CONCRETE PLACEMENT CHECKLIST VERIFICATION
PROJECT: ___________________________________________				CLIENT: ________________________________
PLACEMENT IDENTIFICATION: ______________________________________________________________
Item	Tolerance	Sat.	Unsat.	Signature	Date	Remarks
FORMWORK
Concrete Dimension
Elevations
Alignment
Plumbness
Surface condition/
treatment
Chamfer strips
Fixing/tightness
Bracing/rigidity
BLOCKOUTS
Dimension
Location
Properly secured
Elevation
REINFORCEMENT
Size/dimension
Spacing
Splices/laps
Properly secured
Cover provision
Supports
Cleanliness
					Inspector