SHALIMAR GROUP
NAME OF THE DEPARTMENT :
DOCUMENT CODE NO.
EXECUTION






NAME OF THE DOCUMENT :
PAGE NO.
TOTAL PAGES.
CHECKLIST FOR FORM WORK & FALSE WORK

0
1

0
1
CHECKLIST FOR FORM WORK & FALSE WORK

Sr. No:




SITE : SHALIMAR ANTHURIUM
LOCATION :
DATE :
Ref. Drawing No. ________________________________________
Sr. No.
Job Description
YES
NO
NA
1.
Is the method statement approved by client ?



2.
Check for design of shuttering/shuttering scheme.



3.
Check for Provision and Arrangement of the following w.r.t. shuttering scheme :




Ref. Shuttering Scheme



A.
H - FRAMES



B.
PROPS



C.
ADJUSTABLE SPANS



D.
BRACINGS



E.
CLAMPS & COUPLERS



F.
CHANNELS



G.
CLIPS



H.
PIPES



I.
BASE PLATES



J.
JACKS



K.
WALL FORM PANELS



L.
CORNER ANGLES



M.
PLYWOOD OR TIMBER FORMS



4.
Check for SUITABILITY,STABILITY,SAFETY & RIGIDITY of Assembled Forms.



5.
Check for CONFORMANCE of the Assembled Forms to DIMENSIONS, SHAPES, LINES & GRADES as shown on the drawings



6.
Check for SEALING OF GAPS, JOINTS & HOLTS in Shutter Forms.



7.
Check for reADINESS of shutter Forms for RELEASE to fix Reinforcement.



8.
Check whether date of deshuffening is mentioned for various structural members, Give detials below ;



A.
Date of deshuttering :



B.
Foundation



C.
Columns



D.
Beam bottoms



E.
Stab



9.
Check whether concrete quality is free from defects after de-shuffering.



10.
Check condition of various parts of shuttering assembly.



11.
Check the condition of shuttering assembly.



12.
Are repairs carried out to damaged plates and other components of shuttering assembly ?



13.
Clean, oil and stack shuttering material for future use ?








                                                                                          

                                                                                          SIGN. OF SITE ENGINEER
CORRECTIVE ACTION PROPOSED



Sign of Project Manager                                                       Sign of Project Manager
      Contractor                                                                                  Shalimar Group