Scribd
Upload
14 views1 page

Backfilling Inspection Checklist

This document is a checklist for backfilling work at the MGM SMR Health Care project, detailing various inspection criteria such as method of work, safety adequacy, and material approval. It includes a series of yes/no questions to ensure compliance with project specifications and safety standards. The checklist is to be completed by the involved parties, with remarks and signatures required for acceptance of the work done.

Uploaded by

சிவா துரைராஜ்
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
14 views1 page

Backfilling Inspection Checklist

This document is a checklist for backfilling work at the MGM SMR Health Care project, detailing various inspection criteria such as method of work, safety adequacy, and material approval. It includes a series of yes/no questions to ensure compliance with project specifications and safety standards. The checklist is to be completed by the involved parties, with remarks and signatures required for acceptance of the work done.

Uploaded by

சிவா துரைராஜ்
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CHECKLIST FOR

BACKFILLING

Project MGM SMR HEALTH CARE


Client M/s, MGM HEALTH CARE Inspection Report No
PMC M/s, Shankar associates Date
Vendor GKS
Package Civil structure (Earth work)
Description of Work Backfilling Quantity
Inspection Request
Location Level Inspected by By Time
Grid
Sl.
Description YES NO NA Remarks
No
Method of work agreed and all parties involved/informed
1
about specified tolerance.
2 Check safety adequecy
Is the concrete surface/structure attain the strength to
3
retain the backfill load?
4
Surface defects,if any, repaired/rectified and accepted

5 Backfill material checked and approved for filling


6 Initial depth measured and recorded in joint measurement
sheet
Maximum thickness of layer(s) marked on the structure
7
clearly
8 Was the previous layer placed at acceptable depth ?
9 Density of previous layer checked and accepted
10 No Loose,Segregation of material observed
Is the area uniform and compacted properly including
11
edges?
12 Present layer In-Situ density checked and results entered in
the lab form No:

13 Field Density test conducted?

Observations if any :

Above Observations attended to and completed YES NO N/A


Note: The quantity mentioned above is approximate measure and can not be considered for any billing purpose. Only JMS to be
considered for billing else GFC drawings are to be referred for quantity
The above works have been completed and accepted
GKS
GKS PMC Site PMC
Site PMC Safety Remarks
Q/c Engineer Enginneer Q/c Engineer
Engineer
Signature

Name

Date

Time

Distribution Original : PMC - QS cc : Vendor

You might also like