Page: 1 of 1
Ref: CSCSB/QP/CL0015
PILE CAP INSPECTION CHECKLIST
Rev: 01
PROPOSED CONSTRUCTION, INSTALLATION AND COMPLETION OF: AIRTRUNK – DATA CENTRE PROJECT,
ABOVE PART OF PTD 203895, BIOTECHNOLOGY ROAD 1, SILC INDUSTRIAL AREA, ISKANDAR PUTERI,
MUKIM PULAI, JOHOR BAHRU DISTRICT, JOHOR DARUL TAKZIM
Project Number:
Checklist Number:
Location:
Drawing Reference Number:
Pile Number:
Pile Type:
Bottom Pile Cap Level:
Top Pile Cap Level:
Date:
Deviation:
Dimension
A
B
C
Remarks:
Reason for Failure / Re – inspection:
……………………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………….……..………………………………………………………
ALLOWED to proceed with the next
stage of work
NOT ALLOWED to proceed with the next
stage of work
Checked By
Sub-Contractor Representative
Checked By
Main Contractor Representative
Verified By
Consultant Representative
Signature:
Name:
Designation:
Date:
Signature:
Name:
Designation:
Date:
Signature:
Name:
Designation:
Date: