ASOSA DB ASPHALT WORK PROJECT
Form No CL/ASO________
ASPHALT CONCRETE CONTROL FORMAT Date:- _______________
note:- Used for 1 trip
Batching Plant Detail Transportation Detail
Plant Name :- Vehicle ID/Truck No:-
Location:- Driver's Name:-
Mix Type:- Departure Time:-
Kg/ one Batch:- Estimated Arrival time:-
Production Information Site Delivery Detail
Batch No.:- Actual Arrival Time:-
Production Date:- Asphalt condition/TEmperature/consistency
Quantity:- Quantity received:-
Ready for Dispatch Time:- Descrepancy:- if any
Quality Control on Batching Quality Control on Site
Pre dispatch On Site:-
Signature:- Dispatched by Signature:- Received by
Name and Sign:- Name and Sign:-
AC MATERIAL DUMPING DETAILS CONSTRUCTION SUPERVISOR:
DUMP START TIME ASPHALT PLANT SUPERVISOR:
DUMP DURATION: MIX DESIGN SUPERVISOR:
M2 OF PAVED SURFACE: CONSTRUCTION ENGINEER
AVERAGE AC DEPTH BY POCKER: DATA FINALIZED BY PROJECT MANAGER
NAME DATE SIGNATURE
PRODUCTION DETAILS ASPHALT PLANT SUPERVISOR/MATERIAL ENGINEER
AGGREGATE 12-25mm kg/m3 or per Batch
AGGREGATE 6-12mm kg/m3 or per Batch REMARKS:
AGGREGATE 0-6mm kg/m3 or per Batch _______________________________
FILLER: kg/m3 or per Batch _______________________________
BITUMEN CONTENT: l/m3 or per Batch _______________________________
TEMPERATURE OF BITUMEN C
o
TESTED BY/MAT ENG: _______________________________ _____________________ _________________
Material Engineer Name Signed Date
DISPATCHED BY/PF: ________________________________ _____________________ _________________
Plant Forman Name Signed Date
RECEIVED BY/AF: __________________________________ _____________________ _________________
Asphalt Forman Name Signed Date
CHECKED BY/CE: ________________________________ _____________________ _________________
Construction Eng; Name Signed Date
APPROVED BY/PM: _________________________________ _____________________ _________________
Project Manager Name Signed Date