FORM CHECKLIST

PILE CAP

Contractor : PT. Contract Packages :

Planning Date : No. Form Checklist :
Location : Tower Zona Section: 1/2/3/4/5/6 Batching Plan :
Filling Concrete :
PT. Prosys Bangun Persada
No. Location Contractor
Check I Notes by PC / SPV
1 Tower: READY
AS …………………………………. Floor …………………………..
NOT READY
DOCUMENT DATA / DRAWING
ITEM CHECK - LIST Contractor PT. Prosys Bangun Persada
A PERSIAPAN DOKUMEN Check I Check II
1 Shop Drawing OK NO OK NO
2 Bar Bending Schedule OK NO OK NO
PART OF 1 (AREA / LOCATION)
Contractor PT. Prosys Bangun Persada
ITEM ITEM CHECK - LIST
Check Check I Check II
1 Preparation of area Work OK NO OK NO
2 Pemasangan Brick Wall Pile Cap dan Tiebeam OK NO OK NO
3 Pemadatan + Anti Rayap OK NO OK NO
4 Pasir Urug Pile Cap 10 cm OK NO OK NO
5 Pasir Urug Lantai dan Tie Beam 5 cm OK NO OK NO
6 Lean Concret 50mm thick ( Pile Cap, Tie Beam dan Slab ) OK NO OK NO
7 Dimensi Type Pile Cap
a. OK NO OK NO
b. OK NO OK NO
c. OK NO OK NO
d. OK NO OK NO
8 Dimensi Type Tie Beam
a. OK NO OK NO
b. OK NO OK NO
c. OK NO OK NO
d. OK NO OK NO
9 Perbaikan Tiang ( Grouting ) OK NO OK NO
10 Cover Concrete = OK NO OK NO
11 Cleaning OK NO OK NO
OK NO OK NO
PT. PT.PROSYS BANGUN PERSADA PT.

Project Manager Project Manager Chief Project Officer

: COMPLETE : NOT COMPLETE