QA QC Forms M2 (1)

Client: C&S Engineer: Contractor: Project:

SUMMARY OF BITUMEN SPRAYING RATE TEST RESULTS

For the period …..../…..../….… to ……../……../……..

Test No. DateChainage

Width (m)From To

Remarks : ………….……..………………………………….………………………………………………………………………

……..……………………...……………………………………………………………………………………………………………

FORM NO. QR/SBSR

Item No.

Total Length

(m)

Total area (m2)

Bitumen Sprayed (Itr.) Spraying Rate (Itr./m2)


SUMMARY OF FIELD DENSITY TESTS

For the period ……./……./……. to ……./……./…….

From Std. Compaction Test

Test Ref. No. Date

Density Field Density Field (Retest)

Sample Ref.% of MDD % of MDD

Achieved Target Achieved Target

Remarks : ………………………………………………………………………………………………………………………………….………………………………………………………………………….

Prepared By: Check By: Approved By:

Contractor JPW (Clerk of Work) JPW (RE/ARE)

Name: Name: Name:

Signature: Signature: Signature:

Date: Date: Date:

FORM NO. QR/FDT

Chainage / Offset

Tested Reduced Level (m)

MC Achieved

%

Passed / Failed

MC Achieved

%

Passed / FailedMDD

(mg/m3)OMC (%)

mg/m3 mg/m3

…………………………………………….………………………………………………………………..…………………………………………………………………………………………………………………………………


SUMMARY OF APPROVALS / REJECTIONS

For the period …..../…..../….… to ……../……../……..

Approval Chit No.

FORM NO. QR/SAC

Date / Time of Request

Approval Granted / Rejected (Give Reason for Rejection)

Date / Time of Approval

Date & Time of Execution of the work


SUMMARY OF NON - COMPLIANCE REPORT STATUS LOG

For the period …..../…..../….… to ……../……../……..

NCR No. Date Issued Remarks

FORM NO. QR/SNCRSL

Brief Description of Non-Compliance Work

Date Action Taken

Satisfactory (Yes / No)


SUMMARY OF SITE MEMO ISSUED TO CONTRACTOR

For the period …..../…..../….… to ……../……../……..

Site Memo. No. Date Issued Brief Description of Work Remarks

FORM NO. QR/SM

Date Action Taken

Satisfactory (Yes / No)


SUMMARY RECORD FOR COMPRESSIVE STRENGTH OF CONCRETE

Floor: Structure Type (ST): F = Foundation, B = Beam, C = Column, S = Slab, O = Others

For the period ……./……./……. to ……./……./…….

Location / Block / Area Cube Ref. No.

Str

uct

ure

Typ

e 3 DAYS 7 DAYS 28 DAYS

Item No.

Source of Concrete

Grade of Concrete (N/mm2)

Date of Concrete

Slump at Site (mm)

Date Tested

Comp. Strength (N/mm2)

Average Comp.

Strength (N/mm2)

Date Tested


Average Comp.

Strength (N/mm2)

Date Tested


Average Comp.

Strength (N/mm2)


SUMMARY OF PILING RECORD

Location / Block / Area :

For the period ……./……./……. to ……./……./…….

Date Driven

Pile Cap Location

Po

int

No

.

1st pile 2nd pile 3rd pile 4th pile A B (C) = (A)-(B)

RemarksGrid Line Pile Ref. No. (m) Pile Ref. No. (m) Pile Ref. No. (m) Pile Ref. No. (m)

TOTAL



Name: Name: Name:


Item No.

Total JointsFtg.

TypeSupply

Length (m)Cut-off Length

(m)Penetration Length (m)

Date: Date: Date:

FORM NO. QR/SPR


MONITORING OF SETTLEMENT GAUGES

Settlement Gauge Ref. No. : Original Ground Level (Plate Level) (mm) :

Date of Installation : Thickness of Fill Required (mm) - (including sand + surcharge) :

Form Page No. : Surcharge Reduced Level (m) :

Date

(a) (b) (c) (d) (e) (f) Settlement (mm)

Remarks DayIncremental Cummulative

Note : 1. Col (c) = Col (a) - Col (b)

2. Col (e) = Col (d) - Col (c)

3. Col (f) = Col (b) - Original Ground Level

Remarks : ……………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………….



Elevation of Top of Rod (mm)

Reduced Level of Fill (mm)

Height From Top of Rod to Fill Level (mm)

Length of Rods (mm)

Total Fill Thickness incl.

Settlement (mm)

Total Fill Thickness (mm)

Name: Name: Name:


Date: Date: Date:

FORM NO. QR/MSG

QR.SDR.M3

Page 12


SITE DAILY REPORT

Date : ………………………………..

I. WEATHER CONDITIONS : * Previous Night (if available) ………………….* 7:00 am to 7:00 pm

CONDITIONSTIME TIME TOTAL

FROM TO FROM TO TIME (HRS)

Heavy RainNormal Rain

DrizzleTOTAL

II. PLANT / EQUIPMENT / VEHICLES ON SITE

Type (Capacity / Model / Make) UnitWorking ConditionsHours ( See # 1 below)

#1 : Please insert "OK" for in use "b/d" for breakdown "s/b" for standbyAPPENDIX "A"

Page ¼

Rain Gauge Reading

QR.SDR.M3

Page 13

III. ACTIVITIES / ITEMS INSPECTED

Work / Items Location Comments

IIIa. Specification Violations :

APPENDIX "B"Page 2/4

IV. WORK FORCE WORKING ON SITE

Trade Nos. Trade Nos. Trade Nos.Project Manager General Workers PainterSite Engineer Mechanic PlumberSupervisor ElectricianForeman Carpenter

QR.SDR.M3

Page 14

Surveyor Bar BenderChainman RiggerDriver Welder Truck Driver Male LabourerMachinery Operator Female LabourerMason BricklayerRoofer Pavior

V. MATERIALS DELIVERED TO SITE

Item Quantity Item Quantity

VI. INSTRUCTION GIVEN :

VII. GENERAL REMARKS :

VIII. VISITORS

Name & DesignationTime

Name & DesignationTime

From To From

Prepared By: Check By: Approved By:Contractor JPW (Clerk of Work) JPW (RE/ARE)

Name: Name: Name:


Date: Date: Date:

APPENDIX "C"FORM NO. QR/SDR Page 3/4

QR.SDR.M3

Page 15

Date : ………………………………..

Conditions( See # 1 below)

APPENDIX "A"Page ¼

Works Stop Due To Rain

QR.SDR.M3

Page 16

Comments

APPENDIX "B"Page 2/4

QR.SDR.M3

Page 17

Quantity

TimeTo

APPENDIX "C"Page 3/4

QR.SDR.M3

Page 18

QR.SDR.M3

Page 19


SITE DAILY REPORT

Date : ………………………………..

I. WEATHER CONDITIONS :

* Previous Night (if available) ………………….

* 7:00 am to 7:00 pm

CONDITIONSTIME TIME TOTAL

FROM TO FROM TO TIME (HRS)

Heavy Rain

Normal Rain

Drizzle

TOTAL

II. PLANT / EQUIPMENT / VEHICLES ON SITE

Type (Capacity / Model / Make) UnitWorking Conditions Working

Hours ( See # 1 below) Location

#1 : Please insert "OK" for in use "b/d" for breakdown "s/b" for standby

Rain Gauge Reading

Works Stop Due To Rain

APPENDIX "A"Page ¼

III. ACTIVITIES / ITEMS INSPECTED

Work / Items Location Comments

A) LONG MENAPA

MANPOWER :

B) LONG LUAR

MANPOWER :

C) LONG TANGAU

PROJECT : FOR RESIDENT ENGINEER'S

STAFF USE ONLY

Name : …………………………………

Position : ……………………………

Date : ………………………………

TIMECHECKS COMMENTS

1 2 3 4 5 6 7 8 9(Deficiencies, Degree of

Completion, Weather, Other)

Check List Check Marks Checked By (Contractor) :All as required /

1. Setting Out 6. Materials2. Prior Work 7. Testing Deficient X Inspected By (Clerk of Works) :3. Dimensions 8. Compaction4. Equipment 9. Workmanship Not applicable -5. Labour Approved By (RE / QAE) :

Not checked O

FORM NO. QR/IR

INSPECTION REPORT

WORK / OPERATION INSPECTED


SITE PREPARATION, SITE CLEARING AND EARTHWORK INSPECTION FORM

Location/Area:

Date of 1st Inspection: Time of 1st Inspection:

Date of 2nd Inspection: Time of 2nd Inspection:

CHECK LIST

Description of Works1st Inspection 2nd Inspection

R E M A R K SOK Not OK OK Not OK

Approval Chit Ref. No.

1 SITE PREPARATION

(a) Setting Out

2 SITE CLEARING

(a) Clearing of Trees and Shrubs

(b) Grubbing

(c) Removal of Stumps/Roots

(d) Disposal of Cleared Vegetation

(e) Temporary Drainage

3 EARTH WORK

(a) Filling Material Used

(b) Level

General Comments: (Note: To attach additional documents for further clarification, if necessary)



Name: Name: Name:


Date: Date: Date:

Item No.

FORM NO. QM/SPSCEW


PILING SETTING OUT INSPECTION FORMLocation / Block / Area:

Date of 1st Inspection: Time of 1st Inspection:

Date of 2nd Inspection: Time of 2nd Inspection:

CHECK LIST

Item Description of Works1st Inspection 2nd Inspection

R E M A R K SOK Not OK OK Not OK

Approval Chit Ref. No. :

1 Pile Location :

1a Setting Out/Alignment

1b Position of Peg

2 Pile Location :


2b Position of Peg

3 Pile Location :


3b Position of Peg

4 Pile Location :


4b Position of Peg

5 Pile Location :


5b Position of Peg

6 Pile Location :


6b Position of Peg




Name: Name: Name:


Date: Date: Date:

FORM NO. QM/PSO

PILING SETTING OUT INSPECTION FORM

CHECK LIST

R E M A R K S


PILING RECORD SHEET

Location (Building) : Pile Point No. :

Pile Cap Location (Grid Line) : Pile Type & Size :

LENGTH SUPPLY

1st Length m Date Driven Ground Level

2nd Length m Type of Hammer Penetration to Ground Level

3rd Length m Weight of Hammer Existing Ground Level

4th Length m Height of Hammer Temp Compression

5th Length m Cut Off Level

REMARKS

0.5 17.5 34.5 CUT OFF LENGTH

1.0 18.0 35.0

1.5 18.5 35.5 1st Length: m

2.0 19.0 36.0

2.5 19.5 36.5 2nd Length: m

3.0 20.0 37.0

3.5 20.5 37.5 3rd Length: m

4.0 21.0 38.0

4.5 21.5 38.5 4th Length: m

5.0 22.0 39.0

5.5 22.5 39.5 5th Length: m

6.0 23.0 40.0

6.5 23.5 40.5

7.0 24.0 41.0

7.5 24.5 41.5

8.0 25.0 42.0

8.5 25.5 42.5

9.0 26.0 43.0 ***Neglect below if not relevant.

9.5 26.5 43.5 FINAL SETS:

10.0 27.0 44.0

10.5 27.5 44.5 1st 10 Blows___________mm

11.0 28.0 45.0

11.5 28.5 45.5 2nd 10 Blows___________mm

12.0 29.0 46.0

12.5 29.5 46.5 3rd 10 Blows___________mm

13.0 30.0 47.0

13.5 30.5 47.5

14.0 31.0 48.0

14.5 31.5 48.5

15.0 32.0 49.0

15.5 32.5 49.5

16.0 33.0 50.0

16.5 33.5 50.5

17.0 34.0 51.0



Name: Name: Name:


Date: Date: Date:

Penetration (m)

No. of Blows

Hammer Drop

Penetration (m)

No. of Blows

Hammer Drop

Penetration (m)

No. of Blows

Hammer Drop

FORM NO. QM/PRS


REINFORCED CONCRETE INSPECTION FORM

Location/Building : Structure Type (ST):

Location (Grid Line) : Floor/Level :

CHECK LIST

Description of Works

Comment / Remarks :

Date: Date:

Time: Time:

ST: ST:

OK Not OK OK Not OK


1 Setting Out / Position

(a) Alignment

(b) Lines & Levels

2 Formwork

(a) Dimension level, verticality

(b) Adequately supported or propped

(c) Joints tightness

(d) Surface of forms acceptable

(e) All sawdust & rubbish removed

3 Blinding

(a) Dry and clean

(b) Correct level and thickness

4 Reinforcement

(a) Correct grade, size, number

(b) Correct lap/anchorage length

(c) Adequate chairs, spacers, etc

(d) Cover as required

(e) No mud, oil, loose rust, etc

(f) Damp proof course

5 M & E Opening & Pipe Sleeves

(a) Electrical conduits

(b) Soil & waste pipe

(c) Cold/hot water plumbing

(d) RWDP

6 Curing

(a) PVC cover, gunny sack & watering

7 Bond Tie

8 Construction Joint

9 Concrete Floor Surface Roughering (Broom Brush)

10 Just prior to concreting

(a) Access to pour (incl. labour & materials) and safety

(b) Availability of concrete

(c) Availability of labour

(d) Availability of plant & equipment

(e) Standby equipment for contigencies (including rain)



Name: Name: Name:


Date: Date: Date:

B = Base Slab, W = RC Wall, T + Top Slab/Cover, 0 = Others

Item No.

Inspection by Contractor

Inspection by Clerk of Works

(Deficiencies, Degree of completion, weather,

others)

FORM NO. QM/RCIF


CONCRETE DRAIN / CULVERT INSPECTION FORM

Location / Area : Structure Type (ST):

Drain / Culvert Type :

CHECK LIST

Description of Works

Comment / Remarks :

Date: Date:

Time: Time:

ST: ST:

OK Not OK OK Not OK


1 Setting Out/Alignment

2 Level (Excavation)

3 Piling

4 Blinding / Pile Cut Off Level

5 Invert Level

6 Formwork

(a) Dimension, Level, Verticality

(b) Adequately Supported or Propped

(c) Joints Tightness

(d) Surface of Forms Acceptable

(e) All Saw Dust & Rubbish Removed

7 Reinforcement

(a) Correct Grade, Size, Number & Spacing

(b) Correct Lap/Anchorage Length

(c) Adequate Chairs, Spacers, etc

(d) Cover as required

(e) No Mud, Oil, Loose Rust, etc

8 M & E Opening and Pipe Sleeves

(a) Soil & Waste Pipe

(b) RWDP

(c) Others

9 Weep Hole

10 Drain Top Level

11 Curing

(a) PVC cover, gunny sack & watering

12 Bond Tie

13 Construction Joint

14 Concrete Floor Surface Roughering (Broom Brush)

15 Just prior to concreting

(a) Access to pour (incl. labour & materials) and safety

(b) Availability of concrete

(c) Availability of labour

(d) Availability of plant & equipment

(e) Standby equipment for contigencies (including rain)



Name: Name: Name:


Date: Date: Date:

B = Base Slab, W = RC Wall, T + Top Slab/Cover, 0 = Others

Item No.

Inspection by Contractor

Inspection by Clerk of Works

(Deficiencies, Degree of completion, weather,

others)

FORM NO. QM/CIF

PROJECT :APPROVAL CHIT NO.

From : Contractor

To : Resident Engineer / QAE

We request permission to proceed with the following work :

……………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………..

At the following location : ………………………………………………………………………………………

Signed : …………………………

Received : ……………………… Time : …………………………. Date : ……………………..

Survey : Inspection : Testing :

Ref.:

From : Resident Engineer / QAE

To : Contractor

Your request to proceed with the above mentioned work

IS APPROVED

...............................................................................................................................................

...............................................................................................................................................

……………………………………………………………………………………………….

……………………………………………………………………………………………….

Signed : …………………………

Time : …………………………… Date : ………………………

Received for Contractor Neither the endorsement of this Form nor anything written on it isintended to convey final approval for any part of the works.

……………………………..

FORM NO. QM/AP

IS NOT APPROVED for the following reasons :


Non - Compliance Report (NCR)NCR Reference No. : ………………...………………………………………………

Date Issues : ………………...……………………………………………………….

Subject : ……………………………………………………………………………………………………………………………….

PART A : Details of Non - Compliance (to be completed by RE / QAE)

(Refer to relevant inspection and results, if appropriate)……………………………………………………………………………………

………………………………………………………………………………………………….………………………………………………………………………

………………………………………………………………………………………………….………………………………………………………………………

Received by :

Signature : …………...…………………………………. Signature : …………...………………………………….

Name : …………...…………………………………. Name : …………...………………………………….

(Contractor) (Resident Engineer / QAE))

PART B : Proposed Corrective Action (to be completed by Contractor)

1. Rework to meet specification 3. Repair

2. Scrap / Demolished 4. Others

If others, please clarify : ………………………………………………..………………………………………………………………………………

……………………………………………………..……………………………………………………………………………………………………………………

……………………………………………………..……………………………………………………………………………………………………………………

DATE OF CORRECTIVE ACTION TO BE COMPLETED : ……………………………………………………………………..

Signature : ……………………………...……………… Signature :……………………………...………………………………….

Name : ……………………………...……………… Name : ……………………………...………………………………….

(Contractor) (Resident Engineer / QAE))

Date : ……………………………...……………… Date : ……………………………...………………………………….

ACTION TO BE TAKEN TO PREVENT RECURRENCE : ……………………………………………………………………………………………

……………………………………………………………………………………………………….…………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………….…………………………………………………………………………………………………………………………………………………….

DATE ACTION TO PREVENT RECURRENCE TO BE COMPLETED : ……………………………………………………………………..

Signature : ……………………………………...………………………………….

Name : ……………………………………...………………………………….

(Contractor)

Date : ……………………………………...………………………………….

PART C : Follow - up, Close out & Verification of corrective action (to be completed by RE / QAE)

PROPOSED FOLLOW - UP DATE : …………… Remarks : ……………………………………………………………………………

……………………………………………………………………………

NCR CLOSED OUT Yes / No ……………………………………………………………………………

Closed Out Date : ……………………… Verify by : ……………………………………………….

(Resident Engineer / QAE)

Date : ……………………………………………….

FORM NO. QM/NCR


DELIVERY OF READY MIXED CONCRETE

Building Type / Other Structure : ………………………………………

Element / Component / Grid : ………………………………………….

Structure Type : ………………………………………..

Floor (for building) : …………………………………………..

Specified Slump : ………………………………………..

Specified Concrete Grade : …………………………………………..

Ref. To Approval Chit No. : …………………………………………..

Date & Time of Concreting : …………………………………………..

Mixer Truck No. Cube Identification No. Remarks

Date for testing of cube 3 days : …………………… 28 days : …………………………

7 days : …………………………

Remarks : ………………………………………………………………………………………………………………………

………………………………………………………………………………...……………………………..……………..…..



Name: Name: Name:

Structure Type (ST) : B = Base Slab, W = RC Wall, T = Top Slab/Cover, F = Foundation, B = Beam, C = Column, S = Slab, O = Others

Volume Delivered

(m3)

Time of Loading

Time of Delivery

Time of Placing

Measure Slump at Site (mm)


Date: Date: Date:

FORM NO. QM/DRMC

Documents

QA QC Forms M2 (1)