PRE-POUR CHECKLIST
ITP_004F
PROJECT NAME
PROJECT INITIALS
YOUR EMAIL
example@example.com
PROJECT POUR NUMBER
BUILDER
POUR LOCATION
REFERENCED DOCUMENTS
QUANTITY ORDERED
POUR DATE
/
Day
/
Month
Year
Date
START TIME
Minutes
AM
PM
AM/PM Option
PRE POUR CHECKLIST
Approved design drawings
Yes
No
Comments/Remarks
Approved concrete mix design
Yes
No
Comments/Remarks
Set out as per drawings (inspected and approved by engineer)
Yes
No
Comments/Remarks
Construction Joint Location as per drawings
Yes
No
Comments/Remarks
Installation of Dowels and Waterproofing at Joints (inspected and approved by engineer)
Yes
No
Comments/Remarks
Installation of penetrations in walls and floors for inlets and water reticulation pipework
Yes
No
Comments/Remarks
Pipework under pressure
Yes
No
Comments/Remarks
Services on site (air, water, lighting)
Yes
No
Comments/Remarks
Reo checked including sizing, spacing, clearances, stability and cleanliness (as per drawings)
Yes
No
Comments/Remarks
Reduced Levels (RL's) and Reference Levels as per drawings
Yes
No
Comments/Remarks
JOINT OPENINGS CHECK LIST
Old surfaces scabbed where connection to concrete is present
Yes
No
Comments/Remarks
Water sealed using Hydrotite, Leakmaster
Yes
No
Comments/Remarks
Keyways/Blockouts
Yes
No
Comments/Remarks
Inspection openings
Yes
No
Comments/Remarks
EXCAVATION
Excavation completed as per drawings
Yes
No
Comments/Remarks
Depth and line of excavation checked
Yes
No
Comments/Remarks
Stability Checked
Yes
No
Comments/Remarks
Base layer prepared as per specifications
Yes
No
Comments/Remarks
FORMWORK
Orientation, location and line of formwork as per drawings
Yes
No
Comments/Remarks
Side elevation and chamfer as per drawings
Yes
No
Comments/Remarks
Formwork clean
Yes
No
Comments/Remarks
Formwork bracing correct
Yes
No
Comments/Remarks
Projection and sleeves
Yes
No
Comments/Remarks
Adequate provision made for pipes, conduit, earth wires
Yes
No
Comments/Remarks
Floor level/s checked
Yes
No
Comments/Remarks
Wall level/s checked
Yes
No
Comments/Remarks
TOOLS / EQUIPMENT
Tools adequate. Clean and easily accessible?
Yes
No
Comments/Remarks
Provision(s) made for continuous placement
Yes
No
Comments/Remarks
Cylinder(s) taken for testing with identification (Specify exact number in comments)
Yes
No
Comments/Remarks
DURING POUR CHECKLIST
Apply a low-viscosity cement/water mixture to all scabbled areas where new-to-old concrete connections are present immediately before casting new concrete. Ensure the bonding compound remains in a ‘tacky’ state before pouring
Yes
No
Comments/Remarks
Water:Cement ratio(s) and strength as specified
Yes
No
Comments/Remarks
Slump test and sampling completed as per specifications (Test results recorded)
Yes
No
Comments/Remarks
Compaction and Vibration as per specifications
Yes
No
Comments/Remarks
Provisions for curing as per specifications (Site conditions considered)
Yes
No
Comments/Remarks
Line, level and surface checked at completion of pour
Yes
No
Comments/Remarks
SIGN OFF
INSTALLER NAME
DATE
/
Day
/
Month
Year
Date
SIGNATURE
SUPERVISOR NAME
DATE
/
Day
/
Month
Year
Date
SIGNATURE
FINISH TIME
Minutes
AM
PM
AM/PM Option
ADDITIONAL NOTES / REMARKS
ITP_004F_Pre-Pour Checklist_VersionC_ 2023
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