Checklist for Grouting Inspection
Name of the Project: ________________________________________ Date: ________________
Location: ________________________________________________________________________
Reference Drawing /Sketch: _________________________________Revision No.: _________
[Link] Particulars Observation Accepted Rejected Remarks
Check List (Before Start of Grouting)
1 Grout Materials tested and approved
2 Grout Trials carried out and Design Grout Mix approved
3 Grouting Equipment/Instruments are adequate and are
in
working condition
4 Pressure Gauges are calibrated
5 Parent Concrete strength achieved as per Drawing
Check List (During Grouting):
1 Grout Pump/ Hose/ Gauges are checked for any
hokage etc. prior to Grouting
2 Grout Hole / surface cleaned properly/Flushed with water
prior to Grouting
3 Water Tightness of Formwork Checked & found Ok
4 Pressure Gauge is being monitored during Grouting
Process to control the max. allowable pressure
5 Grout Materials are being mixed in designed proportion
and Temp. is within permissible range
6 No. of Grout Cubes taken and Identification
7 Consumption of Grout Mix: Theoretical: …….Actual
8 Curing done up to specified period
9 Final alignment of bolts / structure assured.
Note: Put (√ ) Mark in Accepted & Rejected Column as per the observation. Write NA in columns wherever
it is not applicable.
Name of the Person Designation Signature Date
Inspected By
Approved By
GMN-PROJ-QAC-F-220-00 20-JUL-2017 Page 1 of 1