Project Title:

Form No:

Ref No:

CHECKLIST FOR EXCAVATION, LEAN CONCRETE & BACKFILLING

Location:

Inspection Items: Drawing Ref:

Date of Notification: Time of Notification:

Anticipated Inspection Date: Anticipated Inspection Time:

Actual Inspection Date (RE / RTO): Time: To:

Re-Inspection Date: Time: To:

Checked By Approved By
Item Detail Y N NA
Engr / Foreman Date RE / RTO Date
A EXCAVATION
1 Position with reference to drawing
2 Length, Width and Depth
3 Side Supports / Shoring / Sheet Piling
4 Compacting

B LEAN CONCRETE
1 Level as Per Drawing
2 Surface is free from mud & water

C BACKFILLING
1 Remove timber, rubbish, etc.
2 Honeycomb of substructure
3 Soil Quality
4 Backfilling & Compacting

D ANY OTHER

REMARKS:

Checked By: Rectification Checked By: Approved By:

Main Contractor Main Contractor RE / RTO

Name / Signature / Date Name / Signature / Date Name / Signature / Date