8/18/2019 CL SC 01 (Shotcrete Record)

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PROJECT :

JOB NO :Plain Shotcrete

REFERENCE NUMBER : Fibre Shotcrete

SHOTCRETE SURFACING AT :

DATE OF INSPECTION : POSITION OF WORK AREA

 AVERAGE MEASURED THICKNESS = CREST-CHAINAGE: LEVEL:

SHOTCRETE AREA = M2 TOE- CHAINAGE : LEVEL:

SLUMP AVERAGE = MM SHAFT SIDE : (RHS/LHS):

START ( HRS) = FINISH (HRS) =

STEEL FIBRE /BRC USED = THICKNESS PIN INSTALLED = YES / NO

SHOTCRETE DETAILS

Fill in the cavity and iregular suRface

1) Volume Shotcreted :

Wastage (8%) :

2) Total area based on volume shotcreted :

CONSULTANT : CLIENT INSPECTOR :

NAME: NAME :

SIGNATURE: SIGNATURE :

DATE: DATE :

SUB-CON REPRESENTATIVE : PROTEXT CONSTRUCTION

NAME :

SIGNATURE :

DATE :

RECORD OF JOINT MEASUREMENT ON ESTIMATING SHOTCRETECL-SC-01Rev: 0Date: 15-09-