Drilled Pier Inspection Form Page 2
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2N. C. DEPT. OF TRANSPORTATION
TIP NO.:___________COUNTY:________________DATE:__________
Pg. 2
DRILLED PIER INSPECTION FORM
STATION & DESCRIPTION:__________________________________
of 2
SLURRY METHOD
PIER LOCATION: BENT NO._____________PIER NO.____________
Rev-3/05
MISCELLANEOUS INFORMATION
EXCAVATION START DATE AND TIME:____________________________________________________________________
EXCAVATION FINISH DATE AND TIME:____________________________________________________________________
AGITATION DATES AND TIMES (List):______________________________________________________________________(Minimum every 4 hours)
EXPOSURE TIME BELOW PERMANENT CASING:____________________________________________________________hours (Not to exceed 36 hours)
OVEREAMING DATES AND TIMES (List):___________________________________________________________________
TOTAL DESANDING TIME:________________________________________________________________________________hours
CLEANLINESS INSPECTION DATES AND TIMES (List):________________________________________________________
CONCRETE PLACEMENT START DATE AND TIME:___________________________________________________________
CONCRETE PLACEMENT FINISH DATE AND TIME:___________________________________________________________
TOTAL EQUIPMENT DOWN TIME (If Applicable):______________________________________________________________hours
SLURRY TYPE AND MANUFACTURER:______________________________________________________________________
SLURRY PROPERTY TEST RESULTS
DATE
TIME
DEPTH
DENSITY*
VISCOSITY*
pH*
SAND CONTENT*
PERFORMED BY (check box)
3
(pcf or kg/m
)
(sec./quart or 0.95 liters)
(%)
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CONTRACTOR
NCDOT
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NCDOT
* SEE DRILLED PIERS SPECIAL PROVISION FOR ACCEPTABLE RANGE OF VALUES WHICH ARE DEPENDENT UPON SLURRY TYPE AND MANUFACTURER.
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