall /Factory and others/

B. Location of copper plates columns/Shear wall/

 Shape of copper plates

 Length of plate

 Width of plate

 Thickness of plate

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:

GROUP -5 Page 45
 CHECKLIST FOR WORK

Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Electro Mechanical and Plumbing Works Make a (√)

C NC NA

 Submission of shop drawing

 Presentation of methodology
 Qualification of Professional/plumber
 Suitability for intended fluid type
 Location of item
 Positioning of item
 Applicability of product data with given design
 Raw material approval slip number/date
 Partial assembled model sample approval slip number /date
 Approval of joint components
 Approval of hanger and their accessories
 Method of site formation
a. Cutting
b. Folding
c. Soldering
d. Brazing

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electro mechanical work. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

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