CONCRETE FIELD TESTING DATA SHEET NO

DATE:
STRUCTURAL MARK:
PREPARED BY:

PROJECT NAME:

CONCRETE STRENGTH
TRUCK

TIME

O.R. NO.
NO.

SLUMP (in.)

VOL. (m3)

AIR
CONTENT
(%)

REMARKS:_______________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_______________________________________________________

EQUIPMENT USED

SPECIFIC REQUIREMENTS

AIR METER NO.

AIR (%)

THERMOMETER NO.

TEMP. (F)

U.W. MEASURE NO.

SLUMP (in.)

FIELD TESTING DATA SHEET NO. ______

PROJECT LOCATION:
LOCATION/GRID LINE:
CONCRETE STRENGTH:
CONCRETE
TEMP. (F)

AIR TEMP.
(F)

UNIT
WEIGHT
(lb/ft3)

NOTES

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
____________________________________________________

SPECIFIC REQUIREMENTS

R (%)

EMP. (F)

LUMP (in.)

_____________________
QC REVIEWER
________________
DATE

FIELD MONITORING REPORT

PROJECT NAME:
PROJECT LOCATION:
PREPARED BY:
PAGE___ OF___

M
ESTIMATED QUANTITY (m )
OTHERS
3000PSI
SPECIFY
3

SECTION/MEMBER
FOOTING/COLUMN
BEAM/SLAB
STAIRS/MISCELLANEOUS

MANPOWER
WORKERS NAME
GROUP NAME

SKILL

UNSKILL

HOURS EXPENDED
TOTAL

PREPARATION

POURING

TROWELLING

BROOMING

TORING REPORT
DATE: _______________________________
LEVEL/GRIDLINE: _____________________
POURING TIME:
START_____________
FINISH_____________
MATERIALS
ACTUAL QUANTITY (m3)
OTHERS
3000PSI
SPECIFY

OTHER MATERIALS
ITEM

UNIT

QUATITY

EQUIPMENT
EXPENDED
CURING

RETOUCH

TOTAL

DESCRIPTION

NUMBER

OPERATING
HOURS

REMARKS

WORK ACCOMPLISHMENT REPORT

PROJECT NAME: _____________________________

PROJECT LOCATION: _________________________

FLOOR LEVEL

SECTION/ MEMBER
FOOTING
COLUMN/ WALL

FOUNDATION
BEAM/ SLAB
STAIRS/ MISC.
COLUMN/ WALL
GROUND

BEAM/ SLAB
STAIRS/ MISC.
COLUMN/ WALL

2ND LEVEL

BEAM/ SLAB
STAIRS/ MISC.
COLUMN/ WALL

3ND LEVEL

BEAM/ SLAB
STAIRS/ MISC.
COLUMN/ WALL

4ND LEVEL

BEAM/ SLAB
STAIRS/ MISC.

ESTIMATED
QUANTITY (m3)

WORK ACCOMPLISHMENT REPORT NO: ____

RUN DATE: ________________________

PREPARED BY: _____________________
PAGE _____ O F______
PREVIOUS
ACCOMPLISHMENT (m3)

TO DATE (m3)

TOTAL TO
REMAINING (m3)
DATE (m3)

% COMPLETE

__________
__________

REMARKS

REPORT OF ACCIDENT
TO BE COMPLETE FOR ALL ACCIDENTS, EVEN IF NO INJURIES WAS SUST
1.
2.
3.
4.

DATE AND TIME OF ACCIDENT_____________

LOCATION OF ACCIDENT (AREA/DEPT.)__________________________________________
EQUIPMENT INVOLVED________________________________________________________
EMPLOYEE(S) INVOLVED:

AGE

JOB CLASSIFICATION

5. FIRST AID ADMINISTERES BY: ___________________________________________________________________

6. MEDICAL ATTENTION AUTHORIZED BY: __________________________________________________________
7. WHO WITNESSED ACCIDENT? __________________________________________________________________
8. DESCRIBE ACCIDENT AND NATURE OF INJURY, IF ANY: ________________________________
________________________________________________________________________________________________
9. WHAT HAPPENED? _____________________________________________________________________________
________________________________________________________________________________________________
10. HOW DID IT HAPPEN? _________________________________________________________________________
___________________________________________________________________________________________________
11. WHAT UNSAFE ACT IS COMITTED? _____________________________________________________________
12. LIST ANY UNSAFE CONDITIONS WHICH CONTRIBUTED TO ACCIDENT/INJURY:
- COMPLETE CHECK-LIST OF POSSIBLE CAUSES ON OTHER SIDE
13. COULD THIS ACCIDENT HAVE BEEN PREVENTED? EXPLAIN:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
14. WHAT SHOULD BE DONE TO PREVENT SIMILAR ACCIDENT?
_______________________________________________________________________________________________
_______________________________________________________________________________________________
15. RESPONSIBILITY FOR THIS ACCIDENT:
O EMPLOYEE _________________________________
(EXPLAIN REASON)
O SUPERVISION ______________________________
O ____________________________________________
16. ADDITIONAL INVESTIGATION
O IS NEEDED
O IS NOT NEEDED

DATE OF REPORT:______________________

PREPARED BY: ________________________________

SUPERVISOR: ________________________________

O FIRST AID ONLY REQUIRED, NON-RECORDABLE INJURY.

O MEDICAL TREATMENT REQUIRED/PHYSICIAN TO INDICATE IF INJURY IS RECORDABLE.
O RECORDABLE INJURY.

CCIDENT
VEN IF NO INJURIES WAS SUSTAINED

________AM
_____________
____________

_________PM

IF INJURED
MEDICAL ATTENTION
FIRST AID GIVEN
NEEDED

_______________________________________
_______________________________________
______________________________________
____________________________________________________
___________________________________
____________________________________
__________________________________
_____________________________________
__________________________________
_______________________________________
NT/INJURY:

___________________________________
___________________________________

___________________________________
___________________________________
_______________________________________________
_______________________________________________
______________________________________________
O IS NOT NEEDED

______________________________________
______________________________________

Y IS RECORDABLE.

FILE/LOG NO. ________

PROJECT NAME: ______________________________

WORK ITEM: _________________________________
PREPARED BY: _______________________________
ACCOMPLISHMENT
STRUCTURAL MARK

ESTIMATED
WEIGHT (kg)

PREVIOUS (kg)

TO-DATE (kg)

TOTAL

FIELD MONITORING REPORT

ISHMENT

WORKERS
TOTAL TO-DATE
(kg)

SKILLED

UNSKILLED

TOTAL

DATE: ___________________________
LEVEL/GRIDLINES: _________________
PAGE ______ OF ________
HOURS EXPENDED
SKILLED

UNSKILLED

TOTAL

REMARKS

PROJECT: _______________________________________________
PREPARED BY: ___________________________________________

BAR DESCRIPT
STRUCTURAL MARK

ITEM

DETAILS

DIAMETER
(mm)

LENGTH (mm)

FABRICATION WORK SHEET

BAR DESCRIPTION

GRADE

WEIGHT PER
PIECE (kg)

METHODS
NO. OF
HOOKS

MECHANIZED
NO. OF BENDS

CUTTING
EQUIPMENT

BENDING
EQUIPMENT

RK SHEET
DATE: ______________________
PAGE _______ OF _______

METHODS

OUTPUT
MANUAL

CUTTING
TOOL

BENDING
TOOL

# OF PCS.

TOTAL
WEIGHT

WORKERS

SKILL

UNSKILL

___________

WORKERS
# OF HOURS
WORK

RATE (kg/mhr)

REMARKS

PROJECT:

CONTRACT NO.:

COMPONENTS

PLANS / DESIGN
1. APPROVED CUTTING LIST AT HAND?
2. APPROVED SCHEDULE AT HAND?
3. APPROVED STRUCTURAL BODY PLANS AVAILABLE?
REBARS
BEFORE PLACING
1. BARS ARE NOT MISBENT OR DAMAGED?
2. BARS ARE FREE OF DIT, LOOSE MILL SCALE, HEAVY RUST, GREASE, OR OTHER DELETERIOUS MATERIALS
3. BAR IDENTIFICATION ARE INTACT, AND LEGIBLE
AFTER PLACING REINFORCING BAR
1. BAR DIAMETER AS PER SCHEDULE?
A. MAIN BARS
B. EXTRA TOOP BARS
C. EXTRA BOTTOM BARS
D. STIRRUPS
E. LOCATION AT SPLICE
F. SHEAR BARS AT CONSTRUCTION JOINT
2. BAR SPACING AS PER SCHEDULE (COMPLIES WITH 1. A TO F)?
3. TIES AND STIRRUPS AS PER SCHEDULE?
4. BARS ARE STABLE AND WELL SUPPORTED OR CHAIRS OR CONCRETE SPACERS?
5. CHECK THE LENGTH OF DOWELS IN ACCORDANCE WITH CODES?
6. SPLICES OF CORRECT LENGTH(S) OR STAGGERED?

7. BARS AT BEAM COLUMN JUNCTION ARE NOT CONGESTED TO PREVENT PROPER CONCRETE PLACEMENT AND
8. TRIMMER BARS AROUND SLEEVES IN PLACE?
9. TRIMMER BARS AROUND BLOCKOUTS?
10. CHAIR BARS ADEQUATE AND SET PROPERLY?

11. BARS ARE FREE OF LOOSE MORTAR, RUST, GREASE, OR OTHER SUBSTANCE CAPABLE OF DESTROYING BON
12. FIELD BENDING OR STRAIGHTENING OF REBARS IS DONE IN ACCORDANCE WITH THE SPECIFICATION?
13. REBENT OR STRAIGHTENED BARS ARE FREE OF CRACKS OR DAMAGE?
FINAL CLEAN-UP

1. SURFACE ARE AIS CLEAN AND FREE OF LOOSE CONCRETE MUD, AND DEBRIS WHICH COULD JEOPARDIZE THE
FORMWORKS
1. CORRECT SETTING OUT OF LINES AND LEVELS?
2. DIMENSION OF STRUCTURE AS PER APPROVED PLAN (EACH BEAM, COLUMN, SLAB, SHEARWALL)?
3. SUPPORTING SYSTEM AS PER APPROVED DESIGN? (FORM TIE, TURN BUCKLE)
4. PERMANENT SHORES IN POSITION AND PROPERLY FIXED BASED ON FORMWORKS PLAN?
5. SHORING SET ON FIRM LEVEL BASE?
6. SCREW JACKS ARE NOT OVER EXTENDED?
7. FORMWORK SIDES AND SCAFFOLDING ARE ADEQUATELY BRACED?
8. IS FORMWORK JOINTS & SEAMS TIGHT AGAINST GROUT LEAK AND PROPERLY SEALED?
9. CORRECT LOCATION(S) AND SIZE(S) OF OPENING(S) IN FORMWORK (BLOCKOUT)?
10. IS POURING AREA CLEAN AND SEROJO AREA PROVIDED?
11. CONCRETE COVER SPACER ADEQUATELY PROVIDED?
12. CORRECT PLUMBNESS, FLATNESS, & SPACING OF PROPS?
13. CAMBER/SLOPE PER STRUCTURAL NOTES?
THIS RECORD HAS BEEN CLOSED ON DATE:

DISTRIBUTION

DATE SUBMMITED:

BUILDING AREA/LEVEL:

INSPECTION DATE:

GRIDLINE/AXES:

WORK LOCATION:

ACCEPTED

COMPONENTS
YES

E?
BEFORE PLACING

VY RUST, GREASE, OR OTHER DELETERIOUS MATERIALS

AFTER PLACING REINFORCING BAR

H 1. A TO F)?

AIRS OR CONCRETE SPACERS?

E WITH CODES?

D?

NGESTED TO PREVENT PROPER CONCRETE PLACEMENT AND VIBRSTION? (NOT LESS THAN ONE INCH)

ASE, OR OTHER SUBSTANCE CAPABLE OF DESTROYING BOND?

S IS DONE IN ACCORDANCE WITH THE SPECIFICATION?

CRACKS OR DAMAGE?

ONCRETE MUD, AND DEBRIS WHICH COULD JEOPARDIZE THE QUALITY OF STRUCTURE.

LAN (EACH BEAM, COLUMN, SLAB, SHEARWALL)?

? (FORM TIE, TURN BUCKLE)

Y FIXED BASED ON FORMWORKS PLAN?

QUATELY BRACED?

GROUT LEAK AND PROPERLY SEALED?

G(S) IN FORMWORK (BLOCKOUT)?

OVIDED?

DED?

F PROPS?

REMARKS:
INSPECTED BY:

VERIFIED BY:

DRME - QA/QC

DRME - IN-CHARGE BUILDING

CONSTRUCTION

INSPECTION DATE:

CHECKLIST NO. :
ICS______

WORK LOCATION:

ACCEPTED
NO

INSPECTION TIME:

REMARKS / WHY NOT?

N/A

IN-CHARGE BUILDING
ONSTRUCTION

REVIEWED BY:

DRME - Project Engineer

FORM NO.:

REWORK RECORD NO.:

CORRECTIVE ACTION TO BE TAKEN ON

(TARGET DATE)

ME - Project Engineer

CHECKLIST
PROJECT:

CONTRACT NO.:

DATE SUBMMITED:

BUILDING AREA/LEVEL:

GRIDLINE/AXES:

COMPONENTS

14. DOWELA PROPERLY PLACED ON FUTURE MASONRY WALLS?

15. CASTING HEIGHT (1.5m MAXIMUM) TO AVOID SEGREGATION?
16. POURING GUIDE?
17. CONSTRUCTION JOINT/GAP FILLER (PROVIDE EPOXY)?
18. SHEAR KEY AS PER APPROVED DETAIL?
19. WATER STOP IN PLACE AS PER APPROVED PLAN?
20. CHAMFER STRIPS ARE PROPERLY INSTALLED?
21. FORMS ARE PROPERLY COATED WITH FORM OIL?
ACCESS/HOUSING
1. ACCESS TO WORK AREA AVAILABLE AND SAFE?
2. GOOD HOUSEKEEPING IN AREA IN WORK AREA IS MAINTAINED?
3.DEQUATE ILLUMINATION IS AVAILABLE IN THE WORK AREA?
4. CLEANOUT FOR DEBRIS, SAWDUST, OIL, DIRT, SILT, AVAILABLE?
CONCRETING
1. CONFIRMED CONCRETING METHODOLOGY (CRANE & BUCKET OR PUMPCRETE)?
2. DESIGN MIX APPROVED?

THIS RECORD HAS BEEN CLOSED

ON DATE:

REMARKS:
INSPECTED BY:

DRME - QA/QC

DISTRIBUTION

VERIFIED BY:

DRME - In-Charge Building

HECKLIST
INSPECTION DATE:

CHECKLIST NO. :

FORM NO.:

ICS______
WORK LOCATION:

ACCEPTED
YES

NO

INSPECTION TIME:

REWORK RECORD NO.:

REMARKS / WHY NOT?

CORRECTIVE ACTION
TO BE TAKEN ON
(TARGET DATE)

N/A

FIED BY:

ME - In-Charge Building Construction

REVIEWED BY:

DRME - Project Engineer

PROJECT:
CONTRACT NO.:

COMPONENTS

ELECTRICAL: (Roughing Inns)

1. POWER LAYOUT (FEEDER, UNIT C.O., ACCU)
2. LIGHTING LAYOUT (Admin, Unit, Emergency)
3. Auxiliary Layouts
a. FDAS
b. Security
c. CATV
d. BMS (if applicable)

PLUMBING/ SANITARY:
4. SEWER and DRAINAGE LAYOUT
5. WATER SYSTEM LAYOUT

MECHANICAL:
6. HEATING
7. VENTILATION
8. AIR CONDITIONING

FIRE PROTECTION:
9. SPRINKLER SYSTEM (N/A)

THIS RECORD HAS BEEN CLOSED ON DATE:

, ACCU)
ergency)

CHECKLIST
DATE SUBMMITED:
BUILDING AREA/LEVEL:

INSPECTION DATE:

GRIDLINE/AXES:

WORK LOCATION:

ACCEPTED

COMPONENTS
YES

REMARKS:
CHECKED BY:

VERIFIED BY:

DRME - QA/QC

DRME - IN-CHARGE BUILDING CONSTRUCTION

INSPECTION DATE:
WORK LOCATION:

ACCEPTED
NO

CHECKLIST NO. :
ICS______
INSPECTION TIME:

FLI - INSPECTION
N/A

LDING CONSTRUCTION

REVIEWED BY:

DRME - Project Engineer

FORM NO.:
REWORK RECORD NO.:

REMARKS

INSPECTED BY:

FLI - Engineer

PROJECT:
RESIDENTIAL CONDOMINIUM BLDG. 1
PROJECT LOCATION:

CONTRACT NO.:

KEMBALI COAST

2016 - 00191

WORK LOCATION:
STRUCTURAL FOUNDATION
WORK ITEM (DEFINEABLE FEATURE OF WORK)
1 UNIT F-4
2 UNIT
F-1
TECHNICAL DATA
DESIGN MIX

O ORDINARY
SLUMP (in):

1ST
1

MAX SIZE OF AGGRE.:

O PCD (PUMPCRETE DESIGN)

4
BATCH

O 19mm or 3/4"

PLACEMENT METHOD:

(CHECK)

O DIRECT

METHOD OF CURRING:

(CHECK)

O PONDING

2ND_______
______ BATCH

3RD_______

4TH___

______ BATCH ______ BATCH

O 10mm or 3/8
O BUGGY

O PUMP

O CONTINUOUS SPRINKLING

O CRANE & BU

O ABSORP

ATTACHMENTS:
DISCIPLINE

CHECKED AND VERIFY BY (WRIT

SUB-CON/ TRADE CON

SURVEY (LINE &GRADE)

N.A.

REBAR

N.A.

FORMWORKS

N.A.

MECHANICAL

N.A.

ELECTRICAL

N.A.

AUXILIARY

N.A.

FDAS/BMS

N.A.

PLUMBING/SANITARY

N.A.

FIRE PROTECTION

N.A.

ARCHITECTURAL

N.A.

PRECAST

N.A.

SAFETY

N.A.

OTHERS

N.A.

PERMITTING: BASED ON THE RECOMMENDATIONS OF THE ABOVE PERSONNEL, HAVING VERIFIED AND CERTIFIED
DRAWINGS AND MATERIALS COMPLY WITH THE LATEST APPROVAL PLANS AND SPECIFICATIONS OF THE SAID AC

SUBMITTED BY:
DRME-PROJECT IN CHARGE/MEPF
APPROVED BY:
FLI - Project Engineer
IMPORTANT NOTE:

1. SIGNATURE ABOVE ITEMS ARE EVIDENCE OF ACCEPTANCE. THEREFORE PER

2. THIS FORM MUST BE SUBMITTED TO FLI, DULY APPROVED AND SIGNED

CONTRACTOR'S PERSONNEL INCHARGE AT LEAST 24 HOURS BEF

CONCRETE POURING
DATE PREPARED:

REQUEST NO.
28-Jun-16

PERMIT REQUESTED BY OPS/SUB

CHECKED & VERIFIED BY (QA/QC):

DRME

DRME

GRIDLINE/AXES:

FLOOR LEVEL

A-11, E-10, F-10

FOUNDATION

PLANNED
QUANTITY(m3): 3.35
DATE: JUNE 28, 2016
TIME: 5:00 PM

ACTUAL
QUANTITY (m3): 3.5
DATE: JUNE 28, 2016
TIME: 5:15 PM
SPECIFIED CONCRETE STRENGHT: 3000PSI

ESIGN)
3RD_______

4TH_______

_ BATCH ______ BATCH

UMP

RINKLING

DATE OF 28-DAY PERIOD: JUNE 26, 2016

TOTAL NO. OF MIXER TRUCKS: 1
SUPPLIER: DRME

O CRANE & BUCKET

O OTHERs___________________

O ABSORPTIVE MAT. O ADMIXTURE OR COMPOUND

EQUIP TO BE USED: 1UNIT TRANSIT MIXER,
1UNIT CONC. VIBRATOR

KED AND VERIFY BY (WRITE SIGNATURE, NAME, & DATE BELOW)

DRME

N.A.
N.A.
N.A.
N.A.
N.A.
N.A.

FLI

N.A.
N.A.

NG VERIFIED AND CERTIFIED THAT OTHER WORKS IN THE AREA WIL NOT CONFLICT WITH THE WORK REQUESTED AND THAT SHOP
IFICATIONS OF THE SAID ACTIVITY/WORK ITEM HEREBY RECOMMENDS:

O APPROVAL

O DISAPPROVAL

NAME

SIGNATURE

CEPTANCE. THEREFORE PERMITTING THE EXECUTION OF THE WORK

LY APPROVED AND SIGNED BY THE CORRESPONDING

RGE AT LEAST 24 HOURS BEFORE THE ACTUAL INSPECTION AND/OR INSTALLATION

FORM NO.
1

(QA/QC):

RENGHT: 3000PSI
JUNE 26, 2016

CKS: 1

IT TRANSIT MIXER,

R
REMARKS

H THE WORK REQUESTED AND THAT SHOP

DATE/TIME