Prep_List_&_Initial_Inspect.pdf
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- Lake County Raw Water Pump Station Mitigation
- Solicitation number
- W912P418B0022
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Prep List & Initial Inspect
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PREPARATORY INSPECTION CHECKLIST
CONTRACT NO._____________________________ DATE:______________________________
TITLE:______________________________________ SPECS. SECTION:____________________
MAJOR DEFINABLE SEGMENT OF WORK:______________________________________________
A. PERSONNEL PRESENT:
NAME POSITION COMPANY
1. _____________________ _______________________ ___________________
2. _____________________ _______________________ ___________________
3. _____________________ _______________________ ___________________
4. _____________________ _______________________ ___________________
5. _____________________ _______________________ ___________________
6. _____________________ _______________________ ___________________
7. _____________________ _______________________ ___________________
8. _____________________ _______________________ ___________________
9. _____________________ _______________________ ___________________
10. _____________________ _______________________ ___________________
B. REVIEW OF PLANS AND SPECIFICATIONS
B-I. IDENTIFY EACH SPECIFICATION SECTION THAT WAS REVIEWED AT THIS PREPARATORY INSPECTION.
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________
4. ____________________________________________
5. ____________________________________________
B-II. IDENTIFY EACH CONSTRUCTION PLAN DETAIL OR SHEET THAT WAS REVIEWED AT THIS
PREPARATORY INSPECTION.
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________
4. ____________________________________________
5. ____________________________________________
C. TRANSMITTAL INVOLVED
NUMBER & ITEM CODE CONTRACTOR OR GOVERNMENT APPROVAL
1. ________________ _________ __________________________________________
2. ________________ _________ __________________________________________
3. ________________ _________ __________________________________________
4. ________________ _________ __________________________________________
5. ________________ _________ __________________________________________
6. ________________ _________ __________________________________________
C-I. HAVE ALL ITEMS INVOLVED BEEN APPROVED? YES__________ NO__________
C-II. WHAT ITEMS HAVE NOT BEEN APPROVED?
ITEM STATUS
1. _____________________________ ___________________________________________
2. _____________________________ ___________________________________________
3. _____________________________ ___________________________________________
4. _____________________________ ___________________________________________
5. _____________________________ ___________________________________________
D. ARE ALL MATERIALS ON HAND? YES_____ NO_____
D-I. ARE ALL MATERIALS ON HAND IN ACCORDANCE WITH APPROVALS? YES____ NO____
D-II. ITEMS NOT ON HAND OR NOT IN ACCORDANCE WITH TRANSMITTALS:
1. _________________________________________
2. _________________________________________
3. _________________________________________
4. _________________________________________
D. TESTS REQUIRED IN ACCORDANCE WITH CONTRACT REQUIREMENTS:
TEST PARAGRAPH
1. _______________________________ _____________________________________________
2. _______________________________ _____________________________________________
3. _______________________________ _____________________________________________
E. ACCIDENT PREVENTION PREPLANNING – HAZARD CONTROL MEASURES:
E-I. APPLICABLE OUTLINES (ATTACH COMPLETED COPIES):
1. _______________________________________________________________________________________
2. _______________________________________________________________________________________
3. _______________________________________________________________________________________
4. _______________________________________________________________________________________
5. _______________________________________________________________________________________
6. _______________________________________________________________________________________
E-II. OPERATIONAL EQUIPMENT CHECKLISTS
ATTACHED FOR
1. _______________________________________________________________________________________
2. _______________________________________________________________________________________
3. _______________________________________________________________________________________
ON FILE FOR
1. _______________________________________________________________________________________
2. _______________________________________________________________________________________
3. _______________________________________________________________________________________
QUALITY CONTROL – PRIME CONTRACTOR
INITIAL INSPECTION CHECKLIST
CONTRACT NO:_________________________________ DATE:_______________________________
DESCRIPTION AND LOCATION OF WORK INSPECTED:________________________________________
SPECS SECTION:____________________ REFERENCE CONTRACT DRAWINGS:____________________
A. PERSONNEL PRESENT:
NAME POSITION COMPANY
1. ___________________________ ___________________________ ______________________
2. ___________________________ ___________________________ ______________________
3. ___________________________ ___________________________ ______________________
4. ___________________________ ___________________________ ______________________
5. ________________ ___________ ___________________________ ______________________
6. ___________________________ ___________________________ ______________________
7. ___________________________ ___________________________ ______________________
8. __________________________ _ ___________________________ ______________________
9. ___________________________ ___________________________ ______________________
10. ___________________________ ___________________________ ______________________
B. MATERIALS BEING USED ARE IN STRICT COMPLIANCE WITH THE CONTRACT PLANS AND SPECIFICATIONS:
YES__________ NO__________
IF NOT, EXPLAIN: ______________________________________________________________________
C. PROCEDURES AND/OR WORK METHODS WITNESSED ARE IN STRICT COMPLIANCE WITH THE REQUIREMENTS
OF THE CONTRACT SPECIFICATIONS: YES__________ NO__________
IF NOT, EXPLAIN: ______________________________________________________________________
D. WORKMANSHIP IS ACCEPTABLE: YES__________ NO__________
STATE AREAS WHERE IMPROVEMENT IS NEEDED: _______________________________________
E. SAFETY VIOLATIONS AND CORRECTIVE ACTION TAKEN: ____________________________
QUALITY CONTROL REPRESENTATIVE
| Attachments |
| Preparatory Inspection Checklist |
| Initial Inspection Checklist |
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