บริษัท ฉัตรการช่างแหลมฉบัง จำกัด

บริษัท ซีเคซี เอ็นจิเนียริ่ง แอนด์ คอนสตรัคชั่น (1998) จำกัด

INSPECTION / TEST REPORT

FINAL GROUTING CHECK LIST

REPORT NO.:

JOB NO.:

DATE:

PROJECT NAME : EQUIPMENT NO. :

AREA / LOCATION : EQUIPMENT NAME :

REF. SPEC. / DWG NO. : DATE OF GROUTING :

NO CHECK POINT & RESULTINSPECTION

CKC OWNER

1 Equipment pre-alignment check before grouting (Centering)

2 Anchor bolt check1) Position as per drawings2) Straightness3) Top elevation

3 Surface preparation check1) Cleaning of surface area (garbage, oil, scale, etc)2) Watering for 24 hours prior to grout pour

4 Grouting1) Grout form inspection2) Check of grouting material

(Type, Quality, Mixing ratio, Grout samples)3) Check water for mixing grout material

(Shall be fresh and clean, and free from injurious amount of oil, alkali, etc)

4) Check grouting equipment5) Mixing check as per manufacture instruction or spec.6) Check the temperature (the mixed grout)7) Curing of grout8) Test of grout samples

REMARKS

COMPANY CKC

SIGNATURE

NAME

DATE

FM-QAS-50 (Rev.0, 05/14/2010)