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Release For Backfill: Items To Check Contractor Client Remarks

This document is a request for release to backfill an area after construction. It summarizes the inspections that must be completed before backfill, including confirming the concrete structure and coating are acceptable, electrical, piping and other installations are finished, and debris has been removed. The contractor and client must both sign off to confirm all items have been checked before the area is released for backfilling.

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bhct1987
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158 views

Release For Backfill: Items To Check Contractor Client Remarks

This document is a request for release to backfill an area after construction. It summarizes the inspections that must be completed before backfill, including confirming the concrete structure and coating are acceptable, electrical, piping and other installations are finished, and debris has been removed. The contractor and client must both sign off to confirm all items have been checked before the area is released for backfilling.

Uploaded by

bhct1987
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Release for Backfill Sheet # EW-1

Location of Inspection: Inspection Number:

Release
Contractor's Supervisor: Contact Location:
for
Backfill Client: Project Title:

REQUEST DATE INSPECTION DATE RECEIVED BY OWNER

Name/Signature/Date/Time

Location / Structure :

Reference Drawings :

Type of Backfill Materials : Sand / Selected Fill / Common Fill *

Items to check Contractor Client Remarks

Concrete Structure completed

Concrete Surface Coating


Acceptable
Electrical installation completed
(earthing, conduits, cables, etc.)
Piping installed/hydrotested/
leaktested
Location and slope of underground
piping acceptable

Other installation completed

Coating/wrapping of piping
completed
Special bedding/backfill material
around underground services e.g.
pipe, cables, etc.

Debris cleaned-out

As Built prepared

Released for Backfill: Yes No

* Crash-out as applicable
Remarks :

Prepared by MAN: Witnessed/Reviewed by Client/Owner:


Name/Signature/Date Name/Signature/Date

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