Concrete Pour Inspector'S Checklist Template
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3Form 700.01
CONCRETE POUR INSPECTOR'S CHECKLIST
Unique ID:
Status:
Date:
Project No:
File No:
Sub File No:
Structure Item:
Structure Location:
Inspector:
A. PLANS
Yes No N/A Date Corrected
1.
Has inspector reviewed plans and special provisions affecting this concrete pour?
2.
Does inspector understand plans and special provisions?
3.
Have plans and / or special provisions that affect this pour been changed?
B. FORMS
Yes No N/A Date Corrected
Are forms in proper location (grade and alignment)?
4.
Are form dimensions correct?
5.
Have forms been braced and installed in accordance with any accepted shop plans?
6.
If SIP forms are utilized, are all tack welds and screws in place as shown on shop plans?
7.
Is all chamfer in place?
8.
9.
Have all form cracks been sealed?
10. Are forms clean and free of debris (dirt, wood chips, trash, etc.)?
11. Has the deck screed been adjusted and have grades been set and checked?
Has a dry run check of deck screed been made? (Check that old concrete matches new header. Also, check depth of
12.
slab to be cast.) Notify Bridge Construction Engineer of all deficiencies over ½ inch.
13. Have drains been installed in forms as per plans (size and location)?
700.01 Pg 1
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