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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)
Client: C&S Engineer: Contractor: Project:
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
…………………………………………….………………………………………………………………..…………………………………………………………………………………………………………………………………
Client: C&S Engineer: Contractor: Project:
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
Client: C&S Engineer: Contractor: Project:
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)
Client: C&S Engineer: Contractor: Project:
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)
Client: C&S Engineer: Contractor: Project:
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
Comp. Strength (N/mm2)
Average Comp.
Strength (N/mm2)
Date Tested
Comp. Strength (N/mm2)
Average Comp.
Strength (N/mm2)
Client: C&S Engineer: Contractor: Project:
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
Prepared By: Check By: Approved By:
Contractor JPW (Clerk of Work) JPW (RE/ARE)
Name: Name: Name:
Signature: Signature: Signature:
Item No.
Total JointsFtg.
TypeSupply
Length (m)Cut-off Length
(m)Penetration Length (m)
Date: Date: Date:
FORM NO. QR/SPR
Client: C&S Engineer: Contractor: Project:
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 : ……………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………….
Prepared By: Check By: Approved By:
Contractor JPW (Clerk of Work) JPW (RE/ARE)
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:
Signature: Signature: Signature:
Date: Date: Date:
FORM NO. QR/MSG
QR.SDR.M3
Page 12
Client: C&S Engineer: Contractor: Project:
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:
Signature: Signature: Signature:
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
Client: C&S Engineer: Contractor: Project:
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
Client: C&S Engineer: Contractor: Project:
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)
Prepared By: Check By: Approved By:
Contractor JPW (Clerk of Work) JPW (RE/ARE)
Name: Name: Name:
Signature: Signature: Signature:
Date: Date: Date:
Item No.
FORM NO. QM/SPSCEW
Client: C&S Engineer: Contractor: Project:
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 :
2a Setting Out/Alignment
2b Position of Peg
3 Pile Location :
3a Setting Out/Alignment
3b Position of Peg
4 Pile Location :
4a Setting Out/Alignment
4b Position of Peg
5 Pile Location :
5a Setting Out/Alignment
5b Position of Peg
6 Pile Location :
6a Setting Out/Alignment
6b Position of Peg
General Comments: (Note: To attach additional documents for further clarification, if necessary)
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. QM/PSO
PILING SETTING OUT INSPECTION FORM
CHECK LIST
R E M A R K S
Client: C&S Engineer: Contractor: Project:
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
Prepared By: Check By: Approved By:
Contractor JPW (Clerk of Work) JPW (RE/ARE)
Name: Name: Name:
Signature: Signature: Signature:
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
Client: C&S Engineer: Contractor: Project:
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
Approval Chit Ref. No. :
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)
General Comments: (Note: To attach additional documents for further clarification, if necessary)
Prepared By: Check By: Approved By:Contractor JPW (Clerk of Work) JPW (RE/ARE)
Name: Name: Name:
Signature: Signature: Signature:
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
Client: C&S Engineer: Contractor: Project:
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
Approval Chit Ref. No. :
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)
General Comments: (Note: To attach additional documents for further clarification, if necessary)
Prepared By: Check By: Approved By:Contractor JPW (Clerk of Work) JPW (RE/ARE)
Name: Name: Name:
Signature: Signature: Signature:
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 :
Client: C&S Engineer: Contractor: Project:
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
Client: C&S Engineer: Contractor: Project:
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 : ………………………………………………………………………………………………………………………
………………………………………………………………………………...……………………………..……………..…..
Prepared By: Check By: Approved By:
Contractor JPW (Clerk of Work) JPW (RE/ARE)
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)
Signature: Signature: Signature:
Date: Date: Date:
FORM NO. QM/DRMC