Provide precise project identification and environmental conditions for this concrete pour. All location references must correlate with approved construction drawings.
Project Name
Project Identification Number
Specific Pour Location - Grid Lines
Floor Level/Element Type
Pour Sequence Number (if applicable)
Scheduled Pour Date & Time
Subcontractor Company Name
Subcontractor Site Supervisor Full Name
Subcontractor Supervisor Contact Number
Ambient Temperature (°C)
Relative Humidity (%)
Wind Speed (km/h)
Precipitation Conditions
No precipitation
Light rain/drizzle
Heavy rain
Snow
Other adverse condition
Describe protective measures implemented for light rain conditions:
Describe protective measures implemented for heavy rain conditions:
Describe protective measures implemented for snow conditions:
Describe adverse condition and mitigation measures:
Has a pre-pour safety briefing been conducted with all personnel?
Number of personnel attending briefing:
CRITICAL: Pre-pour safety briefing must be conducted before proceeding. This permit cannot be approved without confirmation.
Upload Site Weather Condition Photos (minimum 3 angles)
Are all required permits (Concrete Pour Permit, Hot Work Permit if applicable) approved and on-site?
CRITICAL: All required permits must be obtained before concrete placement. Pour authorization is denied.
Comprehensive verification of reinforcing steel placement, concrete cover, and all embedded penetrations against approved structural drawings. All measurements must be taken at minimum three locations per bay.
Structural Drawing Reference Number
Rebar Grade & Type (e.g., B500B, ASTM A615)
Main Reinforcement Bar Size & Spacing as per Drawing
Rebar Placement & Concrete Cover Measurement Log
Measurement Location (Grid Ref) | Actual Bar Spacing - Direction 1 (mm) | Actual Bar Spacing - Direction 2 (mm) | Bottom Cover Measurement (mm) | Top Cover Measurement (mm) | Side Cover Measurement (mm) | Spacing & Cover Compliant? | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | B2-C3 Intersection | 195 | 205 | 28 | 32 | 32 | Yes | |
2 | B4-C5 Mid-span | 198 | 202 | 30 | 31 | 30 | Yes | |
3 | C3-C5 Edge | 200 | 198 | 29 | 33 | 31 | Yes | |
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Are all rebar spacing and concrete cover measurements within allowable tolerance (typically ±10mm)?
Specify non-compliant locations and corrective actions taken:
Is all reinforcing steel free from excessive rust, oil, paint, or other deleterious materials?
Describe contamination location and cleaning method:
Are rebar chairs, spacers, and supports adequate in quantity and properly positioned to maintain steel placement during concrete placement?
Describe deficiency and remedial action:
Are tie wires properly installed at all intersections with appropriate spacing (max 400mm or per drawing)?
Describe locations with inadequate tie wire and corrective action:
Select all penetration types present in this pour location:
Electrical conduits
Plumbing sleeves
HVAC duct openings
Post-tensioning ducts
Anchor bolts
Embed plates
None
Are all electrical and plumbing penetrations properly sized, located, and securely fixed as per MEP coordination drawings?
Describe penetration conflict or mislocation and resolution:
Is adequate clearance (minimum 25mm or as specified) maintained between rebar and all penetrations?
Identify clearance violations and corrective measures:
Has a corrosion inhibitor or protective coating been applied to rebar if specified in aggressive environment?
Specify product name and batch number:
Confirm that corrosion protection is not required for this element per structural specifications.
Upload comprehensive rebar placement photos (minimum 8 photos: overall layout, cover measurements, penetrations, support details)
Overall Rebar Installation Quality Assessment
Unacceptable - Major defects
Poor - Multiple issues requiring correction
Fair - Minor issues noted
Good - Compliant with minor observations
Excellent - Fully compliant & workmanship exemplary
Critical assessment of formwork structural integrity, shoring capacity, and sub-grade bearing capacity to safely support fresh concrete loads and construction activities.
Formwork Drawing/Shoring Layout Reference Number
Formwork Material Type
Plywood on timber beams
Steel panel system
Aluminum panel system
Composite plastic formwork
Custom engineered system
Is all formwork material free from damage, warping, holes, or defects that could affect concrete finish or structural performance?
Describe damaged components and replacement action:
Are formwork panels properly aligned with tight joints to prevent grout leakage (max 3mm gap)?
Identify leak paths and sealing method:
Have dimensional tolerances been verified (length, width, depth within ±10mm)?
Specify out-of-tolerance dimensions and acceptance status:
Falsework/Shoring System Type (e.g., Cup-lock, Frame, Aluminum Prop)
Shoring/Falsework Verification Log
Location/Grid Reference | Actual Prop Spacing - Primary (mm) | Actual Prop Spacing - Secondary (mm) | Prop Extension Length (mm) | Base Plate & U-Head Properly Installed? | Bracing Installed per Design? | Load Capacity Verified? | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | B2-C3 Bay | 1200 | 1200 | 2500 | Yes | Yes | Yes | |
2 | C3-C5 Bay | 1200 | 1200 | 2480 | Yes | Yes | Yes | |
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Are all shoring props vertical within allowable tolerance (max 1:50 deviation)?
Identify out-of-plumb props and corrective action:
Is adequate bracing, tying, and lateral restraint installed to prevent formwork movement during concrete placement?
Describe missing bracing and immediate action taken:
Have safe access platforms and edge protection been provided for concrete placement crew?
Describe fall protection deficiencies and urgent remediation:
Is form release agent applied evenly to all contact surfaces without excess pooling?
Describe application issues and rectification:
For slabs on ground: Has sub-grade been properly compacted and moisture-conditioned?
Compaction method and test results (e.g., Proctor Density):
Confirm that this is an elevated slab and sub-grade inspection is not applicable.
Is sub-grade free from standing water, frost, or soft spots that could affect bearing capacity?
Describe sub-grade issue and remediation (e.g., dewatering, replacement):
Upload formwork and shoring photos (minimum 10 photos: overview, prop details, bracing, joints, access platforms)
Formwork & Shoring System Quality Assessment
Non-compliant | Major concerns | Minor concerns | Compliant | Exceeds requirements | |
|---|---|---|---|---|---|
Material condition | |||||
Dimensional accuracy | |||||
Shoring spacing & capacity | |||||
Bracing & stability | |||||
Safety access provisions |
Verification of concrete mix design compliance, testing protocol readiness, and delivery logistics to ensure specified concrete quality and placement continuity.
Approved Concrete Mix Design ID/Code
Specified Concrete Strength Grade
Maximum Aggregate Size
Is current mix design approved for ambient temperature conditions?
Describe required mix adjustments (retarder, ice, temperature control):
Select all admixtures included in this mix:
Superplasticizer
Retarder
Accelerator
Air-entraining agent
Corrosion inhibitor
Water reducer
None
Are calibrated slump test equipment, thermometer, and air meter available at pour location?
Specify missing equipment and alternative arrangement:
Specified Slump Range (mm)
Maximum Allowable Concrete Temperature at Delivery (°C)
Minimum Ambient Temperature for Pour to Proceed (°C)
Concrete Delivery & Testing Log Template
Truck Ticket Number | Arrival Time | Slump Test Result (mm) | Concrete Temperature (°C) | Air Content (%) | Compliant? | Accepted/Rejected By | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | Ticket-001 | 2:30 PM | 145 | 28 | 4.5 | Yes | J.Smith | |
2 | Ticket-002 | 3:15 PM | 150 | 29 | 4.2 | Yes | J.Smith | |
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Is concrete pump equipment inspected and positioned for safe, continuous delivery?
Specify pump equipment issue and contingency plan:
Estimated Pour Duration (hours)
Number of Ready-Mix Trucks Scheduled
Are adequate curing materials (compound, blankets, hessian) on-site and ready for immediate application?
Specify missing curing materials and delivery time:
Is vibration equipment (poker vibrators) adequate in number and in working condition?
Describe equipment shortage/failure and backup plan:
Upload concrete mix design approval letter and delivery ticket sample
Final authorization and certification that all preparatory work meets structural and safety requirements. All defects must be corrected before sign-off.
Have all non-conformances identified in Sections 2 and 3 been corrected to satisfaction?
CRITICAL: All non-conformances must be rectified before sign-off. Re-inspection required.
Summary of any minor observations or notes (does not prevent pour):
Is a qualified site engineer present for continuous supervision during entire pour operation?
CRITICAL: Continuous engineering supervision is mandatory. Pour cannot proceed without qualified site engineer presence.
Final Readiness Checklist - Rate each critical item (1 = Not Ready, 5 = Fully Ready)
Rebar placement & cover | |
Penetrations & embedments | |
Formwork integrity & joints | |
Shoring stability & bracing | |
Safety access & edge protection | |
Testing equipment readiness | |
Concrete delivery logistics | |
Curing materials availability |
Site Engineer Final Inspection Completion Time
Site Engineer Full Name & Professional Registration Number
Site Engineer Digital Signature
Does Structural Engineer of Record concur with this pre-pour inspection and authorize concrete placement?
Specify EOR concerns or conditions for authorization:
Structural Engineer of Record Authorization Time
Structural Engineer of Record Full Name & Registration
Structural Engineer of Record Signature
Does General Superintendent confirm site readiness and safety compliance for pour operation?
Specify superintendent hold points or safety concerns:
General Superintendent Approval Time
General Superintendent Full Name & Employee ID
General Superintendent Signature
To configure an element, select it on the form.