Alsina Formwork South East Asia Corporation
Unit 901, The Infinity Tower - 26th Street, Bonifacio Global City
Taguig City, 1634 (Philippines) - Tel.: (+632) 834 7553 / 54
CL40 CHECKLIST
Date: ________________________________
Time:________________________________
Project Name:_________________________
Client Name:__________________________
Alsina Site Supervisor on Duty:___________
A.) TOWERS
ITEMS
Verticality of CL Verticals
Properly placed and locked diagonal
bracings
Base (concrete or compacted soil) is flat
and levelled
Base wood sleepers or steel plates
placed properly if needed
Base Jack extensión does not exceed
35cm
If base Jack is hyperextended, proper
tube bracing placed
Verticals follow correct combination
with Open-ended verticals at the bottom
OK
NOT OK
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COMMENTS
Alsina Formwork South East Asia Corporation
Unit 901, The Infinity Tower - 26th Street, Bonifacio Global City
Taguig City, 1634 (Philippines) - Tel.: (+632) 834 7553 / 54
Verticals are placed in the correct
upright position
U-head properly placed and stable
Towers properly braced on permanent
structures if necessary
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NOT OK
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B.) CANTILEVER BRACKETS
ITEMS
Double-diagonal proper placed.
Horizontal ledgers and diagonals
properly secured onto main tower
Transverse ledgers and diagonals
properly placed
Base Collar or verticals holding u-heads
are properly placed
Double diagonals are properly braced
with bracing tubes and couplers
Cantilever brackets provided extra
bracing tubes as needed to prevent
swaying
COMMENTS
Alsina Formwork South East Asia Corporation
Unit 901, The Infinity Tower - 26th Street, Bonifacio Global City
Taguig City, 1634 (Philippines) - Tel.: (+632) 834 7553 / 54
C.) UNBALANCED TOP VERTICALS
ITEMS
Double-diagonal proper placed to
support the higher side of the verticals.
Horizontal ledgers and diagonals
properly secured
Transverse ledgers and diagonals
properly placed for the higher side
Double diagonals are properly braced
with bracing tubes and couplers as
necessary
OK
NOT OK
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COMMENTS
Alsina Formwork South East Asia Corporation
Unit 901, The Infinity Tower - 26th Street, Bonifacio Global City
Taguig City, 1634 (Philippines) - Tel.: (+632) 834 7553 / 54
D.) SCAFFOLDING AND ACCESS STAIRS
ITEMS
Verticality of CL Verticals
Properly placed and locked diagonal
bracings
Base (concrete or compacted soil) is flat
and levelled
Base wood sleepers or steel plates
placed properly if needed
Base Jack extensión does not exceed
35cm
If base Jack is hyperextended, proper
tube bracing placed
Verticals follow correct combination
with Open-ended verticals at the bottom
Verticals are placed in the correct
upright position
U-head properly placed and stable
Towers properly braced on permanent
structures if necessary
Handrail Adapter properly placed
Stair Landing, Stairs and handrail
properly placed
Toe Boards, if applicable, are placed
around the area of the scaffold or access
stairs
OK
NOT OK
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COMMENTS
Alsina Formwork South East Asia Corporation
Unit 901, The Infinity Tower - 26th Street, Bonifacio Global City
Taguig City, 1634 (Philippines) - Tel.: (+632) 834 7553 / 54
Platforms boards are placed and hooked
properly onto U-ledgers
Platforms are clear from obstructions
and no stock pile of materials
Castor Wheels are properly placed and
locked when in use
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E.) OTHERS
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Alsina Site Supervisor
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Date