RC No.
:
-03-004-3A.
Date :
POURING REQUEST for SUBSTRUCTURE NO.
Project :
Owner :
Location :
CONTRACTO: Date of Pouring:
SUPPLIER : Design Mixed/Aggregates : Slump : Volume:
TYPE OF STRUCTURE LEVEL LOCATION
CONTRACTOR'S JOINT SIGNATURE/
CONCERNED CHECKED BY/
SCOPE OF WORKS AUTHORIZED REMARKS DATE (FOR
TRADES DATE
SIGNATURE/ DATE CONTRACTOR & CM)
* Transparency plans of MEPFS,Architectural, Civil and Structural.
* At least two (2) operational concrete vibrators and sufficient lighting have to be provided prior to approval of request
Line and Grade
Rebar Test
Dewatering
Gravel Bedding
Soil Poisoning
Rebar Schedule
Sufficient bracing of forms
GENCON
Water Stop Installation
Dowels for wall partitions
Dowels for stiffener column@3.0 m
span
Provision of slab depression
Sufficient concrete/steel spacer
ELS-Series 2018 All rights reserved
No reproduction without [Link] 1 of 2
GENCON
CONTRACTOR'S JOINT SIGNATURE/
CONCERNED CHECKED BY/
SCOPE OF WORKS AUTHORIZED REMARKS DATE (FOR
TRADES DATE
SIGNATURE/ DATE CONTRACTOR & CM)
Approved starter bars details
Others
Opening requirement for Elevator
Shaft/ Escalator (if any)
MECHANICAL
Sump pit requirement
Grounding Rod for lightning arrester
ELECTRICAL
Others
FIRE
PROTECTION
PLUMBING /
SANITARY
GAS LINES
OTHER
Disclaimer: Signature of the Contractor Signifies that all related works have been inspected and are in accordance with Drawings and/or Specifications. Construction Manager's signature
do not necessarily imply completion on the specific scope of work nor relieve the Contractor from rectification of defects and punch list.
NOTE: ATTACH PARTIAL AS-BUILT (with legend), approved methodology,and necessary conducted test results.
Requested By: Approved By:
______________________ _________________________________
Contractor/ Date
Construction Manager
Note: This form must be submitted in (2)two copies to the Construction Manager's Onsite Representative duly accomplished & signed by the corresponding Contractor's Personnel-In-
Charge at least 48 hours before ACTUAL POURING
ELS-Series 2018 All rights reserved
No reproduction without [Link] 2 of 2