Prep_List_&_Initial_Inspect.pdf

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Lake County Raw Water Pump Station Mitigation
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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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