FM-PRJ-023 - Green Field - Civil Inspection Report (List)

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    GREENFIELD - CIVIL WORKS

    INSPECTION REPORT 

    DOCUMENT LIST

    No. DESCRIPTION INDEX NO. REMARKS

    1 Site Preparation Report A

    2 Excavation (Foundation Works) Report B

    3 Re-Bar & Formorks (Foundation Works) Report C

    ! "nc#or Settin$ (Foundation Works) Report D

    % oncrete Proposa' Report E

    Pourin$ Preparation Report F

    Read* +ix (oncrete Works) Report G

    , Pourin$ "ctivit* (oncrete Works) Report H

    Pi'e .rivin$ Report (i/ app'ica0'e) I

    1 Woodden Pi'e .rivin$ Report (i/ app'ica0'e)  J

    11 Bored Pi'e Preparation Report (i/ app'ica0'e) K 

    12 Bored Pi'e "ctivit* Report (i/ app'ica0'e) L13 oncrete urin$ Report M

    1! S#e'ter Foundation Report N

    1% Permanent S#e'ter Report (i/ app'ica0'e) O

    1 Ra/t Foundation Report (i/ app'ica0'e) P

    1 oer+onopo'e Erection Report Q

    1, oer+onopo'e Paintin$ Report R

    1 4routin$ and 5B6 Report S

    Approved b!PT. I"#$ B%"&'" Se(%)#er%

    N%*e + ,,,,,,,,,..

    T$#-e + Re&$o"%- Pro(e# M%"%&er

    D%#e + ,,,,,..,,

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    I"/pe#$o" + S$#e Prep%r%#$o" D%#e +

    S$#e ID +  78-!!1-+-B Re&$o" +  7a0odeta0ek

    S$#e N%*e +  7'9 Perum aman 8ota

    0. Ge"er%-

    1or2/ Per*$//$o" -e##er Av%$-%b-e U"%v%$-%b-e

    3. S$#e re%d #o o"/#r'#$o" : OK No# OK 

    4. S$#e Prep%r%#$o"

    %. S$#e Bo'"d%r : OK No# OK 

    5b%/ed o" 6or*er -%"d o7"er %"d "e$&)bor/ %//e//*e"#8

    b. 9ero -eve- : OK No# OK . Be")*%r2/ : Bo7p-%"2 /e##$"& : OK No# OK 

    d. S$#e L%;O'# : OK No# OK 

    4. Te*por%r Fe"$"& 5$6 %"8

    %. M%#er$%-! ,,,,,,,,,,,, : OK No# OK 

    b. He$&)# 5 0 S#%b$-$# : OK No# OK 

    d. Door/ : OK No# OK 

    ?. 1or2/ 6%$-$#$e/

    %. Proper 7%#er /'pp- : OK No# OK 

    b. Proper *%#er$%-/ /#or%&e : OK No# OK 

    . Po7er /o're /'pp- : OK No# OK 

    @. No#e/

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor PIC Sacme Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"' PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

     

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,,,.. N%*e + ,,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e#D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Green Field - Civil WorksInspection Report

    CME Regional

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    I"/pe#$o" : To7er Gro'#$"& %"d OBL I"/#%-%#$o" D%#e +

    S$#e ID :  JK;=??0;M;B Re&$o" + J%bode#%be2 

    S$#e N%*e :  J-. Per'* T%*%" Ko#%

    0. To7er : Mo"opo-e ver#$%-$# + OK No# OK  

    3. Gro'#$"&

    Co"d$#$o" + OK No# OK  

    Ce*e"# Gro'# Br%"d > Tpe +

    4. OB L$&)# ; LED #pe

    M%"'6%#'rer +

    OB L$&)# C%b-e + N ,, ,, **3

     J'"#$o" bo + OK No# OK 

    T$&)#e"ed b C%b-e T$e/ + e/ No

    Proper I"/#%--%#$o" + e/ No

    ?. No#e/+

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor Site S!er"i#or Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/% PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,.. N%*e + ,,,,,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Green Field - Civil WorksInspection Report

    CME Regional

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    I"/pe#$o" + To7er:Mo"opo-e Ere#$o" D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    0. To7er He$&)# : Tpe + * : To7er : Mo"opo-e 5Cro// '""ee//%r 7ord8

    3. To7er/ F%br$%#or +

    4. De-$ver M%#er$%- O" S$#e 5D%#e8 +

    ?. Re*%r2/ o6 $/'%- G%-v%"$e Q'%-$#+

    @. Ere#$o" S#%r#ed D%#e +

    I# $/ *%"d%#or #o o*p-e#e *%#er$%- de-$ver pr$or #o /#%r# #)e #o7er ere#$o"

    . Ere#$o" Too-/ '/ed

    M%"po7er 6or Ere#$o" + Peop-e

    Bee6 5J$*p'-8 + Av%$-%b-e No# Av%$-%b-e

    Rope + Av%$-%b-e No# Av%$-%b-e

    S-$"& + Av%$-%b-e No# Av%$-%b-e

    1$") + Av%$-%b-e No# Av%$-%b-e

    Cr%"e + Av%$-%b-e No# Av%$-%b-e

    . S%6e# E'$p*e"#/He-*e# 5*%"d%#or8 + Av%$-%b-e No# %v%$-%b-e

    S%6e# Be-# 5*%"d%#or8 + Av%$-%b-e No# %v%$-%b-e

    S%6e# S)oe/ + Av%$-%b-e No# %v%$-%b-e

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    I"/pe#$o" + To7er:Mo"opo-e Ere#$o" D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    Green Field - Civil WorksInspection Report

    CME Regional

    Se#or A"#e""% Ce-- C He$&)# + OK No# OK *

    GPS A"#e""% He$&)# + OK No# OK *

    Do'b-e N'# %# U;Bo-#/ + OK No# OK  

    00. Hor$o"#%- Leve-$"&

    B%/e P-%#e 0 + **

    B%/e P-%#e 3 + **

    B%/e P-%#e 4 + **

    B%/e P-%#e ? + **

    03. er#$%-$# 5H:3===8

    X ; D$re#$o" + **

      ; D$re#$o" + **

    04. T7$/#

    Co"d$#$o" + OK No# OK  

    0?. Re%d 6or Gro'#$"& + OK No# OK  

    0@. Hor$o"#%- C%b-e Tr%

    1$d#) + **

    He$&)# + **

    Le") #o S)e-#er + **

    I"/#%--%#$o" + Aep#ed Re(e#ed

    0. No#e/ +

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor Site S!er"i#or Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/% PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,,,,, N%*e + ,,,,,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%&D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

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    I"/pe#$o" + A")or Bo-#/ Se##$"& D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    To7er He$&)# + +

    To7er M%"'6%#'rer +

     A4

    D1

    D2

    E3

     A3

    B3B1

    E2E1

    B4

    B2

    Green Field - Civil WorksInspection Report

     CME Regional

     A1

     A2

    D3

    D1

    D2 D3

    C2

    C3

    C1

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    Green Field - Civil WorksInspection Report

     CME Regional

    A#'%-

    A0 mm mm No#e +

    A3 mm mm M%2e /'re %-- %")or bo-# %# #)e /%*e

    A4 mm mm -eve- '/e /$*p-e 7%#er p%// #o *e%/'re

    A? mm mm D$ere"e be#7ee" Re6ere"e %"d

    B0 mm mm

    B3 mm mm

    B4 mm mm

    B? mm mm

    C0 mm mm

    C3 mm mm

    C4 mm mm

    D0 mm mm

    D3 mm mm

    D4 mm mm

    A")or bo-#/ -eve- OK No# OK  

    No#e +

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor PIC Sacme Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/ PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" /e(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,, N%*e + ,,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + PIC S%*e T$#-e + Re&$o"%- Pro(e# M%"%&e

    D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Re6ere"e5

    See Dr%7$" 8

    #)e %#'%- $/ *%$*'* o6 4 **

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    Green Field - Civil WorksInspection Report

     CME Regional

    I"/pe#$o" + A")or Bo-#/ Se##$"& ; 4 -e&/ D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    To7er He$&)# + +

    To7er M%"'6%#'rer +

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    Green Field - Civil WorksInspection Report

     CME Regional

    A#'%-

    A0 mm mm No#e +

    A3 mm mm M%2e /'re %-- %")or bo-# %# #)e /%*e

    A4 mm mm -eve- '/e /$*p-e 7%#er p%// #o *e%/'re

    B0 mm mm

    B3 mm mm I6 To7er M%"'6%#'re $/ %b/e"# d'r$"&

    B4 mm mm #)e A)or /e##$"&! #)e *'/# %ep#ed

    C0 mm mm

    C3 mm mm

    C4 mm mm

    A")or bo-#/ -eve- OK No# OK  

    No#e +

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor Site S!er"i#or Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/ PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,, N%*e + ,,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%&eD%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Re6ere"e5

    See Dr%7$"& 8

    #)e %#'%- $/ *%$*'* o6 4 **

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    I"/pe#$o" : Co"re#e C'r$"& D%#e +

    S$#e ID :  JK;=??0;M;B Re&$o" + J%bode#%be2 S$#e N%*e :  J-. Per'* T%*%" Ko#%

    0. C'r$"& T$*e + ,,,,. D%/

    Co"re#e /'r6%e /)o'-d be 2ep# overed %"d 7e# 6or %# -e%/# 5/eve"8 d%/ +

    OK No# OK  

    Co"re#e /)o'-d "o# be d$/#'rbed b d$re# or $"d$re# -o%d$"&+

      e/ No

    For*7or2 d$/*%"#-$"& $" ,, d%/ %6#er po'r$"& 5*$"$*'* 4 d%/8 +

      e/ No

    3. I"/pe#$o" A6#er Po'r$"& Co"re#e +

    No De6e#/ + e/ No

    A")or Bo-# Re;%-$&"*e"# + e/ No

    4. So$- B%2--$"& +

    So$- Co*p%#or + S#%*per ,,,. U"$#/ B%b Ro--er ,,,.. U"$#/

    Co*p%#ed Ever ,, * e/ No5*$"$*'* o6 ever 4= *8

    ?. No#e+

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor Site S!er"i#or Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/% PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" /e(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,.. N%*e + ,,,,,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%&erD%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Green Field - Civil WorksInspection Report

     CME Regional

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    I"/pe#$o" + Co"re#e Propo/%- D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    0. Co"re#e C)%r%#er$/#$ 5M$"$*%- o6 K;33@8 + K ; ,,,

    3. S-'*p 5$" %ord%"e #o SNI;0 : PBI 08

    4. Tpe o6 Co"re#e + Re%d M$ed S$#e M$ed

    ?. Re%d M$ + 5%##%)ed #)e P'r)%/e Order %"d #)e De-$ver Order 6ro* Re%d M$ ve"dor8

    S'pp-$er +

    D$/#%"e 6ro* B%#)$"& P-%"# #o S$#e +

    De-$ver T$*e 6ro* B%#)$"& P-%"# #o S$#e +

    @. S$#e M$ 5M$ De/$&"8 +

    Propor#$o" 5b%/ed o" vo-'*e8 + + + 5Ce*e"# + F$"e A&&. + Co%r/e A&&.8

    1%#er Ce*e"# R%#$o +

    M$ de/$&" Repor# + Av%$-%b-e U"%v%$-%b-e

    5Per '%rr8

    . N'*ber o6 /%*p-e #e*p-%#e/ + p/ 5*$". 03 p/ %# 4rd! #) > 3

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    I"/pe#$o" + E%v%#$o" D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    0. Fo'"d%#$o" Tpe + Foo# P-%#e Fo'"d%#$o" R%6# Fo'"d%#$o"

    Bored Dr$ve" O#)er+

    3. Foo# P-%#e E%v%#$o"+ 0. 1$d#) + ** **5P$-e C%p8 Dep#) + **

    3. 1$d#) + ** **Dep#) + **

    4. 1$d#) + ** **Dep#) + **

    ?. 1$d#) + ** **Dep#) + **

    4. T$e Be%* E%v%#$o" 0. 1$d#) + **He$&)# + **Le") + **

    3. 1$d#) + **He$&)# + **Le") + **

    4. 1$d#) + **He$&)# + **Le") + **

    ?. 1$d#) + **He$&)# + **Le") + **

    ?. For Po//$b-e L%"d/-$de/ So$- 5$6 %pp-$%b-e8! ; do "o# %dd #)$/ %/ %dd$#$o"%- 7or2 

    Te*por%r Re#%$"$"& + e/ No

    De"e *%#er$%- +

    @. No#e+

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor PIC Samme Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/% PT. I"#$ B%"&'" Se(%)#er% PT. $"#$ B%"&%'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,,, N%*e + ,,,,,,,T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%&D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Green Field - Civil WorksInspection Report

    CME Regional

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    I"/pe#$o" + Co"re#e po'r$"& D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    0. Co"re#e p-%$"&

    No 7%#er %dded %6#er $"$#$%- *$$"& + OK No# OK  

    Co"re#e -%$d o"#$"'o'/ %"d /*oo#)- + OK No# OK  

    Co"re#e /)o'-d "o# be dropped )$&)er #)%" @= + OK No# OK  

    Co"re#e $/ orre#- o*p%#ed b /2$--6'- peop-e > proper Too- + OK No# OK 

    3. Co"re#e S#re") : Cr'/)$"& Te/#

    N'*ber o6 /%*p-e/ + '"$#/

    Reo**e"ded L%b. +

    4rd D% Te/# Re/'-# + 5,,. NOS8 OK No# OK  

    #) D% Te/# Re/'-# + 5,,. NOS8 OK No# OK  

    3

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    I"/pe#$o" + Po'r$"& Prep%r%#$o" D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    0. Co"re#e o-'*e + *4

    3. For S$#e M$ o"- 5re6erred #o M$ De/$&"8+

    F$"%- Propor#$o" + M%#er$%- Prep%red +

    PC #pe I + b%&/ @=2& PC #pe I + b%&/ @=2&

    F$"e A&&re&%#e + *4 F$"e A&&re&%#e + *4

    Co%r/e A&&re&%#e + *4 Co%r/e A&&re&%#e + *4

    Proper 7%#er + -$#er Proper 7%#er + -$#er

    So're o6 7%#er +

    4. E'$p*e"# +

    Co"re#e P'*p + '"$#

    Co"re#e G'##er + *e#er/

    Co"re#e M$er + '"$#5/8

    $br%#or + '"$#5/8

    1%#er P'*p + '"$#5/8

    Co"re#e Mo'-d + p/ ! proper *o-d$"& + Aep#ed Re(e#ed

    S-'*p o"e + p/

    T%rp%'-$" 5K%$" Terp%-8 prep%r%#$o" + Av%$-%b-e No# Av%$-%b-e

    ?. N'*ber o6 M%"po7er + peop-e

    @. Co"-'/#$o" #o Proeed #o Po'r$"& A#$v$# + Aep#ed Re(e#ed

    . No#e/+

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor PIC Sacme Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/% PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,. N%*e + ,,,,,,,,,,.T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    Green Field - Civil WorksInspection Report

    CME Regional

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    I"/pe#$o" + Co"re#e Po'r$"& 5Re%d M$8 D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  S$#e N%*e + J-. Per'* T%*%" Ko#%

    DELIER TIME

    DEPARTURE POURING

    No#e +

     

    Prep%red b! Rev$e7ed > S'perv$/ed b! Approved b!CME Contractor PIC Sacme Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er" PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,,,. N%*e + ,,,,,,,,,,.T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%D%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,

    TRUCK ORMIX NO.

    SLUMP5*8

    OK :NOT OK 

    Green Field - Civil WorksInspection Report

    CME Regional

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    I"/pe#$o" + B%r/ Re$"6ore*e"# %"d For*7or D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    0. De7%#er$"& ; do "o# %dd #)$/ %/ %dd$#$o"%- 7or2 

    1%#er )%/ bee" o"#ro--ed %"d:or re*oved d'r$"& or %6#er e%v%#$o"! o"re#e 7or2/

    %"d 'r$"& per$od+

     e/ No

    3. Le%" Co"re#e

    S%"d -%er $/ '"$6or*- p-%ed %# ,, ** #)$2 5*$" 0= C*8 + e/ No

    Co"re#e -%er $/ '"$6or*- p-%ed %# ,, ** #)$2 5*$" @ C*8 + e/ No

    4. S#ee- B%r M%"'6%#'rer + KS No";KS! ,,,,,,,,,,5No" KS /#ee- b%r *'/# p%// U($ T%r$2! per d$/#r$b'#or8

    B%r/ Re$"6ored Co"d$#$o + Aep#%b-e Re(e#ed

    5Ne7 %"d "o v$/$b-e /#%$" $" #)e B%r/8

    ?. For*7or2  

    Leve- + OK No# OK  

    S)%pe + OK No# OK  

    R$&$d$# + OK No# OK  

    For*7or2/ /)o'-d be -e%"ed 6ro* %-- debr$/ or o#)er 6ore$&" *%##er +

     e/ No

    No -e%2%&e o" 6or*7or2/ #o %vo$d -o/$"& 7%#er e*e"# o"#e"# +

     e/ No

    @. Co"re#e De2$"& + e/ No

    T)$2"e// 5@ C*8 + Aep#%b-e Re(e#ed

    Proper p-%ed o" P%d + e/ No

    Proper p-%ed o" T$e Be + e/ No

    Proper p-%ed o" Pede/# + e/ No

    . B%r Re$"6ore*e"#

    Foo# P-%#e

    Top L%er 5 > d$re#$o"8 + D$%. ** ; ** 5 De6or*ed:U-$r 8

    Bo##o* L%er 5 > d$re#$o"8 + D$%. ** ; ** 5 De6or*ed:U-$r 8

    Sp%er/ + D$%. ** p/ 5 De6or*ed:U-$r 8

    Pede/#%-

    M%$" + D$%. ** p/ 5 De6or*ed:U-$r 8

    Green Field - Civil WorksInspection Report

     CME Regional

  • 8/18/2019 FM-PRJ-023 - Green Field - Civil Inspection Report (List)

    17/17

    I"/pe#$o" + B%r/ Re$"6ore*e"# %"d For*7or D%#e +

    S$#e ID + JK;=??0;M;B Re&$o" + J%bode#%be2  

    S$#e N%*e + J-. Per'* T%*%" Ko#%

    Green Field - Civil WorksInspection Report

     CME Regional

    S#$rr'p/ + D$%. ** ; ** 5 De6or*ed:U-$r 8

    T$e Be%*

    M%$" + D$%. ** p/ 5 A/ per De/$&" 8

    S#$rr'p/ + D$%. ** ; ** 5 A/ per De/$&" 8

    B%r/ re$"6ored /)o'-d be 6ree 6ro* p$##$"&! *'d! o$-! p%$"# %"d r'/# 6ree+

      OK No# OK  

    B%r/ re$"6ored /)o'-d be ed r$&$d- +

      OK No# OK  

    . A")or Bo-# Se##$"& +

    A")or Bo-# D$%*e#er + D$%. **

    A")or Bo-# Le") + **

    A")or Bo-# A-$&"*e"# + e/ No

    Corre# Te*p-%#e + e/ No

    S#ee- A"&-e Br%$"& + e/ No

    Hor$o"#%- Leve-$"& + e/ NoF$"%- Ee//$ve ,,,. ** 54 ; ? #)re%d %bove 3 "'#/8

    + e/ No

    A")or Bo-# Pro#e#or + e/ No

    S'perv$/ed b! Approved b!CME Contractor PIC S$CME Regional Project Manager  

    PT. Ad$#%*% S%#r$"do I"#er"'/% PT. I"#$ B%"&'" Se(%)#er% PT. I"#$ B%"&'" Se(%)#er%

    N%*e + %"7%r R$"%-d$ N%*e + ,,,,,,,,,, N%*e + ,,,,,,,,,,,,..T$#-e + Pro(e# M%"%&er T$#-e + S$#e S'perv$/or T$#-e + Re&$o"%- Pro(e# M%"%&erD%#e + ,,,,,..,, D%#e + ,,,,,..,, D%#e + ,,,,,..,,