MS Construction of OSD Pond
MS Construction of OSD Pond
METHOD STATEMENT
AMENDMENT HISTORY
TABLE OF CONTENTS
5.0 APPENDICES 15
1.2 Reference
Relevant documents associate with this Scope of Work are as follow:
No. Document/Drawing No. Description
1. SSP-AZSB-PKG2-OVPR-PLN- Project Execution Plan, Ahmad Zaki Sdn Bhd
00010 for Projek Mass Rapid Transit Lembah Kelang
Sungai Buloh – Serdang – Putrajaya
(Package V202)
2. SSP-AZSB-PKG2-OVPR-PLN- Project Quality Plan, Ahmad Zaki Sdn Bhd for
00008 Projek Mass Rapid Transit Lembah Kelang
Sungai Buloh – Serdang – Putrajaya
(Package V202)
3. SSP-AZSB-PKG2-OVPR-PLN- Safety & Health Management Plan Ahmad
00002 Zaki Sdn Bhd for Projek Mass Rapid Transit
Lembah Kelang Sungai Buloh – Serdang –
Putrajaya (Package V202)
4. SSP-AZSB-PKG2-OVPR-PLN- Environmental Management Plan (Selangor)
00003 Ahmad Zaki Sdn Bhd for Projek Mass Rapid
Transit Lembah Kelang Sungai Buloh –
Serdang – Putrajaya (Package V202)
5. SSP-AZSB-PKG2-OVPR-PLN- Environmental Management Plan (Wilayah
00009 Persekutuan) Ahmad Zaki Sdn Bhd for Projek
Mass Rapid Transit Lembah Kelang Sungai
Buloh – Serdang – Putrajaya (Package V202)
6. SSP-AZSB-PKG2-OVPR-PLN- Emergency Preparedness and Response
00001 Plan Ahmad Zaki Sdn Bhd for Projek Mass
Rapid Transit Lembah Kelang Sungai Buloh –
Serdang – Putrajaya (Package V202)
7. SSP-AZSB-PKG2-OVPR-PLN- Survey Quality Plan Ahmad Zaki Sdn Bhd for
00012 Projek Mass Rapid Transit Lembah Kelang
Sungai Buloh – Serdang – Putrajaya
(Package V202)
8. SSP-AZSB-PKG2-OVPR-PLN- Risk Management Plan Ahmad Zaki Sdn Bhd
00013 for Projek Mass Rapid Transit Lembah Kelang
1.3 Materials
Schedule of material for activities associated with this MS is as follow:
No. Materials Description
Concrete grade G25/20, unless otherwise stated in
a. Concrete for OSD Pond
respective drawing
b. For the blinding concrete, the grade shall be G10 Concrete for Blinding
c. Crusher run Bedding
Reinforcement bars to be High Tensile Deformed Bars Concrete steel
d.
compliance with BS 4449 reinforcement
e. Equivalent concrete grade as structure Spacer block
f. 2” x 3” Timber For strutting
Reinforcement
g. G.I Wire
tightening
h. Canvas / Plastic Sheet Rain Protector / Cover
i. Timber Formwork Pile cap formwork
j. Mould Oil – Estoform OB Mould Oil
k. Curing Compound – Estocure WB Curing Compound
l. Galvanised MS Grating cover Grating
m. HDPE wall mounted flap gate or equivalent Flap gate
n. Turf Turfing
1.5 Manpower
Persons directly involve with site activities stated in this MS are as follow:
No. Type of Manpower Job Function Quantity
5 Survey Team: Surveyor to perform survey work before and 1 surveyor and
Surveyor / Chainman after construction work assisted by 3 chainman
chainman.
10 M&E Engineer / Site To monitor & supervise the work within/ 1 person
Supervisor nearby existing & new utilities corridor (which
did not require relocation).
r) Carry out final joint inspection (pre-concreting inspection) with SC for readily
installed formwork and reinforcement bar prior to commencement the
concreting work.
s) Concrete shall be place in layers at 300mm thickness per layer and during
concreting, engine driven vibrator shall be used to compact the concrete to
avoid honeycomb and segregation.
t) The vibrator should be immersed through the entire depth of the freshly
deposited concrete and into the layer below.
u) The following is the rates of sampling for concrete compressive strength test
where the sample shall be taken from randomly selected batch of concrete:
Vol. of Concrete (m3) Minimum Numbers of Samples
<10 1 set
11 – 400 2 set
401 – 2500 2 set + 1 set sample per 200m3 or less
>2500 15 set
v) Ensure the step irons inside RC sump are installed as per IFC drawing no.:
SSP-W-SSPS-GENE-OVPR-CnS-STD-031201.
w) Concrete curing shall be carried out immediately after compaction and
continue for four (4) days thereafter in order to avoid excessive shrinkage
crack; such as:
i. Maintaining formwork in place.
ii. Covering the exposed concrete surface with an impermeable
material such as polyethylene which is to be well sealed and
fastened.
iii. Covering the exposed concrete surface with a damp absorbent
material such as gunny sack or canvas or similar material.
Hazards, risk and associated control measures associated with activities stated
in this MS are detailed in the Job Safety Analysis (JSA) as per Appendix 5.2.
5.0 APPENDICES
Appendix 5.1 - Work Sequence Flowchart
Appendix 5.2 - Job Safety & Health Analysis
Appendix 5.3 - Environmental Aspect & Impact Register
Appendix 5.4 - Inspection and Test Plan
Appendix 5.5 - Quality Control Inspection Checklist
Appendix 5.6 - Location Drawing
Appendix 5.1
Work Sequence Flowchart
Preparatory works
Construct half round channel (low flow invert channel) to wing wall at
downstream
Slope formation
Turfing works
Appendix 5.2
Job Safety & Health Analysis
PREPARED BY:
Name :
WPC : AZSB PKGV202 WORK ACTIVITY : OSD POND & OSD TANK Signature :
Designation:
REVIEWED BY:
Name : Izarudin Ideris
LOCATION : VIADUCT JSA NO: AZSB/V202/196 REV NO : 00 Signature :
Designation : SHM
APPROVED BY: APPROVED BY:
DATE OF HIRARC
Name : Samsuddi Name : Tan Wen Loong
SITE SAFETY AND HEALTH RISK REGISTER : COMMITTEE APPROVAL : Page 1 of 3
Signature : Signature :
17/03/2020
Designation : PM Designation : PM PDP
2. Excavation Arm machinery Administrative control 3 3 9 Medium Administrative control 2 3 6 Medium Operator/
using movement. 1. Competent 1. Close supervision by Workers/ SS/SSS
excavator. operator supervisor/PIC
2. Coordination 2. Use banksman (Grey Card)
between operator and to control the machine.
workers inside trench.
3. Insert sheet Malfunction Administrative control 3 3 9 Medium Administrative control 3 2 6 Medium Operator/
pile using vibro 1. Machinery check 1. Follow preventive Workers/ SS/SSS
machine if prior to use. Refer maintenance schedule.
required checklist as per
G9.17.17(1)(n)
PREPARED BY:
Name :
WPC : AZSB PKGV202 WORK ACTIVITY : OSD POND & OSD TANK Signature :
Designation:
REVIEWED BY:
Name : Izarudin Ideris
LOCATION : VIADUCT JSA NO: AZSB/V202/196 REV NO : 00 Signature :
Designation : SHM
APPROVED BY: APPROVED BY:
DATE OF HIRARC
Name : Samsuddi Name : Tan Wen Loong
SITE SAFETY AND HEALTH RISK REGISTER : COMMITTEE APPROVAL : Page 2 of 3
Signature : Signature :
17/03/2020
Designation : PM Designation : PM PDP
Use of hand Administrative control 2 2 4 Low Administrative control 2 2 4 Low PIC/SS/ Workers
tools 1. Inspect hand tool 1. Use correct tool for the
prior to work hammer correct task. E.g.: hammer to
etc hit etc
2. Workers trained to
use the tools
5. Concreting Exposed to Administrative control 3 2 6 Medium Administrative control 2 2 4 Low SS / SSS/ Workers
work / chemical 1. Brief SDS to workers 1. Ensure washing facilities
concreting 2. PTT before start provided for workers.
work using work
crane (if 3. SDS available for PPE
required) reference. G9.17.33 2. Rubber glove with long
(c) (d) sleeve shirt
3. Rubber boots
Unstable Engineering control 2 4 8 Medium Administrative control 2 4 8 Medium Operator/SS/SSS/
ground/ 1. Put steel plate at 1. Lifting supervisor available Banksman
platform outrigger for overall inspection
Administrative control 2. KVMRT Passport System
1. Remove any Grey Card for Lifting
unsuitable material Supervisor
Movement of Administrative control 2 3 6 Medium Administrative control 2 4 8 Medium Operator/SS/SSS/
swing table 1. Machinery 1. Lifting supervise available Banksman
inspected before work for overall lifting
2. Barricade work area
Swing of load/ Administrative control 3 3 9 Medium Administrative control 2 3 6 Medium Operator/SS/SSS/
movement of 1. Signalman available 1. Close supervision by Banksman
load for controlling load supervisor
2. Competent 2. KVMRT Passport System
operator Grey Card for Operator &
3. No worker under Slinging/ Banksman
suspended load 3. Use tag line to control the
load
Moving Administrative control 3 3 9 Medium Administrative control 3 3 6 Medium Operator/SS/SSS/
machinery 1. Use banksman to 2. Traffic team to control Banksman
control traffic access/egress of mixer truck
2. Grey card passport 3. Wash tyre before going
system for banksman out to public road
6. Night work Limited view/ Engineering control 3 4 12 High Administrative control 3 3 9 Medium PM/CM/TMO/
dark area 1. Tower/Flood light 1. Close supervision by SHO/SS/ SSS/
shall be adequately Supervisor/PIC Workers
installed at work area 2. To follow G9.17.18(3)
- Permit for night work from
Administrative control authorities
2. Permit to work for - Lighting 100 lux at work
night work (NSWP) area, 50 lux at access
PREPARED BY:
Name :
WPC : AZSB PKGV202 WORK ACTIVITY : OSD POND & OSD TANK Signature :
Designation:
REVIEWED BY:
Name : Izarudin Ideris
LOCATION : VIADUCT JSA NO: AZSB/V202/196 REV NO : 00 Signature :
Designation : SHM
APPROVED BY: APPROVED BY:
DATE OF HIRARC
Name : Samsuddi Name : Tan Wen Loong
SITE SAFETY AND HEALTH RISK REGISTER : COMMITTEE APPROVAL : Page 3 of 3
Signature : Signature :
17/03/2020
Designation : PM Designation : PM PDP
Administrative control
2. Apply permit to
work to authorities,
i.e DBKL, DOE etc
3. Flagman available
to assist traffic flow
NOTE:
1. No work shall commence without Method Statement/JSA Briefing to workers
2. Record of the training shall be available at site and signature indicate that they understand the MOS training inclusive JSA/HIRARC
3. PTT to be done daily before start work. Before start work all hirarc control must be in place.
4. If any lightning detected, all work especially work at height shall be cease immediately.
HOT WORK PERMIT SH Form No. MRT-SHE-019
Revision No. 1
Revision Date 15 Jan 2017
KVMRT – V202 Issue Date 10 June 2015
Page 1 of 1
ISSUANCE AUTHORITY
We hereby undertake the accountability to ensure the work activities approved under this permit are executed safely in
accordance to conditions of contract, Malaysia legal requirements, standards, code of practice and AZSB safety
requirements.
In the event of non-compliance, this permit is automatically invalid and AZSB reserves the right to stop work. AZSB HSE
Department will not be responsible for any inconvenience caused by the stop work order.
PERSON IN CHARGE SIGNATURE DATE
SUBCONTRACTOR :
PICOW/ SSS/ SHO/ SHM
AZSB :
SSS/ SHO/ SHM
AZSB :
CM/ PM/ PD
Time of inspection:
SUBCONTRACTOR : SIGNATURE
PICOW/ SSS/ SHO/ SHM
AZSB : SIGNATURE
SSS/ SHO/ SHM/ PM/ PD
NIGHT SHIFT – WORK PERMIT
NSWP no.: ___________________ Date: _____________________ RFI no.:_______________
This application must be completed and submitted by the Main Contractor to the SC, attached with RFI for
activity being conducted (If RFI is done only once a week and night work is occurring, the NIGHT SHIFT -
WORK PERMIT shall be done and submitted to the SC for approval on a daily/nightly basis).
NORMAL WORKING HOURS AT THE SITE SHALL BE DEFINED AS THE PERIOD BETWEEN 0700 HOURS AND 1900 HOURS ON
ALL DAYS EXCLUDING GENERAL HOLIDAYS. ANY WORKS PERFORMED BY THE WPC OUTSIDE NORMAL WORKING HOURS
(I.E. NIGHT WORK) AND ON GENERAL HOLIDAYS SHALL BE SUBJECT TO THE WPC OBTAINING THE PRIOR APPROVAL FROM
THE RELEVANT AUTHORITIES AND HAVING GIVEN THE PDP PRIOR WRITTEN NOTIFICATION.
PROJECT DETAILS
Project Name Location area:
Contractor: Consultant:
No. of employees.
B. LIST ACTIVITIES TO BE CARRIED OUT AS PER RFI. DIFFERENT RFI REQUIRES DIFFERENT NSWP
1. 2.
Is lighting plan available on site and is it being implemented and does ALL working YES NO N/A
LIGHTING SCHEME
4
places, dangerous openings and places where lifting or lowering is taking place shall be
lit to at least 100 Lux avoiding shadow and/or glare.
Is the glare of the lighting towers affecting public traffic
Does all areas of work properly lit up to of 100 lux
All work areas shall receive background and task lighting from at least two
directions.
Is back up lighting be provided in case of power failure.
Is Lighting mounted on poles or towers and spaced for optimal light distribution and
reduction of glare or shadow.
5 Method of Statements and HIRARC are available at site.
6 Review of MOS/HIRARC conducted and documented, proof of review available at site?
7 Lift Plan available at site and reviewed by Crane Operator, lift supervisor and crew
involved. (If lifting activity is being performed, this is required)
8 Lift Supervisor from WPC available at site.
(If lifting activity is being performed, the presence of the LS is required)
9 Emergency procedures are established and implemented for night shift activities.
Contact info for Bomba, Police, PIC, Utilities company, etc..
(SC shall ask for WPC’s procedure to be explained verbally, only then can the box be ticked “YES”)
10 Full time Safety Rep/First Aider are available at site.
11 Site Supervisor from WPC available at site.
12 Site security and Hoarding, NJBs with panels erected, in place and secured from falling
13 Night shift toolbox meeting and conducted (WPC shall show SC/PDP sign in sheet as
proof).
14 Night shift PTT conducted (WPC shall show SC/PDP booklet as proof)
15 WPC has the permit or approval from PDP and the local authorities to conduct night
work.
We undertake to carry out the night shift activities in accordance with GS, HIRARC, JSA, MOS and other relevant standards listed
in the GC. WPC is aware that we are liable for SWO/NCR’s for failing to carry out our works in accordance to relevant Contractual
Obligations and Required MS by-laws . We are also aware that in the event of PDP issuing violation / Stop Work Orders we are
bound to stop the work immediately in accordance with GS General Specification specifically “Management and Control of Non‐
Compliance” sections G9.10(a)(b)(c)(d)(e)
Lifting Supervisors signature below is compulsory if lifting activities are involved in the night works. NO signature NO
lifting
Appendix 5.3
Environmental Aspect & Impact
Register
Project Manager, Construction Works shall be carried out within the approved working
Manager, Environmental hours only and to limit or minimize working during night
Noise pollution / public complaints /
Noise & vibration generation 3 2 6 √ Manager, Environmental time. All machineries and vehicles shall undergo regular
public nuisance
Officer, Site Engineer, Site inspection and servicing to ensure the conditions is kept
Supervisor. at good conditions at all time.
Discharge to land - Silt on road Public/community concern (Road Project Manager, Construction
surface dirty) Manager, Environmental
3 3 9 √ Standby workers for road cleaning
Officer, Site Engineer, Site
Supervisor
Stockpiles generation
Project Manager, Construction Silt fence/bund to be constructed around earth
Manager, Environmental stockpiles area near to waterway. Un-use stockpiles
Water Pollution 3 3 9 √
Officer, Site Engineer, Site shall be disposed at approved landfill sites by the local
Supervisor authority.
Signature
Risk Rating
Rating Significant
1-2 No
3 -25 Yes
CONSTRUCTION OF OSD POND Revision: 00
Appendix 5.4
Inspection & Test Plan
AHMAD ZAKI SDN. BHD. ITP for: CONSTRUCTION OF OSD POND Date: 06.05.2020
Prior to
Method 1. Project Quality Plan 1. General Specification 1. Approved Method
1.0 commencement of H R R
Statement PLN-00008 G4.2.1 Statement
work
AHMAD ZAKI SDN. BHD. ITP for: CONSTRUCTION OF OSD POND Date: 06.05.2020
1. Request for
Material 1. Project Quality Plan 1. General Specification During delivery of Inspection
5.0 H H W
Delivery PLN-00008 Cl. G8.5 (2) material 2. Material Delivery
Inspection Record
1. Request for
Inspection
2. Checklist
(AZ/CL/EW-R02)
Construction of 1.Method Statement During work in
6.0 1. Construction Drawing (AZ/CL/DW-R01) H H W
OSD Pond MST-00187 progress
(AZ/CL/PRC)
(AZ/CL/CON-R01)
(AZ/CL/POC-R01)
(AZ/CL/CPR-R01)
Appendix 5.5
Quality Control Inspection Forms and
Checklist
Date of Inspection:
Item Description WPC SC PDP
Yes No Yes No Yes No
Earthwork machineries are suitable for the type of soil condition
1
at site.
Number of tipper lorries are adequate for earthworks and tipper
2 lorries shall obtain the relevant license and insurance for
exporting earth fill outside the project/site area.
3 No water ponding at earthwork area.
4 No disturbance to nearest structure to earthworks.
5 Silt trap numbers are adequate.
6 Eroded areas to be filled back.
7 Excavation
a) Tolerance Dimension
Slopes trimmed according to construction drawing.
b) Excavation of Unsuitable Material
Unsuitable material shall be placed separately from suitable material.
c) Dumping Area
Dumping area has obtained approval from Consultant Rep./ER.
d) Replacement USM below Water Table
Excavated area shall be filled unless otherwise stated by Consultant
Rep./E.R.
e) Additional of Excavation Area
Additional excavation area shall obtain approval from Consultant
Rep./E.R.
8 Filing
• Filling material is suitable material according to spec.
• For imported suitable material, ‘borrow pit’ shall obtain approval
from Consultant Rep./E.R.
• ‘Borrow Pit’ free from water ponding.
• Filling material shall be laid according to construction drawing.
• Repair damaged slopes (if any)
ALLOWED to proceed with the next stage of work NOT ALLOWED to proceed with the next stage of work
YES NO
Non-Conformance Report Raised NCR no.:
Name/Signature of
Designation: Date:
Works Package Contractor
WPC Representative
Name/Signature of
Designation: Date:
Supervising Consultant
SC Representative
Name/Signature of
Designation: Date:
Project Delivery Partner
PDP Representative
Please off where appropriate
QUALITY CONTROL
INSPECTION CHECKLIST
AHMAD ZAKI SDN. BHD.
Doc. no. AZ/CL/DW
Project : Projek Mass Rapid Transit Laluan 2 (SSP) V202
Rev. 01
Date
Construction Process : Drainage Work
Page 1 of 1
Location :
Date of Inspection:
Item Description WPC SC PDP
Yes No Yes No Yes No
1 SUMP/MANHOLE
• Setting out / Position
• Dimension and size
• Invert level
• Finish level
• Finish surface
• Cleanliness
• Step ladders (type/spacing/location)
• Rubbish trap
• Cover
• Others
2 DRAIN
• Type and size
• Alignment
• Gradient/ Invert level
• Joint gap
• Haunching/ surround
• Filler material
• Back Filling
• Finished surface
• Cleanliness
• Other
• SURVEYOR
• Invert level
• Alignment
ALLOWED to proceed with the next stage of work NOT ALLOWED to proceed with the next stage of work
YES NO
Non-Conformance Report Raised NCR no.:
Name/Signature of
Designation: Date:
Works Package Contractor
WPC Representative
Name/Signature of
Designation: Date:
Supervising Consultant
SC Representative
Name/Signature of
Designation: Date:
Project Delivery Partner
PDP Representative
Please off where appropriate
QUALITY CONTROL
INSPECTION CHECKLIST
AHMAD ZAKI SDN. BHD.
Doc. no. AZ/CL/PRC
Project : Projek Mass Rapid Transit Laluan 2 SSP (V202)
Rev. 01
Date
Construction Process : Pre Concreting
Page of 2
Location :
Date of Inspection:
Item Description WPC SC PDP
Yes No Yes No Yes No
1 Ground compaction/hardcore/sand blinding (if applicable)
2 Lean concrete (if applicable)
3 Polythene sheet (if applicable)
4 SURVEYING
• Levels
• Coordinates / Alignment
5 FORMWORK
• Dimension levels, verticality, alignment
• Adequately supported or propped or strutted
• Rigidity/Verticality/Squareness
• Joint Tight
• Surface of forms acceptable / workmanship
• All sawdust & rubbish removed (cleanliness)
• Application of mould oil
• Marking top surface level of section depth / height
• Correct tie rod installation (if applicable)
6 REINFORCEMENT
• Correct bar & link grade, size, number & spacing
• Correct lap of anchorage length / lapping
• Sufficient mechanical couplers provided (if applicable)
• Bar Congestion
• Sufficient & correct size concrete cover / spacer block
• Starter bar provided (if applicable)
7 CAST-IN ITEMS (if applicable)
• Location/ Level
• Sizes
• Embedded plate
8 M/E OPENING AND PIPE SLEEVES (if applicable)
• Opening size
• Opening position
• Trimming bar
• For fire protection
• For cold water supply
• Proper installation of concealed electrical piping
Reason for Failure/Re-inspection
ALLOWED to proceed with the next stage of work NOT ALLOWED to proceed with the next stage of work
YES NO
Non-Conformance Report Raised NCR no.:
QUALITY CONTROL
INSPECTION CHECKLIST
AHMAD ZAKI SDN. BHD.
Doc. no. AZ/CL/PRC
Project : Projek Mass Rapid Transit Laluan 2 SSP (V202)
Rev. 01
Date
Construction Process : Pre Concreting
Page of 2
Name/Signature of
Designation: Date:
Works Package Contractor
WPC Representative
Name/Signature of
Designation: Date:
Supervising Consultant
SC Representative
Name/Signature of
Designation: Date:
Project Delivery Partner
PDP Representative
Please off where appropriate
QUALITY CONTROL
INSPECTION CHECKLIST
AHMAD ZAKI SDN. BHD.
Doc. no. AZ/CL/CON
Project : Project : Projek Mass Rapid Transit Laluan 2 SSP (V202)
Rev. 01
Date
Construction Process : Concreting
Page 1 of 1
Location :
Date of Inspection:
Item Description WPC SC PDP
Yes No Yes No Yes No
1 Inspection of Concrete Quality Delivered
• Batching data of concrete (e.g. grade, volume, times etc.) is ok
• Slump of each batch is within tolerance
• Temperature of each batch is within tolerance (if applicable)
• Method of placing of concrete is acceptable
• Concrete being placed is thoroughly compacted at all levels
• Spacing of poker/vibrator-every 500mm
• Vibrator / poker submerged in sufficient depth
• Duration/Time of each compaction-min 10 seconds
• To prepare & identify concrete cube for testing
• To record concrete pouring activity
2 Formwork
• Rigidity/Verticality
• Leakage
• Tie rod in place (if applicable)
3 REINFORCEMENT
• Bar in correct position
• Mechanical couplers in place (if applicable)
4 Surface Finishes (if applicable)
• Top surface trowel finished
• Construction joint provided
5 Level of Top Concrete
Reason for Failure/Re-inspection
ALLOWED to proceed with the next stage of work NOT ALLOWED to proceed with the next stage of work
YES NO
Non-Conformance Report Raised NCR no.:
Name/Signature of
Designation: Date:
Works Package Contractor
WPC Representative
Name/Signature of
Designation: Date:
Supervising Consultant
SC Representative
Name/Signature of
Designation: Date:
PDP
PDP Representative
Please off where appropriate
QUALITY CONTROL
INSPECTION CHECKLIST
AHMAD ZAKI SDN. BHD.
Doc. no. AZ/CL/POC
Project : Project : Projek Mass Rapid Transit Laluan 2 SSP (V202)
Rev. 01
Date
Construction Process : Post Concreting
Page 1 of 1
Location :
Date of Inspection:
Item Description WPC SC PDP
Yes No Yes No Yes No
1 Minimum period of formwork obtained before striking off
2 Honeycomb
3 Tie hole and peeling
4 Cracks (Shrinkage, Structural, etc)
5 Finished Surfaces (Side, Top, etc)
6 Dimension and alignment
7 Verticality
8 Joints
9 Opening
10 Air bubbles
11 Bulging, twist
12 Segregation
13 Curing Compound (or approved method) applied
14 Damp gunny bags are placed on top of concrete
15 Curing membrane in place (if applicable)
16 Props are immediately provided after dismantling of formwork
17 Waterproofing membrane – all surfaces covered (if applicable)
18 Waterproofing membrane – correct material used (if applicable)
19 M&E service/works correctly in place & not damage
20 Remedial work as per approved method (if applicable)
Reason for Failure/Re-inspection
ALLOWED to proceed with the next stage of work NOT ALLOWED to proceed with the next stage of work
YES NO
Non-Conformance Report Raised NCR no.:
Name/Signature of
Designation: Date:
Works Package Contractor
WPC Representative
Name/Signature of
Designation: Date:
Supervising Consultant
SC Representative
Name/Signature of
Designation: Date:
Project Delivery Partner
PDP Representative
Please off where appropriate
QUALITY CONTROL INSPECTION CHECKLISTS
We have carried out all necessary records and verify that the above items/activities conform to the contract specifications/document.
Name/Signature of
Designation: Date:
Works Package Contractor WPC Representative
Name/Signature of
Designation: Date:
Supervising Consultant SC Representative
Name/Signature of
Designation: Date:
Supervising Consultant PDP Representative
Note : This Inspection Checklist need to be submitted with the (RFI) Request For Inspection
CONSTRUCTION OF OSD POND Revision: 00
Appendix 5.6
Location Drawing