Form List
Form List
Form List
Date
Incoporated
QA01 Rev. 0 16-Mar-14
QA02 Rev. 0 16-Mar-14
QA03(a) Rev. 0 16-Mar-14
QA03(b) Rev. 0
16-Mar-14
QA04 Rev. 0 16-Mar-14
QA05 Rev. 0 16-Mar-14
QA06 Rev. 0 16-Mar-14
QA07 Rev. 0 16-Mar-14
QA08(a) Rev. 0
16-Mar-14
QA08(b) Rev. 0
16-Mar-14
QA08(c) Rev. 0
16-Mar-14
QA09 Rev. 0 16-Mar-14
QA10 Rev. 0 16-Mar-14
QA11 Rev. 0 16-Mar-14
QA12 Rev. 0
16-Mar-14
QA13(a) Rev. 0 16-Mar-14
QA13(b) Rev. 0 16-Mar-14
QA14 Rev. 0
16-Mar-14
QA15 Rev. 0
16-Mar-14
QA16(a) Rev. 0
16-Mar-14
QA16(b) Rev. 0
16-Mar-14
QA17(a) Rev. 0
16-Mar-14
QA17(b) Rev. 0
16-Mar-14
QA17(c) Rev. 0 16-Mar-14
QA17(d) Rev. 0 16-Mar-14
QA18 Rev. 0 16-Mar-14
QA19 Rev. 0 16-Mar-14
QA20 Rev. 0 16-Mar-14
QA21 Rev. 0 16-Mar-14
QA22 Rev. 0 16-Mar-14
Pipeline Chlorination Test
WOODVILLE JAYA SDN
BHD
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
INTEGRATED SPORTS CENTRE AT SIBU OLD
AIRPORT SITE
Description
QA FORMS
List of Defects / Deficiencies in Permanent
Works Cumulative Report
Site Instructions
Site Memorandum
Non-Conformance Report
Non-Conformance Report Status Log
(Cumulative)
Approval Chit
Inspection Report (Earth/Pavement/Drainage
Works)
Request for Overtime Work
Daily Site Report
Request for Information
Summary of Concrete Cube Test Results
Bakau Piling Record
Precast Pile Driving Record
Summary of Precast Pile Driving Records
Inspection Report (Reinforced Concrete Works)
Joint Inspection Report (Post Concreting
Works)
Calibration Records of Laboratory Equipment
Instrument Calibration Schedule
Mackintosh Probe Test Results
Flushing of Pipeline
Micro Pile Drilling Record
Reinforced Concreting Report
Design Change Request
Design Change Request Register
Quality Control Tests Summary Chart
(Cumulative)
Suitability of Coarse Aggregates For Concrete
Works
Concrete Cube Test Results
Water Main Pressure and Leakage Test Report
Water Reticulation Inspection Form
QA Form List
Turnkey Contractor : Project :
Contract No.:
S.I. No. :
From : RESIDENT ENGINEER
Date :
To : PROJECT MANAGER / SITE AGENT
S.M. Ref :
Attn. :
You are instructed to the following work :
REMARKS :
Distribution List :- Issued By ;
Copy to : Action : Attachment :
Signature :
Name :
Date : / /
Received for Contractor;
Method of Payment : Signature :
Bill of Quantities Item No. :
Rate to be agreed upon Name :
Dayworks
No Additional Payment(s) Date : / /
(any other)
* select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SITE INSTRUCTION
(if any)
carry out *
omit
Clerk of Work
(COW)
Ref : ../ ./ Sketch
Resident Engineer
Lab. Tech.
(LT)
Ref : ../ ./ Drawing
Survey Tech.
(ST)
Ref : ../ ./ Others : (specify)
Project Manager/Site Agent
1.
2.
3.
4.
5.
QA01
Turnkey Contractor :
Project :
Contract No. :
Ref No. : SM/ Date : / /
TO : PROJECT MANAGER /SITE AGENT
ATTN. :
Signature :
Name :
Distribution List :
Copy to : Action : Attachment : Received for Contractor ;
1 Ref : ... / ... / .... Sketch Signature :
Project Manager/Site Agent
2 Ref : ... / ... / .... Drawing Name :
3 Ref : ... / ... / .... Others : (specify)
Date : / /
4
Note : # A formal Site Instruction, signed by Engineer's Rep., shall follow if contents of the Memo is of a contractual nature.
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SITE MEMO
Resident Engineer
Clerk of Works
(COW)
Lab. Tech.
(LT)
Survey Tech.
(ST)
REMARKS :
* select as appropriate
QA02
Turnkey Contractor : Project :
Contract No. :
Reference : S I No.
NCR Serial No.: /
Date of Issue : / / 201
SUBJECT:
PART A : DETAILS OF NON-CONFORMANCE (to be completed by Engineer's Rep.)
(Refer to relevant inspection and results, if appropriate)
Received by ; Issued by ;
Signature : Signature :
Name : Name :
PART B : PROPOSED CORRECTIVE ACTION (to be completed by Contractor)
Rework to meet Specification Repair
Scrap Others
If others, please clarify :
DATE CORRECTIVE ACTION TO BE COMPLETED: / /
Signature : Accepted by ;
Name : Signature :
Name :
Date : / /
ACTION TO BE TAKEN TO PREVENT RECURRENCE :
DATE ACTION TO PREVENT RECURRENCE TO BE COMPLETED : / /
Signature :
/ /
Name :
PART C : FOLLOW-UP, CLOSE OUT & VERIFICATION OF CORRECTIVE ACTION
(to be completed by Engineer's Staff)
PROPOSED FOLLOW-UP DATE : / / Remarks :
NCR CLOSED OUT? : YES / NO *
CLOSED OUT DATE : / / Verified by :
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
Control of Non-Conformance Products (Major)
NON-CONFORMANCE REPORT (NCR)
for Turnkey Contractor Resident Engineer
1. 3.
2. 4.
for Turnkey Contractor
Resident Engineer
for Turnkey Contractor
Resident Engineer
Date
QA03(a)
Turnkey Contractor :
Project :
Contract No.:
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE
WOODVILLE JAYA SDN BHD AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
NON-CONFORMANCE REPORT STATUS LOG (CUMULATIVE)
(Only Non-Conformances of Major Nature are identified here)
As at : ../../..
NCR
SERIAL NO.
DATE
ISSUED
NON-CONFORMITY
(Details)
CORRECTIVE ACTION
FOLLOW-UP
DATE
NCR STATUS
(Closed out/Pending)
NCR
Closed Out Date
REMARKS
PROPOSAL DUE DATE
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
QA03(b)
Turnkey Contractor : Project :
Contract No. :
CHIT NO. :
PART A : (To be filled by Turnkey Contractor)
From : PROJECT MANAGER/ SITE AGENT
To : RESIDENT ENGINEER
We request for inspection and permission to proceed with the following work;
Submitted by :- Signature : Checked by :- Signature :
( )
Time : Date : / /
PART B : (To be filled by Engineer's Staff)
Received by:- Signature : Time : Date : / /
Name :
Comments :-
Signature : Signature : Signature :
PART C : (To be filled by Engineer)
From : RESIDENT ENGINEER
To : PROEJCT MANAGER/SITE AGENT
Your request to proceed with the above mentioned work IS APPROVED *
IS NOT APPROVED
Remarks :
Received for Turnkey Contractor: Signature :
Time : Date : / /
Signature :
Time : Date : / /
* select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
APPROVAL CHIT
(EARTH WORKS / PAVEMENT WORKS / DRAINAGE WORKS / BRIDGE WORKS / OTHER WORKS)*
Project Manager/Site Agent
Survey & Setting Out : Inspection of Prior Work : Testing of Prior Work :
Huan Tuong Ying
(Survey Technician) (Clerk of Works) (Laboratory Technician)
QAE
Project Manager/Site Agent
Neither the endorsement of this Form nor anything written on it is intended to convey final approval
for any part of the Works, nor does it relieves the Contractor of his responsibility to comply with the
quality requirements of the Works.
Huan Tuong Ying
QA04
Ref. No:
Structural Elements to be Inspected:
Description of Works :
Location :
Date / Time :
Requested By:
Contractor's Representative
Approved/Not Approved
Date:
Time:
NAME:
Please attend to the above
Remarks:
Type of work
Done
Time started : Time finished :
WOODVILLE JAYA SDN BHD
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS
CENTRE AT SIBU OLD AIRPORT SITE
REQUEST FOR OVERTIME WORK
QAE
Clerk-of-works
QA05
WEATHER: WORKING HOUR: DATE:
A: MANPOWER RECORD
No No No
PROJECT MANAGER CHAINMAN PLANT OPERATOR
SITE ENGINEER FOREMAN TECHNICIAN
SITE SUPERVISOR CARPENTER LABOURER
QUANTITY SURVEYOR WELDER STOREKEEPER
SAFETY OFFICER CONCRETOR MECHANIC
SAFETY SUPERVISOR BAR BENDER WATCHMAN
ASSIST. SURVEYOR MASON
B: MACHINARY AND PLANT RECORD
PILING MACHINE CUT & BEND MACHINE DOZER
PROJECT VEHICLE VIBRATOR ROLLER
MIXER TRUCK AIR COMPRESSOR SHOVEL
GENERATOR CONCRETE PUMP LORRY
MOBILE CRANE WATER PUMP MOTOR GRADER
CRAWLER CRANE WELDING MACHINE PAVER
EXCAVATOR TRAILER
C: ACTIVITIES ON SITE
D. MATERIALS / MACHINERY DELIVERED
E: SITE INSTRUCTION GIVEN TO CONTRACTOR
F: REMARKS
Approved By:
WOODVILLE JAYA SDN BHD
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT
SIBU OLD AIRPORT SITE
DAILY SITE REPORT
CONTRACTOR'S REPRESENTATIVE CLERK OF WORK
QAE
QA06
/CO
Project The Design, Construct and Complete Indoor Integrated Sports Centre at
Sibu Old Airport Site
Issued To RFI No.
Attention Issue Date
Designation Project Ref
This RFI will constitute: Variation Order
Time Extension
To be Replied By :
Work To Start On :
Issued by: Acknowledgement of Receipt:
Signature : Signature :
Name : Name :
Designation : Designation :
Date : Date :
Attachment / Response:
CC :
Company Stamp
Signature :
Name :
Date :
WOODVILLE JAYA SDN. BHD.
CONSTRUCTION PROCEDURE MANUAL
REQUEST FOR INFORMATION
INFORMATION REQUIRED
RESPONSE
Document Ref : WVJ/CON/SIS/RFI
Revision No : 0
Effective Date : 16 March 2014
Page : 1 of 1
QA07
Turnkey Contractor : Project :
:
Report No :
Ref : Approval Chit No :
Ref : Approval Chit No :
Ref : Approval Chit No :
Ref : Approval Chit No :
Checked by;
1. SETTING OUT 6. MATERIALS ALL AS REQUIRED O. K. Signature :
2. PRIOR WORK 7. TESTING DEFICIENT X Name :
3. DIMENSIONS 8. COMPACTION NOT APPLICABLE - Date :
4. EQUIPMENT 9. WORKMANSHIP NOT CHECKED O
5. LABOUR 10.
Date :
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
Contract No. PWD/HO/B007/2014
INSPECTION REPORT
(Earth Works/Pavement Works / Drainage Works)*
WORK / OPERATION
INSPECTED
DATE &
TIME
CHECKS DONE
COMMENTS
1
CHECK-LIST CHECK MARKS
2 3 4 5 6 7
Clerk of Works
Resident Engineer
8 9 10
(Deficiencies, Degree of Completion,
Weather, others)
QA08(a)
Turnkey Contractor : Project :
Contract No. :
Report No :
Structure : Element / Component* : / Chainage/Location * :
Concrete Volume : Grade of Concrete : / Source of Supply :
Ref. Approval Chit No.
SETTING OUT / POSITION
1.1 Alignment
1.2 Lines & Levels
FORMWORK
2.1 Dimensions & Alignment
2.2 Rigidity & Alignment, Bracing and Working Platform
2.3 Sealing of Joints
2.4 Application of Debonding Agent
2.5 Tightness
2.6 Screeding Lines and Guides
2.7 Chamfers and Splays
2.8 Acceptability of Surface of Forms
BLINDING
3.1 Dry
3.2 Clean
3.3 Thickness & Level
REINFORCEMENT
4.1 Type/Bar Dia. /Length/Spacing (According to Drawing?)
4.2 Tying and Rigidity
4.3 Cover Spacers (Bottom & Sides) / Correct Cover
4.4 Cleanliness form Loose Rust, Soil, Oil
4.5 Starter Bars
4.6 Lap Lengths
INSERTS
5.1 Shape, Number & Position
JOINTS
6.1 Expansion Joint / Location / Cleaned & Roughened
6.2 Construction Joint / Location / Cleaned & Roughened
FALSEWORK / TEMPORARY SUPPORT
7.1 Safety
7.2 Rigidity
7.3 Stability
GENERAL CLEANLINESS & GROUND WATER CONTROL
ACCESS TO POUR (including for Labour & Material) & SAFETY
JUST PRIOR TO CONCRETING
10.1 Availability of Material & Labour
10.2 Are Slump Cone & Cube Moulds Available? / Dimension OK?
10.3 Proposed Method of Concreting / Curing Arrangements
10.4 Availability of Plant & Equipment (including vibrators)
10.5 Standby Equipment for Contingencies (including rain)
Checked by;
Signature : Signature :
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
INSPECTION REPORT
(Reinforced Concrete Works)
Item
Drawing No. Ref.: .
Date
&
Time
Acceptability
Work Components
OK
( 3 )
Not OK
(X)
COMMENTS
(Deficiencies, Degree of Completion, Weather,
Others)
1.
2.
3
4
5
6
7
10
Clerk of Works Resident Engineer
8
9
QA08(b)
Turnkey Contractor : Project :
Contract No. :
Report No :
Structure : Date of Concreting :
Component/Element : Date of Inspection : (Post Concreting) - / /
Location : (Corrective Work) - / /
CONCRETE CURING
CONCRETE STRENGTH
Is cube strength > minimum requirement for
removal of formwork
CONCRETE FINISH
Shrinkage Cracks
Structural Cracks
Segregation
Honeycombing
Serious Discoloration / Blemishes due to
cement grout leakage/blow holes
ALIGNMENT
Visual check of alignment
ROUGHENING (Construction Joints)
STARTER BAR CLEANLINESS
VOID FORMERS REMOVED
REMOVAL OF GROUT HOSES & SPILT
GROUT
Remarks on Corrective Work (if any) :
for Contractor ; for Engineer (Section II);
Signature : Signature :
Name : Name :
Date : / / Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
JOINT INSPECTION REPORT
(Post Concreting Works)
Post Concreting Checks Acceptability Comments
Corrective Work
(if any)
Acceptable
(3)
Not Acceptable
(5)
- Curing membrane in place? Y / N *
- Water curing adequate?
Y / N *
Y / N *
Y / N *
Y / N *
Y / N *
Project Manager/Site Agent Resident Engineer
Y / N *
Y / N *
Y / N *
O. K. / Not O. K. *
O. K. / Not O. K. *
O. K. / Not O. K. *
QA08(c)
Turnkey Contractor : Project :
Contract No. :
Signature :
Name :
Date : / /
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
1
2
etc.
Laboratory Technician
CALIBRATION RECORDS OF LABORATORY EQUIPMENT
No. Item / Instrument Serial No. Date of Calibration
Due Date for
next Calibration
QA09
Turnkey Contractor : Project :
Contract No.
:
Note : Identify the due dates for next calibrations in the chart under the respective month.
Signature :
Name :
Date : / /
MAR APR MAY
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS
WOODVILLE JAYA SDN BHD
CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SEP OCT NOV
INSTRUMENT CALIBRATION SCHEDULE
NO. ITEM / INSTRUMENT SERIAL NO.
201.
JAN FEB DEC
1
2
3
etc.
JUN JUL AUG
Laboratory Technician
QA10
Turnkey Contractor : Project :
Contract No.:
Location :
Structure : Element : Chainage :
Probe No. : Date : Probe No. : Date : Probe No. : Date :
Test Location : Refer sketch attached Test Location : Refer sketch attached Test Location : Refer sketch attached
Tested By : Tested By : Tested By :
Existing Ground Level : Existing Ground Level : Existing Ground Level :
Remarks :
JOINTLY AGREED BY; DETAILS ASSESSED BY;
For Contractor : For C.E. : Signature :
( )
Name : Name : Date : / /
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRADTED SPORTS CENTRE AT SIBU
WOODVILLE JAYA SDN BHD
OLD AIRPORT SITE
PWD/HO/B007/2014
MACKINTOSH PROBE TEST RESULTS
Depth
(m)
No. of
Blows
Depth
(m)
No. of
Blows
Depth
(m)
No. of
Blows
Depth
(m)
No. of
Blows
Depth
(m)
No. of
Blows
Depth
(m)
No. of
Blows
0.00 - 0.300 5.100 - 5.400 0.00 - 0.300 5.100 - 5.400 0.00 - 0.300 5.100 - 5.400
0.300 - 0.600 5.400 - 5.700 0.300 - 0.600 5.400 - 5.700 0.300 - 0.600 5.400 - 5.700
0.600 - 0.900 5.700 - 6.000 0.600 - 0.900 5.700 - 6.000 0.600 - 0.900 5.700 - 6.000
0.900 - 1.200 6.000 - 6.300 0.900 - 1.200 6.000 - 6.300 0.900 - 1.200 6.000 - 6.300
1.200 - 1.500 6.300 - 6.600 1.200 - 1.500 6.300 - 6.600 1.200 - 1.500 6.300 - 6.600
1.500 - 1.800 6.600 - 6.900 1.500 - 1.800 6.600 - 6.900 1.500 - 1.800 6.600 - 6.900
1.800 - 2.100 6.900 - 7.200 1.800 - 2.100 6.900 - 7.200 1.800 - 2.100 6.900 - 7.200
2.100 - 2.400 7.200 - 7.500 2.100 - 2.400 7.200 - 7.500 2.100 - 2.400 7.200 - 7.500
2.400 - 2.700 7.500 - 7.800 2.400 - 2.700 7.500 - 7.800 2.400 - 2.700 7.500 - 7.800
2.700 - 3.000 7.800 - 8.100 2.700 - 3.000 7.800 - 8.100 2.700 - 3.000 7.800 - 8.100
3.000 - 3.300 8.100 - 8.400 3.000 - 3.300 8.100 - 8.400 3.000 - 3.300 8.100 - 8.400
3.300 - 3.600 8.400 - 8.700 3.300 - 3.600 8.400 - 8.700 3.300 - 3.600 8.400 - 8.700
3.600 - 3.900 8.700 - 9.000 3.600 - 3.900 8.700 - 9.000
3.900 - 4.200 9.000 - 9.300 3.900 - 4.200 9.000 - 9.300 9.000 - 9.300
3.600 - 3.900 8.700 - 9.000
3.900 - 4.200
4.200 - 4.500 9.300 - 9.600 4.200 - 4.500 9.300 - 9.600 4.200 - 4.500 9.300 - 9.600
4.500 - 4.800 9.600 - 9.900 4.500 - 4.800 9.600 - 9.900 4.500 - 4.800 9.600 - 9.900
4.800 - 5.100 9.900 - 10.200 4.800 - 5.100 9.900 - 10.200 4.800 - 5.100 9.900 - 10.200
Laboratory Technician
Resident Engineer
QA11
Turnkey Contractor : Project :
Contract No. :
As at : ../../.
Item
No
1
2
3
etc.
Received by ; Issued by ;
Signature : Signature :
Name : Name :
Date : Date :
* Select as appropriate.
Action Required Present Status Remarks
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT
WOODVILLE JAYA SDN BHD SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
Project Manager/Site Agent Engineer's Representative
LIST OF DEFECTS / DEFICIENCIES IN PERMANENT WORKS - CUMULATIVE REPORT
(Road Works / Bridge Works) *
S.I. Ref. / Date Chainage / Item / Element * Description of Defect / Deficiency
QA12
Turnkey Contractor : Project :
Contract No. :
DCR NO. :
PART A : (To be filled by the Turnkey Contractor)
From : PROJECT MANAGER/SITE AGENT
To : RESIDENT ENGINEER
Subject :
Drawing Ref. No. :
We hereby request for the following design change ;
Submitted by ; Checked by ;
Signature : Signature:
Name : Name :
( )
Date : / /
PART B : (To be filled by Resident Engineer)
From : RESIDENT ENGINEER
To : PROJECT MANAGER/SITE AGENT
Your request for the above design change IS APPROVED
IS NOT APPROVED
Remarks :
Received for Contractor ; Signature:
Signature: Date : / /
Date : / /
Copy to : Engineer of Contract Works : Attn :
* Select as appropriate
Resident Engineer
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
WOODVILLE JAYA SDN BHD
INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
Project Manager/Site Agent
Note : Engineer's Representative is required to obtain Engineer's approval in writing, prior
to taking action on contractor's request.
DESIGN CHANGE REQUEST
Project Manager/Site Agent
*
QA13(a)
Turnkey Contractor : Project :
Contract No.
:
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
DESIGN CHANGE REQUEST REGISTER
As at : .././..
DCR No. Date Subject Response
QA13(b)
Turnkey Contractor : Project :
Contract No. :
:
Up to : / / 201
Page No. : of
Marshall Test (prod. & laying stages)
Laboratory Test (prod. & laying stages)
Compacted Density (core sample)
Thickness (core sample)
Marshall Test (prod. Stage)
Laboratory Test (prod. Stage)
Compacted Density (core sample)
Thickness (core sample)
Gradation
P.I.
Agg. Crushing Value
Flakiness Index
Sodium Sulphate Soundness Test
CBR - 4 Days Soaked Test
B.S. 1377 Compaction Test
Field Density - Top Layer ( )
Field Density - Bottom Layer (150mm)
Gradation
L. L. / P.I.
Agg. Crushing Value
CBR - 4 Days Soaked Test
B.S. 1377 Compaction Test
Field Density - Top Layer ( )
Field Density - Bottom Layer (150mm)
Gradation
L. L. / P.I.
CBR - 4 Days Soaked Test
B.S. 1377 Compaction Test
Field Density - Top Layer ( 150mm )
Field Density - Bottom Layer (150mm)
Gradation
L. L. / P.I.
CBR - 4 Days Soaked Test
B.S. 1377 Compaction Test
. Etc.
Field Density 1200 - . (etc.)
Field Density 900 - 1200mm
Field Density 600 - 900mm
Field Density 300 - 600mm
Field Density 0 - 300mm
L. L. / P.I.
CBR - 4 Days Soaked Test
B.S. 1377 Compaction Test
Field Density
NOTES : 1. #, o - Indicates the test has been carried out. The marked location indicates the approximate chainage where the test has been performed. ( # - up to previous month ; 0 - current month)
2. L. L. / P. I. - Liquid Limit / Plasticity Index
3. First Layer of Embankment fill is referred to as 0-300mm (existing ground taken as Datum 0)
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT SIBU OLD
WOODVILLE JAYA SDN BHD
AIRPORT SITE
PWD/HO/B007/2014
QUALITY CONTROL TESTS - SUMMARY CHART (Cumulative)
The Quality Control Tests carried out in the Material Selection and During Construction Stage
Item of Work TEST
CHAINAGE (m)
0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 etc.
Asphaltic Wearing Course
Asphaltic Binder Course
Road Base
Sub Base
Top 300mm Subgrade
Identify Cut and Fill Areas along the Chainage
Embankment Fill Below
Top 300mm
Shoulders
QA14
Turnkey Contractor : Project :
Contract No. :
* select as appropriate
Specification Requirements
Note : Identify those tests performed during the month of reporting with a (**) in the respective columns.
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS
WOODVILLE JAYA SDN BHD
CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUITABILITY OF COARSE AGGREGATES FOR CONCRETE WORKS
SUMMARIZED REPORT UP TO ././201
(Cumulative Report)
Sample No.
Source /
Location*
Stockpile
No.
Material
Classification
Gradation
(.mm single size)
Elongation
Index
Flakiness
Index
Water
Absorption
Clay, Silt and
Dust
Organic
Impurities
Aggregate
Crushing
Value
Soundness
Test
(Sodium
Sulphate)
Chloride
Content
Sulphate
Content
Remarks
Acceptability Result Result Result Result Result Result Result Result Result
(OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)* (OK / Not OK)*
20% 12% 0.06% 0.4% Table 9.1 of SSRW 30% 25% 1.5% 2% 0.4%
QA15
Turnkey Contractor : Project :
Contract No.:
Source of Supply of Concrete : Batching Plant (Location) / (Name of Supplier) * Page No.: of
28 Days Mean
28 Days Mean
28 Days Mean
28 Days Mean
28 Days Mean
28 Days Mean
Concrete Grade /20 Jointly Tested and Witnessed By : Signature :
Specified / Designed Slump (mm) 1.
Cube Dimensions (cm) : 15 x 15 x 15 Name :
Cube Volume (cm) : 2.
Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE
WOODVILLE JAYA SDN BHD
AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
CONCRETE CUBE TEST RESULTS
(for each Grade of Concrete)
STRUCTURE
(Component / Element),
LOCATION & CHAINAGE
Slump (mm)
(at place of
concreting)
CONCRETE CUBE
Compressive
Load
(kN)
Compressive Strength
(N/mm)
Remarks
Ref. No.
Date
Age
(days)
Weight
(g)
Density
(kg/m)
Cast Tested
7
28
28
7
28
28
7
28
28
7
28
28
7
28
28
7
28
28
(for the Contractor)
Laboratory Technician
( )
3375 (for the Engineer)
( )
QA16(a)
Turnkey Contractor : Project :
Contract No.:
Cumulative Report up to : / / 201
Source of Supply of Concrete : Batching Plant (Location) / (name of supplier) *
( / )
# 85% of Characteristic
Strength = N/mm
# Specification requirements:
*
*
*
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUMMARY OF CONCRETE CUBE TEST RESULTS
(for Designed Mix Concrete)
GRADE OF CONCRETE
Sample
Date of
Concreting
Mean Comp.
Strength (N/mm)
Check on Compliance
Remarks
4 Sample Average 85% of Char.
Strength
Requirement 20
Ave. Comp.
Strength
Compliance to
Spec.
(OK /Not OK)* (OK / Not OK)*
Notes :
1
2
3
not more than 5% of
the test results shall
be allowed to be
within 85% & 100% of
characteristics
strength.
4
5
6
7
8
4 samples average
shall be specified
characteristic strenth
(+) 50% of current
margin
9
etc.
A current margin of
12.0 N/mm is used
for evaluation.
QA16(b)
Turnkey Contractor :
Project :
Contract No. :
Location : Date : Serial No. :
Piling Details :
Nominal Diameter : Weight of Hammer : tonnes
of Pile
Height of Drop : mm
Set Criteria :
Total Usable Length Total Driven Length :
Recorded By ; Jointly Agreed By ;
(1) (2)
( ) ( ) ( )
Date : Date : Date :
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
WOODVILLE JAYA SDN BHD
INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT
SITE
PWD/HO/B007/2014
BAKAU PILING RECORD
Pile Ref.
No.
Supply Length Length Trimmed to Suit
Head to
cut-off level
Driven
Length
Remarks
L1 L2 L3 L1 L2 L3
for the Engineer for the Contractor
QA17(a)
Turnkey Contractor :
Project :
Contract No.:
Location : Chainage : Date Driven :
Structure : Element/Component : / Start / Finish Time : /
PILE DETAILS : PILING DETAILS :
Type / Size : Ground / Platform Level : m
Ref. No. : Cut-Off Level : m
Toe Level : m
No. of Joints : Driven Length : m
Pile Length (Initial) : HAMMER DETAILS :
Pile Length (Follower) : Type :
Model :
Pile Length (Supplied) : Weight :
Remarks:- Set :
Measured Temporary Compression : mm
Jointly Agreed By ; Recorded By ;
Signature :
Signature : Signature : Name :
Name : Name : Date : / /
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
PRECAST PILE DRIVING RECORD
(ref. sketch attached)
Penetration
(m)
No. of
Blows
Hammer
Drop (m)
Penetration
(m)
No. of
Blows
Hammer
Drop (m)
Penetration
(m)
No. of
Blows
Hammer
Drop (m)
Penetration
(m)
No. of
Blows
Hammer Drop
(m)
For Contractor Engineer's Representative
QA17(b)
Turnkey Contractor :
Project : THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
Contract No. :
Location : Serial No. :
Recorded By : Jointly Agreed By :
(1) (2)
( ) ( ) ( )
Date : Date : Date :
WOODVILLE JAYA SDN BHD
INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUMMARY OF PRECAST PILE DRIVING RECORDS
No. Pile Reference No.
Supply Length (m) Cut-Off Length (m) Penetration Length (m)
Remarks
(A) (B) (C) = (A) - (B)
for Contractor for Engineer
QA17(c)
Turnkey Contractor : Project
:
Contract No. :
Report No.:
Concrete Supplier :
Structure : Component / Element : /
Date of Concreting : / Location / Chainage : /
Specified Concrete Grade : / Specified Slump :
Date for Testing of Cube at : days No. of Cubes :
: days No. of Cubes :
: 28 days No. of Cubes :
Remarks:
Signature : Signature :
Name : Name :
Date : / / Date : / /
* select as appropriate
Commencement
Remarks
PWD/HO/B007/2014
Delivery
Clerk of Works Laboratory Technician
REINFORCED CONCRETING REPORT
Mixer Truck
No.
Volume
Delivered
(m)
Placing
Measured Slump
(at place of
concreting)
(mm)
Completion
Loading
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD SPORTS CENTRE AT SIBU OLD AIRPORT SITE
Time of
Cube Identification
No.
QA18
Reference Revision No.
Date
Incoporated
QC01(a) Rev. 0 16-Mar-14
QC01(b) Rev. 0 16-Mar-14
QC02 Rev. 0
16-Mar-14
QC03 Rev. 0
16-Mar-14
QC04 Rev. 0
16-Mar-14
QC05 Rev. 0
16-Mar-14
QC06(a) Rev. 0 16-Mar-14
QC06(b) Rev. 0 16-Mar-14
QC07(a) Rev. 0
16-Mar-14
QC07(b) Rev. 0
16-Mar-14
QC08(a) Rev. 0
16-Mar-14
QC08(b) Rev. 0
16-Mar-14
QC09 Rev. 0 16-Mar-14
QC10 Rev. 0 16-Mar-14
QC11 Rev. 0 16-Mar-14
QC12(a) Rev. 0
16-Mar-14
QC12(b) Rev. 0
16-Mar-14
QC13(a) Rev. 0 16-Mar-14
QC13(b) Rev. 0 16-Mar-14
QC14 Rev. 0 16-Mar-14
QC15(a) Rev. 0 16-Mar-14
QC15(b) Rev. 0 16-Mar-14
QC16 Rev. 0
16-Mar-14
QC17 Rev. 0 16-Mar-14
QC18 Rev. 0 16-Mar-14
QC19(a) Rev. 0 16-Mar-14
QC19(b) Rev. 0 16-Mar-14
QC20 Rev. 0 16-Mar-14
QC21 Rev. 0 16-Mar-14
WOODVILLE JAYA SDN
BHD
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
INTEGRATED SPORTS CENTRE AT SIBU OLD
AIRPORT SITE
Description
QC FORMS
Culvert Verification Report
Summary of Culvert Verification Report
Liquid Limit (Cone Penetrometer Test) & Plastic
Limit Test
Liquid Limit (Casagrande Method) & Plastic
Limit Test
Suitability of Soil As Fill Material From Proposed
Borrow Pits
Suitability of Aggregates For Road Pavement
Works
Field Density Test (Sand Replacement Method)
Summary of Field Density Test
Monitoring of Settlement (Rod Settlement Gauge)
(Embankment Fill/Surcharge)
Summarised Settlement Records-Rod Settlement
Gauge (Embankment Fill/Surcharge)
Monitoring of Surcharge Settlement (Surface
Settlement Marker)
Surcharge Settlement Records Surface
Settlement Marker
Quantitative Extraction of Bitumen
Natural Moisture Content
Flakiness Index & Elongation Index
Aggregate Crushing Value (Standard Test)
Particle Size Distribution Sieve Analysis
(Dry/Wet Sieving Method)
Particle Size Distribution Graph Sieve
Analysis (Wet/Dry Sieving Method)
C.B.R. Test (4-Days Soaked Test)
Standard Compaction Test
Bitumen Spraying Rate Test Results
Summary of Bitumen Spraying Rate Test Results
Bitumen Stripping Test (Static Immersion)
Coring & In-situ Compaction Record
C.B.R. Test (4-Days Soaked Test) Graph
Asphalt Concrete Works
Marshall Test Results
Summary of Marshall Test Results
Supply & Laying of Ready-Mix Asphaltic
Concrete
QC Form List
Turnkey Contractor : Project :
Contract No. :
CULVERT DETAILS :
Location :
Chainage :
Type / Size : / /
Length :
Up Stream I. L. :
Down Stream I. L. :
Skew :
Embankment Fill Height
Above Culvert :
# NOTE : For the changes made relative to the Drawing / Contract Requirement :-
Date Contractor has been Instructed : / /
SITE DETAILS : (As observed status during pre-construction stage)
Foundation Condition :
Results of Probing :
Flow Condition :
Upstream Site Details :
Downstream Site Details :
Remarks : ~ Piling required (Refer sketches attached) / Piling not required)*
: ~
PILING DETAILS (as constructed) :
Pile Type / Size / Nos. : / / Commencement Date : / /
Specified Load Capacity : Completion Date : / /
SKETCH
Date : / / Date : / /
* select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
CULVERT VERIFICATION REPORT
Culvert No. : . (AS IDENTIFIED IN THE DRAWINGS / NEW INCLUSION)*
AS PROPOSED IN DRAWINGS AS DECIDED AT SITE/AS CONSTRUCTED (#)
[Section of Culvert showing Ground Profiles (original and as constructed), Length & Invert Levels, Embankment Fill above with Heights
& Widths)
Survey Technician Resident Engineer
QC01(a)
Turnkey Contractor : Project :
Contract No.:
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORT CENTRE AT
WOODVILLE JAYA SDN BHD
SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUMMARY OF CULVERT VERIFICATION REPORTS
As at .//
Culvert No.
Chainage (CH)
Culvert Size
Type Class
Length
Skew Angle
Fill Height Above
Crown
Inlet Invert Level Outlet Invert Level
(m) (m) (m) (m) (m)
As Design As Built As Design As Built As Design As Built As Design As Built As Design As Built As Design As Built As Design As Built As Design As Built As Design As Built
QC01(b)
Turnkey Contractor : Project :
Contract No.:
Material Tested For : Date of Test : / /
Road Section : Test No. : LL/PI/ /(sample ref. no.)
:
Soil Description : Sample Ref. No :
PLASTIC LIMIT -
Specimen No.
Container No.
Mass of Wet Soil + Container (w
2
)
Mass of Dry Soil + Container (w
3
)
Mass of Container (w
1
)
Mass of Moisture (w
3
- w
1
)
Mass of Dry Soil [(w
2
- w
3
) / (w
3
- w
1
)] x 100
Moisture Content
AVERAGE MOISTURE CONTENT
LIQUID LIMIT -
Specimen No.
Initial dial gauge reading
Final dial gauge reading
Cone Penetration
Average Penetration
Container No.
Mass of Wet Soil + Container (m
2
)
Mass of Dry Soil + Container (m
3
)
Mass of Container (m
1
)
Mass of Moisture (m
2
- m
3
)
Mass of Dry Soil (m
3
- m
1
)
Moisture Content [(m
2
- m
3
) / (m
3
- m
1
)] x 100
LIQUID LIMIT : Specification Limits :-
PLASTIC LIMIT : L. L. :
PLASTICITY INDEX : P. I. :
l As received:
l Air Dried at: C
# # # # # # # # # l Oven Dried at : C
l Washed on 425 m sieve :
l Proportion retained on 425 m sieve:
%
Jointly Tested & Witnessed by :
1.
( )
2..
( )
Signature :
Name :
Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
LIQUID LIMIT (CONE PENETROMETER TEST) & PLASTIC LIMIT TEST
B. S 1377 : Part 2 : 1990
Sample Location (Chainage / Depth / Borrow Pit No. / Stock Pile No) *
1 2 3 4
g
g
g
g
g
%
%
5 6 7 8
mm
mm
mm
mm
g
g
g
g
g
%
% Sample Preparation
%
(Delete / Identify as appropriate)
Laboratory Technician
P
e
n
e
t
r
a
t
i
o
n
o
f
C
o
n
e
(
m
m
)
Moisture Content (%)
28.00
26.00
24.00
22.00
20.00
14.00
16.00
18.00
QC02
Turnkey Contractor : Project :
Contract No.
:
Date of Test : / /
Material Tested For : Road Section : Test No. : LL/PI/ /(sample ref. no.)
Sample Location (Chainage / Depth / Borrow Pit No. / Stock Pile No.) *:
Soil Description : Sample Ref. No :
Specimen No.
Container No. SPECIFICATION LIMITS :-
Mass of Wet Soil + Container (w
2
)
Mass of Dry Soil + Container (w
3
) L. L. - %
Mass of Container (w
1
)
Mass of Dry Soil (w
3
- w
1
) P. I. -
Mass of Moisture (w
2
- w
3
)
Moisture Content 100
Average MOISTURE CONTENT
Specimen No.
Number of Bumps
Container No.
Mass of Wet Soil + Container (m
2
)
Mass of Dry Soil + Container (m
3
)
Mass of Container (m
1
)
Mass of Dry Soil (m
3
- m
1
)
Mass of Moisture (m
2
- m
3
)
MOISTURE CONTENT 100
l
%
l
%
Remarks :
Tested by : Signature :
( )
Name :
Witnessed by :
( )
Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
WOODVILLED JAYA SDN BHD
INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
LIQUID LIMIT (CASAGRANDE METHOD) & PLASTIC LIMIT TEST
BS 1377 : Part 2 : 1990 (Cl. 4.5)
1 2 3
g
g
g
g
g
(w
2
- w
3
) x %
(w
3
- w
1
)
%
4 5 6 7 8
g
g
g
g
g
(m
2
- m
3
) x %
(m
3
- m
1
)
Sample Preparation
(Delete / Identify as appropriate)
As received:
l Air Dried at: C
l Oven Dried at : C
l Washed on 425 m sieve :
l Proportion retained on 425 m sieve:
10 15 20 25 30 # 50
PI
Laboratory Technician
Test Results
LL
PL
%
Liqu
id
Limi
t
Plastic
Limit
MO
IST
UR
E
CO
NT
EN
T
%
NUMBER OF BUMPS
QC03
Turnkey Contractor : Project :
Contract No. :
Page No. : of
* select as appropriate
Notes : 1. Sample numbers identified with (#) in column - 1 refers to samples taken from the top 300mm Subgrade of cut formation.
2. Identify those tests performed during the month of reporting with a (**) in the respective columns.
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS
WOODVILLE JAYA SDN BHD
CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUITABILITY OF SOIL AS FILL MATERIAL FROM PROPOSED BORROW PITS
(Embankment / Subgrade Works) *
SUMMARISED REPORT UP TO : / .. / 201 .
(Cumulative Report)
Sample No.
Borrow Pit No. /
Depth / Chainage*
Soil Classification
Natural
M. C. (%)
Gradation (%)
Liquid Limit
(%)
Plasticity
Index
MDD
(Mg/m)
OMC
(%)
CBR (4-Days
Soaked)
(%)
Remarks
Gravel Sand
Silt &
Clay
QC04
Turnkey Contractor : Project :
Contract No. :
* select as appropriate
Note : Identify those tests performed during the month of reporting with a (**) in the respective columns.
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS
WOODVILLE JAYA SDN BHD
CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUITABILITY OF AGGREGATES FOR ROAD PAVEMENT WORKS
(Sub Base / Road Base Works) *
SUMMARIZED REPORT UP TO ././201
(Cumulative Report)
Sample No. Source
Stock Pile
No./
Chainage*
Material Classification
Gradation Liquid Limit Plasticity Index
MDD (Mg/m) OMC (%)
Soaked CBR (%) Flakiness Index
Aggregate
Crushing Value
Sodium Sulphate
Soundness Test
Remarks
Zone/ Type*
Acceptability Result Result Result Result Result Result
OK / Not Ok* OK / Not Ok* OK / Not Ok* OK / Not Ok* OK / Not Ok* OK / Not Ok* OK / Not Ok*
Specification Requirements
Subbase Table 4.1 of SSRW 25% 6 30 N / A 35 N / A
Roadbase Table 4.12of SSRW N / A 6 80 30 30 12%
QC05
Turnkey Contractor : Project :
Contract No.
:
Location :
Work Item: / Chainage : CH To CH Date of Test : / /
SAMPLE REFERENCE
Soil Description : Sample Ref. No :
Maximum Dry Density (MDD) : Mg/m
Test Ref. No. : MDD/ /
Optimum Moisture Content (OMC) : %
Liquid Limit (L.L.) : % Plasticity Index (P.I.) : Test Ref. No. : LL/PI/ /
4-Days Soaked CBR Value : % (indicate if relevant for the work item, if not indicate as N/A) Test Ref. No. : CBR/ /
CALIBRATION
Mean mass of sand in cone of pouring cylinder (M
2
) g g g : g
Volume of calibrating container (V) mL mL mL : mL
Mass of sand in cylinder (before pouring) (M
1
) : g
Mass of sand remaining in cylinder (after pouring) (M
3
) : g
Mass of sand to fill calibrating container (M
a
= M
1
- M
3
- M
2
) : g
Bulk density of sand (Ps = Ma/V) : Mg/m
DETERMINATION OF FIELD DENSITY
Field Test No
Chainage / Off Set from C.L. / / /
Layer Reference **
Depth Excavated (mm)
Mass of wet soil from excavated hole (Mw)
Mass of sand in cylinder (before pouring) (M
1
)
Mass of sand remaining in cylinder (after pouring) (M
4
)
Mass of sand required to fill hole (M
b
= M
1
- M
4
- M
2
)
Bulk density of soil [P = (Mw/M
b
) x P
s
]
DRY DENSITY OF SOIL [Pd = 100P / (100 + w)]
Degree of Compaction (Pd x 100 / MDD)
Degree of compaction required (as per Specification)
DETERMINATION OF MOISTURE CONTENT
Container No.
Mass of Wet Soil + Container (w
2
)
Mass of Dry Soil + Container (w
3
)
Mass of Container (w
1
)
Mass of Moisture (w
2
- w
3
)
Mass of Dry Soil (w
3
- w
1
)
Moisture Content of Soil [(w
2
- w
3
) / (w
3
- w
1
)] x 100
Average MOISTURE CONTENT (w)
Tested by : ; Witnessed by :
( ) ( )
Remarks : (weather / ground condition) Signature :
Name :
Date : / /
** First layer of embankment fill is referred to as (0-300)mm, where Datum -0 is the original ground
*
Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
FIELD DENSITY TEST
(SAND REPLACEMENT METHOD)
BS 1377 : Part 9 : 1990 (Cl. 2.1 - Small Pouring Cylinder / Cl 2.2. - Large Pouring Cylinder)*
WORK ITEM : Embankment Fill / Subgrade / Subbase / Roadbase *
Test Reference :-
FDT/ FDT/ FDT/
g
g
g
g
Mg/m
Mg/m
g
%
%
Laboratory Technician
%
%
g
g
g
g
QC06(a)
Turnkey Contractor : Project : THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS
Contract No. :
Page No. : of
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
FDT/ FDT/
Notes : 1. # - Identify the layers as (0-300), (300-600), etc. First layer of 'Embankment Fill' is referred to as 0-300mm (existing ground taken as Datum-0)
2. M. D. D. - Maximum Dry Density
3. O. M. C. - Optimum Moisture Content
WOODVILLE JAYA SDN BHD
CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUMMARY OF FIELD DENSITY TESTS (Covering Period : from / .. to ././ 201 )
( Works)
From St. Compaction Test
Test No. Date Chainage
Offset from
Centre (m)
# Layer
Reference
Field Density
M. C.
Achieved
(%)
Remarks
Sample
No.
MDD
(Mg/m)
OMC
%
Mg/m
% of MDD
Test No. Date
Field Density
M.C.
Achieved
(%) Achieved Target Mg/m
% of
MDD
Passed /
Failed
(1st Test)
Test Passing (Re-Test)
QC06(b)
Turnkey Contractor :
Project :
Contract No :
PERMANENT SETTLEMENT REFERENCE STATION No : Reduced Level :
ROD SETTLEMENT GAUGE (RSG) Ref No : CHAINAGE : OFF SET FROM C/L :
DATE OF INSTALLATION OF RSG
DESIGNED FORMATION LEVEL m
(c) (d) (e) (g) (h)
(m) (m) (m) (m) (m)
(c-d) (e-a)
1. 0.00 0.00
2.
3.
4.
etc.
Checked By ; Verified by ;
* select appropriate
MONITORING OF SETTLEMENT(Rod Settlement Gauge)
(EMBANKMENT FILL / SURCHARGE)*
(m) (m)
Settlement
druing the
period
Cummulative
Settlement
R.L of Original
Ground (at
present)
Depth of Fill
SETTLEMENT RECORDS
READING
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT SITE
WOODVILLE JAYA SDN BHD
PWD/HO/B007/2014
(a) (b) (f)
Remarks
NO. DATE
Reduced Level of
Original Grgound
(Initial)
R.L. of Top of
Fill
(at present)
R.L. of Top of
Settlement Gauge
Height of
Settlement
Gauge Rod
(m)
(b-e)
Survey Technician Engineer's Representative
Signature : Signature :
Name: Name :
QC07(a)
Turnkey Contractor : Project : THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE
AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
Page : ____ of ____
Permanent Settlement Reference Station
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n)
(m) (m) (m) (m) (m) (m) (m) (m) (m) (m)
(h-i) (g-j) (e-j) (l-m)
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
to /
WOODVILLE JAYA SDN BHD
Contract No :
SUMMARISED SETTLEMENT RECORDS - Rod Settlement Gauge
(EMBANKMENT FILL/SURCHARGE)*
For the period from / .. / 201 .. to / .. / 201 .
No.: Reduced Level :
Remarks Reading Nos.
(for the period)
Settlement
Gauge Ref.
No
Chainage /
Offset from
Centreline
Date of
Installation
R.L. of
Original
Ground
(Initial)
Designed
Formation
Level
Settlement
During the
Period
at end of
period
(at present)
at beginning
of period
(previous
reporting)
R.L. of Top
of Fill
(at present)
R.L. of Top of
Settlement
Gauge
Height of
Settlement
Gauge Rod
R.L. of
Original
Ground
(at present)
Depth of
Fill
Cumulative Settlement
QC07(b)
Turnkey Contractor : Project :
Contract No :
PERMANENT SETTLEMENT REFERENCE STATION No : Reduced Level :
SURFACE SETTLEMENT MARKER (SSM) Ref No : CHAINAGE : OFF SET FROM C/L : /
DATE OF INSTALLATION OF SSM
REDUCED LEVEL AT TOP OF SURCHARGE (Immediately on Completion)
DESIGNED FORMATION LEVEL
DATE OF REMOVAL OF SURCHARGE (Proposed)
No.
1 Immediately on Completion of Surcharge
2
3
4
etc.
Checked By ; Verified by;
* select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT
WOODVILLE JAYA SDN BHD
SITE
PWD/HO/B007/2014
MONITORING OF SURCHARGE SETTLEMENT (Surface Settlement Marker)
SETTLEMENT RECORDS
READING R/L AT TOP OF SURCHARGE
SETTLEMENT DURING
THE PERIOD
CUMULATIVE
SETTLEMENT REMARKS
Date (m) (m) (m)
0.00 0.00
Name : Name :
Survey Technician Engineer's Representative
Signature : Signature :
QC08(a)
Turnkey Contractor :
Project :
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT SIBU OLD
Contract No : PWD/HO/B007/2014
Page : ____ of ____
PERMANENT SETTLEMENT REFERENCE STATION NO : REDUCED LEVEL :
(immediately after
construction)
(at centreline) (proposed)
(a) (b) (c)
No Date
(c) - (b) (c) - (a)
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
WOODVILLE JAYA SDN BHD AIRPORT SITE
SURCHARGE SETTLEMENT RECORDS - Surface Settlement Marker
(Summary Report)
as at ...../..../201..
Surface Settlement Marker (SSM)
Reduced Level
At top of
surcharge (m)
Designed
formation level
(m)
Surcharge
Removal Date
R/L at Top of SSM (m) Settlement (m)
Remarks
Ref. No.
Chainage / Offset
from centreline
Cummulative
Date of
Installation
First Reading
Reading at
last reporting
Current
Reading
Reading for the period
QC08(b)
Turnkey Contractor : Project : THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
Contract No. :
Sample Location (Chainage / Borrow Pit No.)* :
Date of Test
Sample No.
Specimen No.
Container No.
Mass of Wet Soil + Container W2 (g)
Mass of Dry Soil + Container W3 (g)
Mass of Moisture W2 - W3 (g)
Mass of Container W1 (g)
Mass of Dry Soil W3 - W1 (g)
MOISTURE CONTENT Wc = W2 - W3x 100 (%)
W3 - W1
Avg. MOISTURE CONTENT w (%)
Sample Location (Chainage / Borrow Pit No.)* :
Date of Test
Sample No.
Specimen No.
Container No.
Mass of Wet Soil + Container W2 (g)
Mass of Dry Soil + Container W3 (g)
Mass of Moisture W2 - W3 (g)
Mass of Container W1 (g)
Mass of Dry Soil W3 - W1 (g)
MOISTURE CONTENT Wc = W2 - W3 x 100 (%)
W3 - W1
Avg. MOISTURE CONTENT w (%)
Sample Location (Chainage / Borrow Pit No.)* :
Date of Test
Sample No.
Specimen No.
Container No.
Mass of Wet Soil + Container W2 (g)
Mass of Dry Soil + Container W3 (g)
Mass of Moisture W2 - W3 (g)
Mass of Container W1 (g)
Mass of Dry Soil W3 - W1 (g)
MOISTURE CONTENT Wc = W2 - W3x 100 (%)
W3 - W1
Avg. MOISTURE CONTENT w (%)
Tested by : Witnessed by :
( ) ( )
Date : / / Date : / /
* Select as appropriate
NATURAL MOISTURE CONTENT
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
QC09
Turnkey Contractor :
Project :
Contract No.: PWD/HO/B007/2014
Location : Date of Test : / /
Description of Sample : Sample Ref. No. :
Chainage / Stockpile /
Material Tested For : Source* : Test No. : FI/
EI/
Aggregate Size (mm)
No. of Particles Selected from Each Size
Weight of Each Size Selected
Weight Percentage of Each Size
Thickness Gauges (width of Slot)
(0.6 times the mean sieve)
Weight Percentage of Flacky Particles (100C / A)
(D x B)
Length Gauges (width of Slot)
(1.8 times the mean sieve)
(100F / A)
(G x B)
Specifications : FLAKINESS INDEX - Shall be FLAKINESS INDEX =
ELONGATION INDEX - Shall be ELONGATION INDEX =
Remarks :
Tested By : Signature :
( )
Witnessed By :
( )
Date : / / Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
FLAKINESS INDEX & ELONGATION INDEX
(M. S. 30 / B. S. 812 : Part 105 : 1990)
*
63 50 37.5 28 20 14 10
to to to to to to
37.5 28 20 14 10
to Total
14.4 10.2
6.3 (g)
(No.)
A (g)
B (%)
50
7.2 4.9
C Weight of Particles Passing
the Thickness Gauge
(g)
(mm)
33.9 26.3 19.7
21.6
D %
E Weight Percentage of Flacky
Particles in Total Aggregate
%
(mm)
%
101.7 78.8 59 43.2 30.6
H Weight Percentage of
Elongated Particles in Total
%
Laboratory Technician
14.7
F Weight of Particles Retained
on the Length Gauge
(g)
G Weight Percentage of
Elongated Particles
QC10
Turnkey Contractor :
Project :
Contract No.:
Location : Date of Test : / /
Description of Sample : Sample Ref. No. :
Chainage / Stockpile /
Material Tested For : Source * : Test No. : ACV/
AGGREGATE SIZE TESTED : Passing Sieve Size:- mm APPLIED LOAD: kN
Retained Sieve Size :- mm
Weight of Mould
(after tamping)
Weight of Surface Dried Specimen #
(after application of load)
AGGREGATE CRUSHING VALUE
Specifications : Aggregate Crushing Value shall be - 35% (for Subbase)
- 30% (for Road Base; Surface Dressing; Aggregate for Asphalt Concrete)
- 20% (Aggregate for Concrete)
Remarks :
Tested By : Signature :
( )
Name :
Witnessed By :
( )
Date : / / Date : / /
* Select as appropriate
# Weight shall be same as for Specimen No. 1
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
AGGREGATE CRUSHING VALUE
(Standard Test)
(M. S. 30 / B. S. 812 : Part 110 : 1990)
Specimen No. 1 2
W1 (g)
Weight of Mould + Surface
Dried Specimen
W2 (g)
W3 = W2 - W1 (g)
(average) (%)
Laboratory Technician
Weight of the Fines Passing
B.S. 2.36mm Sieve
W4 (g)
Percentage of Fines Passing
B.S. 2.36mm Sieve
(W4 / W3) x 100 (%)
QC11
Turnkey Contractor : Project :
Contract No.:
Date of Test : / /
Test No. :
Material Tested For : Road Section : SA/ / (sample ref. no.)
Sample Location (Chainage / Depth / Borrow Pit No. / Stock Pile No) * :
Soil Description:
Sample Ref. No:
Sample Preparation : (air dried / oven dried / other)* Envelope : (Zone / Type) *
75.0 mm
63.0 mm
50.0 mm
37.5 mm
28.0 mm
25.0 mm
20.0 mm
14.0 mm
12.5 mm
10.0 mm
9.5 mm
6.3 mm
5.0 mm
4.75 mm
3.35 mm
2.36 mm
2.00 mm
1.18 mm
600 m
425 m
300 m
212 m
150 m
75 m
63 m
Pan
Total
: g Soil Consist of :- Gravel %
: g Sand %
Weight of silt and clay : g Silt & Clay %
Jointly Tested & Witnessed By : 1. ; 2.
( ) ( )
Remarks : Signature :
Name :
Date : / /
* Select as appropriate
Specified Limits (%)
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PPWD/HO/B007/2014
Weight of specimen before dry / wet * sieving
Weight of specimen after dry / wet * sieving
Laboratory Technician
PARTICLE SIZE DISTRIBUTION
- SIEVE ANALYSIS (Dry / Wet Sieving Method)*
BS 1377 : Part 2 : 1990 (Cl. 9.2, 9.3 )
B. S. Sieve Mass Retained (g) (%) Retained (%) Passing
QC12(a)
Turnkey Contractor : Project :
Contract No. :
Material Tested For : Road Section : Date of Test : / /
Sample Location (Chainage / Depth / Borrow Pit No. / Stock Pile No.) * : Test No. : SA / / (sample ref. no.)
Soil Description : Sample Ref. No.:
Envelope (Zone / Type) * :
75 212 425 2.36 5 9.5 14 25 37.5 63
3.35 10
P P
E 90 90 90 10 E
R R
C 80 80 80 20 C
E E
N 70 70 70 30 N
T T
A 60 60 60 40 A
G G
E 50 50 50 50 E
40 40 40 60
P R
A 30 30 30 70 E
S T
S 20 20 20 80 A
I I
N 10 10 10 90 N
G E
0 0 0 100 D
0.001 0.01 0.1 1.0 10 100
Soil Consist of ; Tested and Witnessed By :
GRAVEL : % Signature :
SAND : % 1. ; 2. Name :
( ) ( )
SILT & CLAY : % Date : / /
* Select as appropriate
SIEVE ANALYSIS (Wet / Dry Sieving Method) *
PARTICLE SIZE DISTRIBUTION GRAPH
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE
WOODVILLE JAYA SDN BHD
AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
BS 1377 : Part 2 : 1990 (Cl 9.2, 9.3)
PARTICLE DISTRIBUTION
B. S. Sieve Sizes :
Micrometre
Millimetre
1.18
75
4.75
100
63 600 2
0
300 6.3
12.5
20 50 28 150
SILT SAND GRAVEL
CLAY
Fine Medium Coarse Fine Medium
Laboratory Technician
Coarse Fine Medium Coarse
COBBLE
QC12(b)
Turnkey Contractor : Project :
Contract No. :
Date of Test : / /
Test No. : CBR/ /(sample ref. no.)
Material Tested For : Road Section :
:
Soil Description : Sample Ref. No :
SPECIMEN PREPARATION : 4.5 kg Rammer Method (Manual / Mechanical) / Vibrating Hammer Method* Result of BS Compaction Test :
* Target moisture content: % (as identified previously in Test No. ) (Using CBR mould with 62 nos. of blows/layer)
* Compaction effort : No. of blows / layer= (as identified previously in Test No. ) M.D.D. : Mg/m
No. of layers = O.M.C. : %
BEFORE SOAKING
Mould No. Container No.
Mass of Mould + Base + Compacted Soil (m
2
) Mass of Wet Soil + Container (w
2
)
Mass of Mould + Base (m
1
) Mass of Dry Soil + Container (w
3
)
Mass of Compacted Soil (m
2
- m
1
) Mass of Container (w
1
)
Volume of (CBR) Mould (v) Mass of Moisture (w
2
- w
3
)
Bulk Density of Soil [P = (m
2
- m
1
) / v] Mass of Dry Soil (w
3
- w
1
)
Av. Moisture Content (w) Moisture Content [(w
2
- w
3
) / (w
3
- w
1
)] x 100
Dry Density of Soil [Pd = 100 P/(100 + w)] Av. Moisture Content w
4- DAYS SOAKED CBR TEST : Proving Ring Constant : kN/Div
l
Dry Density of the specimen
Mg/m
l
Specimen compacted to :
% of
From the graph
CBR Values at penetrations of :
Top face (%)
Bottom face (%)
EXPANSION & ABSORPTION DETERMINATION :
Surcharge (if applied) : kg Remarks:
Gauge reading before soaking : mm
Gauge reading after soaking : mm
Final swell : mm
Mass of Mould + Base + Specimen (before soaking) m
2 : g
Mass of Mould + Base + Specimen (after soaking) m
3 : g
Mass of Water Absorption (m
3
- m
2
) : g
( %)
Tested & Witnessed by : Signature :
Name :
1. ; 2.
( ) ( ) Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
C. B. R. TEST (4-Days Soaked Test)
BS 1377 : Part 4 : 1990 {Cl. 7.2 (method-3) 7.3, 7.4, 7.5 & 7.6}
Sample Location (Chainage / Offset / Depth / Borrow Pit No. / Stock Pile No.) *
DENSITY MOISTURE CONTENT Top face Bottom face
g g
g g
g g
cm g
Mg/m g
% %
Mg/m %
Penetration of
plunger
(mm)
Gauge Reading
(Div)
Force on Plunger (kN)
Penetration of
plunger
(mm)
Gauge Reading
(Div)
Force on Plunger
(kN)
Top Bottom Top Bottom Top Bottom Top Bottom
0 4.00
0.25 4.25
0.50 4.50
0.75 4.75
MDD of sample
1.00 5.00
1.25 5.25
1.50 5.50
1.75 5.75
2.00 6.00
2.25 6.25
(after corrections if appropriate)
2.50 6.50
2.75 6.75
2.5 mm 5.0 mm
3.00 7.00
3.25 7.25
3.50 7.50
Accepted CBR Value : %
3.75
Laboratory Technician
QC13(a)
Turnkey Contractor : Project :
Contract No.:
Date of Test : / /
Test No. : CBR/ /(sample ref. no.)
Material Tested For: / Road Section:
Sample Location (Chainage / Offset / Depth / Borrow Pit No. / Stock Pile No.) * :
Soil Description : Sample Ref. No :
Dry Density of the Specimen: Mg/m( % of M.D.D. of sample) Moisture Content of the Specimen: %
1 2 3 4 5 6 7 8 9 # # # # # # # # # # # # # # #
1 2 3 4 5 6 7
Calculations :
( /13.2) x 100 = % ( /13.2) x 100 = %
( /20.0) x 100 = % ( /20.0) x 100 = %
Remarks :
Tested By : Signature :
( )
Name :
Witnessed By :
( ) Date : / /
* Select as appropriate
Laboratory Technician
Std. Force (kN)
(100% CBR)
CBR Value
2.5 mm 13.2 13.2
5.0 mm 20 20
C. B. R. TEST (4-Days Soaked Test) - Graph
BS 1377 : Part 4 : 1990 {Cl. 7.2 (method-3 ) 7.3, 7.4, 7.5 & 7.6}
Penetration of
plunger
Top Face Bottom Face
(after corrections if
appropriate)
Force
(kN)
Std. Force (kN)
(100% CBR)
CBR Value
Force
(kN)
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
TEST RESULT CURVES OF TOP & BOTTOM FACES OF SPECIMEN
Forc
e on
Plun
ger
(kN)
Penetration of Plunger (mm)
QC13(b)
Turnkey Contractor : Project : THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE
Contract No :
As at ./...../..
TOTAL
THICKNESS COMPACTION ACHIEVED THICKNESS COMPACTION ACHIEVED THICKNESS
mm (%) mm (%) mm
(THICKNESS & COMPACTION VERTIFICATION / SUMMARISED REPORT)
CHAINAGE
ACBC 28 ACWC 20
REMARKS
WOODVILLE JAYA SDN BHD AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
ASPHALT CONCRETE WORKS
QC14
Turnkey Contractor :
Project :
Contract No.
:
Location of Works : (Trial Mix / Laying Mix)* Test No.:
Mix Type : Date Sampled / Tested :
Mix Designation : Place of Testing :
Avg. S. G. of Agg. Blend : Sp. Gr. Bitumen :
Sample From : Pen. Grd. Bitumen :
Mixing Temperature : C Compacting Temperature: C
Test Temperature ( C )
Specimen No.
Bitumen Content
( % by Total Wt. Of Mix)
Specimen Height (mm)
Wt. in Air (gm)
Wt. in Water (gm)
Bulk Vol (cc)
Specific Gravity :
Bulk
Max. Theoretical
in Aggregates
Air Voids in Total Mix
Stability (kg)
(as per table)
(Proving Ring Constant)
= kN/Div.) Corrected o x p > kg
Flow (mm) > 2.0 mm
Stiffness (kg/mm) > kg /mm
Remarks :
Tested & Witnessed By ;
1. Signature :
( )
Name :
2.
( ) Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
MARSHALL TEST RESULTS
(For Asphaltic Concrete Pavement Works) BS 598 : Part 107 / ASTM D1559-89
1 2 3 4 5 Average
Specification
Requirement
a (for Job Mix Formulae /
for Laying Mix:)*
b
c
d
e
d - e f
g
d / f
h
Volume Bit b x g / (S. G. Bit)
I
(% of Total) Agg. (100 -b)g / Avg. S.g. Agg)
j
Voids 100 - i - j
k
Voids 100 - j
l
(%)
Filled with
Bitumen
100 x i /j m -
100 - 100g/h
n
-
q / r s
Laboratory Technician
Correction Factor
o
Measured
p
q
Measured r
QC15(a)
Turnkey Contractor : Project :
Contract No.:
For the Period from : To / 201
Mix Type / Designation : /
Location of Works: Supply from :
SPECIFICATIONS :-
Wearing Course
Binder Course
* select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
SUMMARY OF MARSHALL TEST RESULTS
(For Asphaltic Concrete Pavement Works - Laying Mix)
AC
Date of Test &
Test No.
Gradation
Analysis
Bitumen
Content
(%)
Voids Filled
with Bitumen
(%)
Air Voids in
Mix
(%)
Flow Value
F
(mm)
Stability
S
(kg)
Stiffness
S/F
(kg/mm)
Remarks
(O.K. / Not O.K.)*
/
/
/
/
/
/
/
TRIAL MIX RESULTS :
as per
Tolerances given
in Table 4.11 of
SSRW for Laying
Mix
Tolerance :
()0.2%. Ref.
Table - 4.11
of SSRW for
Laying Mix
75 - 85 3.0 - 5.0 > 2.0 > 500 > 250
65 - 80
3.0 - 7.0 > 2.0 > 450 > 225
QC15(b)
Turnkey Contractor:
Project :
Contract No. :
Location of Works : Date : / /
Chainage / Offset : Mix Type :
Supply from : Mix Designation :
Notes : T1 : Loading ; T2 : Laying ; T3 : Compacting
Checked By ; Verified By :
Signature : Signature :
Name : Name :
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
T2
SUPPLY & LAYING OF READY-MIX ASPHALTIC CONCRETE
(For Pavement Works)
Order of
Arrival
Truck Registration No.
Time of Temperature C
Remarks
Arrival Laying T1 T3
Clerk of Works Engineer's Representative
PWD/HO/B007/2014
QC16
Turnkey Contractor :
Project :
Contract No. :
Location of Works : Trial Mix / Laying Mix * :
Mix Type / Designation : Date of Sampling / Coring :
Sample From : Date of Testing :
Chainage / Offset : Sample Ref. / Test No. :
SPECIFICATIONS FOR BITUMEN CONTENT :
Mass of Bowl + Sample (A) (D)
# For Trial Mix :-
Mass of Bowl (B)
* ACW 20 (W/C) : 4.5 - 6.5%
Mass of Filter (C) (E)
* ACB 28 (B/C) : 4.0 - 6.0%
Mass of Sample (A - B) (M)
# For Laying Mix :-
Mass of Agg. In Bowl (D - B) (F)
Permissable Variation (% by weight of total
Mass of Agg. In Filter (E - C) (G)
design mix) = 0.2%
Mass of Agg (F + G) (MG)
Mass of Bitumen (M - MG) (MB)
Bitumen Content (MB / M) x 100 %
GRADATION ANALYSIS
Notes :
# TRIAL MIX :-
Refer Table 4.8 (revised) for limits.
** LAYING MIX :-
Remarks :
B. S. Sieve Size, mm
100
90
80
70
60
50
40
30
20
10
0
0.0 0.1 1 10 100
Tested By : Signature :
( )
Name :
Witnessed By :
( ) Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
WOODVILLE JAYA SDN BHD
INTEGRATED SPORTS CENTRE AT SIBU OLD AIPRORT SITE
PWD/HO/B007/2014
QUANTITATIVE EXTRACTION OF BITUMEN
(For Asphaltic Concrete Pavement Works)
BEFORE TEST AFTER TEST
gm
gm
gm
gm
gm
gm
gm
gm
B. S. Sieve
(mm)
Mass Retained
(gm)
%
Retained
%
Passing (by weight)
0.15
Specification Limits # /
Variance Allowed **
37.5
28
20
14
10
0.075
Pan
PARTICLE SIZE DISTRIBUTION GRAPH
Particle Size (mm)
Laboratory Technician
5
3.35
1.18
Refer Table 4.11 for allowed
Permissable Variation from
the Job Mix Formulae.
0.425
Percentage Passing (%)
QC17
Turnkey Contractor : Project :
Contract No.:
: / /
Material Tested For : / Road Section: Test No.: MDD/ /(sample ref. no.)
Sample Location (Chainage / Borrow Pit No. / Depth / Stock Pile No.) *:
Soil Description : Sample Ref. No :
Specimen No.
DENSITY :
Amount of Water Added
Mass of Mould + Base + Compacted Soil (m
2
)
Mass of Mould + Base (m
1
)
Mass of Compacted Soil (m
2
- m
1
)
Volume of Mould (1.0 litre / CBR)* (v)
BULK DENSITY OF SOIL [P = (m
2
- m
1
) / v)
MOISTURE CONTENT :
Container No.
Mass of Wet Soil + Container (w
2
)
Mass of Dry Soil + Container (w
3
)
Mass of Moisture (w
2
- w
3
)
Mass of Container (w
1
)
Mass of Dry Soil (w
3
- w
1
)
(w
2
- w
3
) x 100
(w
3
- w
1
)
Average MOISTURE CONTENT (w)
DRY DENSITY OF SOIL [Pd = 100 P/(100 + w)]
0 5 # 1. # # # 1
0 1 2 3 4 5 6 7
0 5 # # # # #
SPECIMEN PREPARATION :
No. of blows / layer = ; No. of layers= MAX. DRY DENSITY (MDD) = Mg/m
Initial sample mass= OPTIMUM MOISTURE CONTENT (OMC) = %
Mass retained on (20mm / 37.5mm) * sieve= g ( %)
Remarks :
Signature :
:
Tested by : ( )
Witnessed by : ( ) Date : / /
* Select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
STANDARD COMPACTION TEST Date of Test
BS 1377 : Part 4 : 1990 (Cl. 3.5 & 3.6 - 4.5kg Rammer Method/Cl. 3.7 - Vibrating Hammer Method)*
1 2 3 4 5
ml
g
g
g
cm
Mg/m
g
g
g
g
g
Laboratory Technician
Moisture Content %
%
Mg/m
Name
0.0 5.0 10.0 15.0 20.0 25.0 30.0
D
R
Y
D
E
N
S
I
T
Y
M
g
/
m
3
MOISTURE CONTENT (%)
QC18
Turnkey Contractor :
Project : THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
Contract No.: PWD/HO/B007/2014
Bituminous Material Used
Location : (Prime Coat / Tack Coat)* :
Specific Gravity of Bituminous Material
Work Item (Application): (Prime Coat / Tack Coat)* :
{e} =
Specification (Range) - litre / m
Tested and Witnessed By ;
Signature :
1. Name
( )
Date : / /
2.
( )
* Select as appropriate
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
BITUMEN SPRAYING RATE TEST RESULTS
Test No
Date of
Test
Chainage & Offset
from C. L.
Tray No.
Area of
Tray
Wt. of Tray
+
from to
Material
(m) (g)
{d}
{e} / {a}
(s.g. of bit)x10
3
Wt. Of
Tray
Wt. Of Material Volume of Material Spraying Rate
=
Laboratory Technician
(g) (g) (lit) (lit/m)
{a} {b} {c} {d} = {b} - {c}
QC19(a)
Turnkey Contractor :
Project :
Contract No.:
For the Period From : 201
Location :
Work Item (Application):
Specification (Range) : litre / m
* select as appropriate
To
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED
WOODVILLE JAYA SDN BHD
SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
-
SUMMARY OF BITUMEN SPRAYING RATE TEST RESULTS
to
Test
No.
Date of
Test
Chainage
Off Set from
Centreline
Spraying Rate
(lit/m)
Remarks
From
QC19(b)
Project :
Contract No. :
Material Tested For : Date of Test : / /
Sample Location [From Quarry (identify location)/ Stock Pile No.] * :
Material Description : Test No. :
Sample Ref. No. :
Type of Bitumen : Bitumen Temperature : Mixing Temperature :
Initial Weight of Sample
Weight of Bitumen Used
Duration of Immersion at Room Temperature of ..
Immersion Commenced
Sample Removed
Duration of Immersion
Visual Examination
Remark :
Tested and Witnessed by;
1 Signature :
( )
Name :
2
( ) Date : / /
* select as appropriate
Turnkey Contractor :
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR
WOODVILLE JAYA SDN BHD
INTEGRATED SPORTS CENTRE AT SIBU OLD AIRPORT SITE
PWD/HO/B007/2014
BITUMEN STRIPPING TEST
(STATIC IMMERSION)
[ASTM : D 1664 - 80 (1985)]
(g)
(g)
Estimated Coated Area
Laboratory Technician
(Date / Time) /
(Date / Time) /
(hrs)
QC20
Turnkey Contractor :
Project :
Contract No. : PWD/HO/B007/2014
s
Location : Date of Coring : / /
Mix Type / Designation : / Date of Test : / /
Design Bitumen Content (as per Job Mix Formula) :
SG
m
SPECIFICATION : Requirement on Compacted Density - Wearing Course - 98% to 100% Marshall Density
- Binder Course - 95% to 100% Marshall Density
Remarks :
Tested & Witnessed By : Signature :
1. ; 2. Name :
( ) ( )
Date : / /
* select as appropriate
THE DESIGN, CONSTRUCT AND COMPLETE INDOOR INTEGRATED SPORTS CENTRE AT
WOODVILLE JAYA SDN BHD
SIBU OLD AIRPORT SITE
CORING & IN-SITU COMPACTION RECORD
(for Asphaltic Concrete Pavement Works)
Specimen No. /
Test No.
Chainage Offset
Compacted Thickness
Bitumen Content
(Tolerance : 0.2%)
Sieving Result
(as per Table
4.11 of SSRW)
Weight (gm)
Bulk Vol
(c.c.)
Insitu Bulk
S. G.
Job Mix Bulk
S.G.
(Marshall Test)
Compaction Achieved
(%)
In Air In Water
mm O.K. / Not O.K.* % O.K. / Not O.K.* O.K. / Not O.K.* W
1
W
2
W
3
=(W
1
- W
2
) SG
S
= (W
1
/ W
3
) (SG
s
/SG
m
) x 100
Laboratory Technician
QC21