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Page - of - : (A Copy of This Report Is To Remain at Job-Site. Use Additional Sheets If Necessary.)

The document is a daily inspection report for a construction project. It provides details of inspections performed such as the area inspected, tests conducted, and any discrepancies observed. Four discrepancies were noted along with corrections completed on site. The inspector comments that the work was in accordance with contract documents except as noted in the report.

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0% found this document useful (0 votes)
84 views

Page - of - : (A Copy of This Report Is To Remain at Job-Site. Use Additional Sheets If Necessary.)

The document is a daily inspection report for a construction project. It provides details of inspections performed such as the area inspected, tests conducted, and any discrepancies observed. Four discrepancies were noted along with corrections completed on site. The inspector comments that the work was in accordance with contract documents except as noted in the report.

Uploaded by

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

SPECIAL INSPECTION DAILY REPORT

Project Name:
Project Location:
SCO ID #:
Date of Inspection:

Inspector: SI Company Project No.


Inspector's Company:

Inspection Type(s):

Circle One: Continuous Periodic

Time Inspection Begun: Time Inspection Completed:

Area Inspected:

Describe Inspections Made:

List Tests Performed: 1


2
3
Discrepancy Notice #
Discrepancies Observed: (if applicable)
1 DN #
2 DN #
3 DN #
4 DN #

Corrections completed while on site:


1
2
3
4

Comments:

To the best of my knowledge, the work inspected was in accordance with the contract documents,
except as noted above.

Inspector's Signature: Date:

(A copy of this report is to remain at job-site. Use additional sheets if necessary.)


Page _____ of_____

Contractor's Initials:

(A copy of this report is to remain at job-site. Use additional sheets if necessary.)


Page _____ of _____

Date:
Project:
Contractor Initials:

Comments (Continued):

(A copy of this report is to remain at job-site with the contractor for review by the building department's inspector upon request.)
Page _____ of _____

(A copy of this report is to remain at job-site with the contractor for review by the building department's inspector upon request.)
Page _____ of _____

Date:
Project:
Contractor Initials:

Comments (Continued):

(A copy of this report is to remain at job-site with the contractor for review by the building department's inspector upon request.)
Page _____ of _____

(A copy of this report is to remain at job-site with the contractor for review by the building department's inspector upon request.)
Sequence No.

Truck No.

Cubic Yards Carried


F: (919) 380-8752
P: (919) 380-8750

Total Cubic Yards Delivered


Morrisville, NC 27560

Placement Location:
260 Town Hall Drive, Suite C
Stewart Engineering, Inc.

Ticket Number

Batch Time

Arrival Time

Final Placement Time

Elapsed Time
Concrete Mix Design:
Project :

No. Drum Revolutions


Concrete Placement Chart

Initial Slump
Date :

Final Slump

Air Percentage (%)

Material Temperature

Gallons of Water Added


Temperature :

Admixture Added (Y/N)

No. Samples Taken

Out of Specifications (Y?N)

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