SMALL PROJECTS GROUP QUALITY CONTROL MAINTENANCE SERVICE
RECORD NO. : SI / PO Number : SYSTEM NO. : LEAN CONCRETE Client : ITEM : PCWBS : LOCATION : FWBS : DRAWING NO. : PRE POUR ACTIVITY QC INSPECTOR SUPERVISOR ITEM CONTRACTOR MCL - SPG MCL - Client DATE DATE DATE DATE FORMATION LEVEL / GROUND LEVEL
TOP LEVEL OF LEAN CONCRETE
FORMWORK
POUR ACTIVITY
POUR DATE : SUPPLIER :
WEATHER : AMBIENT TEMPERATURE :
SLUMP : CONCRETE TEMPERATURE :
ADDITIVE : AIR CONTENT :
TEST SPECIMEN No. : QUANTITY SPECIMEN REQ'D :
POUR TERMINATED : AMB. TEMP. DURING CURE : REASON :
CONCRETE DESIGN MIX :
ATTACH COPY OF CONCRETE SUPPLIER BATCH TICKETS TO THIS FORM