Adc Standard Forms - August 14,2015

WP
RFI ADC Forms

Summary of
FCR
1. Work Permit (WP)
IR
SFR
CPR
2. Request for Inspection (RFI)

CVI
RFA
3. Form Closure Request (FCR)

4. Installation Request (IR)
SIF
NCF
RI
QCA (CPR)
6. Concrete Pouring Request
5. Stripping Form Request (SFR)
7. Confirmation of Verbal PF
Instruction (CVI)
SIR
8. Request for Approval (RFA)

9. site Instruction Form (SIF)
10. Non-Conformance Form (NCF)
11. Request for Information (RI)
12. Quality Control Acceptance (QCA)
13. Punchlist Form (PF)
14. Site Incident Report (SIR)
NOTE:
To access the forms, click the orange labels as pointed above. To return on this page, click the
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ACASYSKBAR DEVELOPMENT
CORPORATION
Date :
WORK PERMIT
WP no. :
This is to confirm that ______________________________________________________________________

(Subcontractor) can commence the work specified herein.
Work Item/Work Description:
Block No. :
Level. :
Specific Area :
Unit No. :
No.
Name
List of manpower deployed:

Designation
Prepared by (Subcon):
Activity
Verified by (Engr-In-Charge):
Signature Overprinted Name/Date
Noted by (Construction Manager):
Approved by (QA/QC):
REMARKS:
NOTE: The following should be attached to the work permit.
Key Plan
Work Duration/Schedule
PROJECT:
FORM NO.:
DATE:
REQUEST NO.:
DESIGNATION:
SIGNATURE:
LEVEL:
REJECTED REQUEST NO.:
INSPECTION DATE:
INSPECTION TIME:
WORK PERMIT NO.:
INSPECTION TYPE:
CORPORATION
REQUEST FOR INSPECTION
CONTRACT NO.:
INSPECTION REQUESTED BY
Name:
Company:
BUILDING AREA (Attached Key Plan if Necessary):
GRIDLINE/AXES/ LOCATION:
WORK ITEM:
WBS NO.:
DESCRIPTION OF WORK / INSTALLATION / STRUCTURE(S)
Confirmation of Request / persons to be present during inspection

NAME
INSPECTION SUMMARY
COMPANY
Preliminary
Final
Route this form to all the people needed during inspection
DESIGNATION
SIGNATURE / DATE
(Inspection of work performed)

To be filled out after inspection
The A&E Representatives certify to the CQC Representative that inspections were conducted by the subcontractor and verified by the
Project Engineers, and that the (Pass/Fail) recommendations reflect the findings from those inspections.
TRADE
Preliminary Inspection
Subcon Engr
Architectural
Civic/Structural
Mechanical
Electrical
Sanitary / Plumbing
Fire Protection
Others_____________
Opns Engr
Final Inspection
Subcon Engr
Opns Engr
A & E Engr
Checklist No./Date
Pass/Fail
N/A
N/A
N/A
CQC Recommendation/s
ACTION
REMARKS / CONDITIONS
For Follow-up
Proceed to Succeeding Work
Do Not Procceed to Suceeding
Others____________________
APPROVED:
CQC Representative
CQC Safety Engineer
DATE:______________________
DISTRIBUTION
DATE:____________________________
Subcon
Production
CQC
Project Documentation
PROJECT:
FORM NO.:
DATE:
REQUEST NO.:
DESIGNATION:
SIGNATURE:
LEVEL:
INSPECTION DATE:
INSPECTION TIME:
WORK PERMIT NO.:
INSPECTION TYPE:
CORPORATION
FORM CLOSURE REQUEST
CONTRACT NO.:
INSPECTION REQUESTED BY
Name:
Company:
BUILDING AREA (Attached Key Plan if Necessary):
GRIDLINE/AXES/ LOCATION:
WORK ITEM:
WBS NO.:
DESCRIPTION OF WORK / INSTALLATION / STRUCTURE(S)
Confirmation of Request / persons to be present during inspection

NAME
INSPECTION SUMMARY
COMPANY
Preliminary
Final
Route this form to all the people needed during inspection
DESIGNATION
SIGNATURE / DATE
(Inspection of work performed)

To be filled out after inspection
The A&E Representatives certify to the CQC Representative that inspections were conducted by the subcontractor and verified by the
Project Engineers, and that the (Pass/Fail) recommendations reflect the findings from those inspections.
TRADE
Preliminary Inspection
Subcon Engr
Architectural
Civic/Structural
Mechanical
Electrical
Sanitary / Plumbing
Fire Protection
Others_____________
Opns Engr
Final Inspection
Subcon Engr
Opns Engr
A & E Engr
Checklist No./Date
Pass/Fail
N/A
N/A
N/A
CQC Recommendation/s
ACTION
REMARKS / CONDITIONS
For Follow-up
Proceed to Succeeding Work
Do Not Procceed to Suceeding
Others____________________
APPROVED:
CQC Representative
CQC Safety Engineer
DATE:______________________
DISTRIBUTION
DATE:____________________________
Subcon
Production
CQC
CORPORATION
INSTALLATIONREQUEST
Date Prepared:
PERMIT REQUESTED BY:
Company:
Designation:
BUILDING AREA:
GRIDLINE / AXES / LOCATION:
LEVEL:
DESCRIPTION OF WORK INSTALLATION:
DURATION OF INSTALLATION:
DATE/TIME OF INSTALLATION:
REFER TO :
SUBMITTALS NO.
ATTACHED KEYPLAN
INSPECTION NO.
REQUEST FOR INSPECTION NO(S).
TEST REPORT NO.

INSPECTION CERTIFICATION
This permit is not valid without the attached Inspection Checklists for each applicable trade.
The A&E Representatives certify that appropriate inspections were conducted by the subcontractors and verified by the Project Engineers concer
SITE REPRESENTATIVE
CQC REPRESENTATIVE
Name/
Name/
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
MECHANICAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
ELECTRICAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
PLUMBING/SANITARY
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
FIRE PROTECTION
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
ARCHITECTURAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
SAFETY: ___________
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
OTHERS: ___________
Signature:
Signature:
Company:
Date:
Date:
PERMITTING: Based on the recommendations of the bove personnel, having verified and certified that other works in
CIVIL/STRUCTURAL
OWNER REPR
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
the
area will not conflict with the work requested and that shop drawings and materials comply with the approved plans
specifications, the Project Engineer in charge of said Activity/Work item recommends approval of this request.
NAME
SIGNATURE
Recommended by CM
Approved by QA/QC Head
Noted by
ACTION CODES
A-No conflict; Proceed! B-Work needs minor rectification C-Work needs major rectification; Hold wor
DISTRIBUTION
Subcon
Production
CQC
Form No.:
Permit no.:
Date Prepared:
INSTR TO COMMENCE NO.:
hout the attached Inspection Checklists for each applicable trade.
nspections were conducted by the subcontractors and verified by the Project Engineers concerned.
OWNER REPRESENTATIVE
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
INITIAL PHASE CONTROL
CHECKLIST NO.
DATE
ds minor rectification C-Work needs major rectification; Hold work/installation
CORPORATION
STRIPPING FORMREQUEST
Date Prepared:
Signature:
Company:
Designation:
BUILDING AREA:
LEVEL:
DESCRIPTION OF STRUCTURE(S):
NUMBER OF DAYS:
DATE/TIME OF STRIPPING:
REFER TO :
SUBMITTALS NO.
ATTACHED KEYPLAN
INSPECTION NO.
TEST REPORT NO.

PLUMB/LVL
LINE/ GRADE
REBARS
FORM
INSERTS
BLOCK OUTS
CLEAN UP
Field Operations
Group hereby certify
that the works comply
with approved FCD
and Shop Drawings
SITE REPRESENTATIVE
CQC REPRESENTATIVE
Name/
Name/
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
MECHANICAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
ELECTRICAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
PLUMBING/SANITARY
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
FIRE PROTECTION
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
ARCHITECTURAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
SAFETY: ___________
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
OTHERS: ___________
Signature:
Signature:
Company:
Date:
Date:
CIVIL/STRUCTURAL
OWNER REPR
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
the
NAME
SIGNATURE
Recommended by CM
Noted by
ACTION CODES
DISTRIBUTION
Subcon
Production
CQC
Contract No.:
Form No.:
Permit no.:
Signature:
Remarks
nspections were conducted by the subcontractors and verified by the Project Engineers concerned.
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
CHECKLIST NO.
DATE

CORPORATION
Date Prepared:
CONCRETE POURING REQUEST

Signature:
Company:
Designation:
BUILDING AREA:
LEVEL:
DESCRIPTION OF STRUCTURE(S):
EST. VOL.:
DURATION OF POURING:
DATE/TIME OF POURING:
STRENGTH:
AGGRE SIZE:
BATCH PLANT / LOCATION:
DES.MIX CODE:
REQD SLUMP: CURING METHOD:

WATERING
REFER TO :
SUBMITTALS NO.
ATTACHED KEYPLAN
INSPECTION NO.
TEST REPORT NO.

PLUMB/LVL
LINE/ GRADE
REBARS
FORM
INSERTS
BLOCK OUTS
CLEAN UP
Field Operations
Group hereby certify
that the works comply
with approved FCD
and Shop Drawings
SITE REPRESENTATIVE
CQC REPRESENTATIVE
Name/
Name/
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
MECHANICAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
ELECTRICAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
PLUMBING/SANITARY
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
FIRE PROTECTION
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
ARCHITECTURAL
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
SAFETY: ___________
Signature:
Signature:
Company:
Date:
Date:
Name/
Name/
OTHERS: ___________
Signature:
Signature:
Company:
Date:
Date:
CIVIL/STRUCTURAL
OWNER REPR
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
Name/
Signature:
Date:
the
NAME
SIGNATURE
Recommended by CM
Noted by
ACTION CODES
DISTRIBUTION
Subcon
Production
CQC
Form No.:
Permit no.:
Date Prepared:
Signature:
PLACEMENT METHOD:
DIRECT POURING
Remarks
spections were conducted by the subcontractors and verified by the Project Engineers concerned.

CHECKLIST NO.
DATE

CORPORATION
PROJECT:
DATE:
CONFIRMATION OF VERBAL INSTRUCTION

This is to confirm that the verbal instruction presented herein is accepted by both parties.
Subject:
Area:
These are the following verbal instructions given to you for your confirmation:
Item
Description
Prepared by:
Confirmed by:
ADDITIONAL NOTES/REMARKS:
FORM NO.:
CVI NO.:
ties.
onfirmation:
erprinted Name/Date
CORPORATION
PROJECT:
DATE:
REQUEST FOR APPROVAL

This form aims to have an approval regarding the works specified herein.
Subject:
These are the following proposal given to you for your approval:
Item
Description
Prepared by:
Approved by:
FORM NO.:
RFA NO.:
oval:
erprinted Name/Date
CORPORATION
PROJECT:
DATE:
SITE INSTRUCTION
Subject:
Area:
Presented herein is the site instructions for your strict compliance:
Prepared by:
Received by:
FORM NO.:
SI NO.:
iance:
erprinted Name/Date
CORPORATION
PROJECT:
DATE:
NON-CONFORMANCE REPORT
This is to inform you that upon receiving the site instruction, action is not taken in place. Thereby, this nonconformance form was made.
Subject:
Area:
These are the following site instructions given to you that you are not taken any action within the specified given
period:
Item
Description
Prepared by(QA/QC):
Received by:
FORM NO.:
NCF NO.:
ce. Thereby, this non-
n within the specified given
erprinted Name/Date
CORPORATION
PROJECT:
DATE:
REQUEST FOR INFORMATION

This form intends to acquire information regarding the following subject presented herein:
Subject:
Area:
Presented herein are the information to be acquired by the contractor which are definitely needed in accomplishing
the project.
Item
Description
Prepared by:
Received by:
FORM NO.:
RFI NO.:
rein:
tely needed in accomplishing
erprinted Name/Date
ACASYSKBAR DEVELOPMENT CORPORATION

QUALITY CONTROL ACCEPTANCE CHECKLIST FORM
INSPECTION REQUESTED BY:
Date Prepared:
Designation:
Name:
Signature:
Company:
Building Area ( Attached Key Plan if Necessary):
Gridline/Axes/Location: Level:
COMPONENTS
1.0
EXCAVATION
1.1 LINE & GRADE
1.2 ESTABLISH ELEVATION/BASE POINT (always visible )
1.2 STAKING OUT
1.3 SIZE & DIMENSION
1.4 SAFETY PROTECTION
REINFORCEMENT
2.0
2.1 DRAWING (cutting list)

2.2 SIZE & QUANTITY
COLUMN/FOOTING/TIE BEAM
2.2.1 REBARS
2.2.2 BENDING & SPLICING
2.2.3 ANCHORAGE
2.3 ALIGNMENT / PLUMBNESS
2.4 TIES / STIRRUPS
2.5 SPACING / SPACERS
2.5.1 CLEAR COVER
2.5.2 TIES/SPIRAL
2.5.3 CONFINEMENT REINF.
2.5.4 JOINT REINF.
2.5.5 SPLICING
2.6 TERMINATION / LAP SPLICING
2.6.1 MIN. LAP LENGTH
2.6.2 HOOK BAR (BENT)
2.6.3 VERT. BAR (BENT)
FORMWORKS (WALLS & SLAB)
3.0
3.1
DRAWING (cutting list)
3.2 SIZE & DIMENSION

3.3 LINE AND GRADE
3.4 PLUMBNESS & ALIGNMENT
3.5 CHAMFER STRIPS
3.6 MORTAR TIGHTNESS
3.7 BLOCKOUTS / ROUGHING INS
3.7.1 ELECTRICAL
ACCEPTED
YES NO N/A
REMARKS
3.7.2 PLUMBING / SANITARY

3.7.3 DOOR & WINDOW OPENINGS
3.8 CONCRETE COVER & SPACERS
3.90 WATERSTOP
3.10 BONDING AGENT
3.11 SHORING / SUPPORT
3.12 SCAFFOLDS ACCESS
4.0
CONCRETING
4.1 GROUTING
4.2 STRENGTH & DENSITY OF LWC/NORMAL CONCRETE
4.3 CONCRETE VOLUME
4.4 ACASYSKBAR MACHINE TIME USE
4.4.1
START OF POURING
4.4.2
END OF POURING
4.5 RECTIFICATION (Minimal)

5.0
LIGHT GAUGE STEEL

5.1 EXTRUSION & FABRICATION
5.2 INSTALLATION
5.3 DIMIENSION & ELEVATION
5.3 ALIGNMENT & PLUMBNESS
5.4 STRAPPING
5.5 BRACING
5.6 BONDING AGENT
5.7 DOWEL AND LOCK / DYNABOLT
5.8 ROUGHING INS PREPARATION
5.9 ANCHORAGE
5.10 TEMPERATURE REBARS
6.0
ARCHITECTURAL
6.1 DRAWINGS
6.2 FLOOR PREPARATION ( ground and second)
6.2.1 ESTABLISH ELEVATION
6.3 DOORS & WINDOW PREPARATION
6.4 WALL PREPARATION
6.4.1 SMOOTHNESS
6.4.2 PLUMBNESS ( 5mm tolerance)
6.5 DOORS
ESTABLISH ELEVATION
6.5.1 JAMB
6.5.2 DOOR
6.5.3 KNOBS & HINGES
6.5 WINDOWS
ESTABLISH ELEVATION
6.5.1 FRAME
6.5.2 MAIN WINDOW
6.5.3 LOCK FRAME
6.5.4 WATER TIGHTNESS
6.6 MOULDINGS AND ARCHITRAVE
6.6.1 SMOOTHNESS
6.6.2 DETAILING
6.7 ALIGNMENT & PLUMBNESS
6.8 SIZE AND HEIGHT
6.9 KITCHEN COUNTER
6.9.1
DIMENSION AND HEIGHT
6.9.2
DECK LEVY
6.10 CABINETRIES
6.10.1 UNDER COUNTER
6.10.2 OVERHEAD COUNTER
6.10.3 CLOSETS
6.11 STAIRS
6.11.2 TREAD & RISE ACCORDING TO PLAN
6.11.3 REBARWORKS
6.11.4 CONCRETEWORKS
6.11.5 SMOOTHNESS
6.12 TILEWORKS
6.12.2 LAYOUT
6.12.3 DECK LEVY
6.13 EXTERNAL WORKS
6.13.1 CARPORT
6.13.2 SERVICE AREA
6.13.3 LANDSCAPING
6.14 RECTIFICATION (minimal)
6.15 PAINTING WORKS
6.15.1 SURFACE PREPARATION
6.15.2 WATER PROOFING
6.15.3 SKIMCOAT APPLICATION
6.15.4 SMOOTHNESS
6.15.5 EDGING
6.15.6 EVEN SPREADING
6.15.7 PATCHING
6.15.8 PRIMER
6.15.9 FIRST COATING
6.15.10 SECOND COATING
6.15.11 FINAL COATING
7.0
PLUMBING WORKS
7.1 ROUGHING INS
7.2 ESTABLISH ELEVATION
7.3 INSTALLATION OF FIXTURES
7.4 PROPER HANDLING OF INSTALLED FIXTURES
7.5 WATER PROOFING
7.6 LEAK TEST
8.0
ELECTRICAL WORKS
8.1 ROUGHING INS
8.2 ESTABLISH ELEVATION
8.3 INSTALLATION OF FIXTURES
8.4 PROPER HANDLING OF INSTALLED FIXTURES
8.5 MEGER TEST
9.0
HOUSEKEEPING
9.1 CLEANLINESS OF WORKPLACE

9.2 SAFETY OF WORKERS
NOTE:
Approved:
SUBCONTRACTORS ARE REQUESTED TO LE

QA/QC INSPECT THEIR WORK.
CQC Representative
Date
THEY WILL USE THIS FORM FOR INSPECTION
NO BILLING WILL BE RELEASED IF WORKS A

NOT ACCEPTABLE BY QA/QC
ENT CORPORATION
ST FORM
Project :
Inspection Date:
Inspection Time:
Work Item:
REMARKS
SUBCONTRACTORS ARE REQUESTED TO LET

QA/QC INSPECT THEIR WORK.
THEY WILL USE THIS FORM FOR INSPECTION
NO BILLING WILL BE RELEASED IF WORKS ARE
NOT ACCEPTABLE BY QA/QC
PROJECT:
DATE:
CORPORATION
PF NO.:
PUNCH LIST FORM
Upon acceptance of the scope of work specified below based on the criteria set forth, this punch list form is prepared.
Block:
Unit:
Work Item:
These are the following works included in the punch list as observed by the inspector:
Item
Description
Inspected by:
Received by:
DATE:
PF NO.:
d below based on the criteria set forth, this punch list form is prepared.
Unit:
ncluded in the punch list as observed by the inspector:

Description
Received by:
DITIONAL NOTES/REMARKS:
PROJECT:
DATE:
CORPORATION
SITE INCIDENT REPORT
Prepared by:
SIR NO.:
Noted by:
DATE:
SIR NO.:
Noted by:
DITIONAL NOTES/REMARKS:

Adc Standard Forms - August 14,2015

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Adc Standard Forms - August 14,2015

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Available Formats

WP

RFI ADC Forms

1. Work Permit (WP)

2. Request for Inspection (RFI)

3. Form Closure Request (FCR)

5. Stripping Form Request (SFR)

8. Request for Approval (RFA)

This is to confirm that ______________________________________________________________________

List of manpower deployed:

Signature Overprinted Name/Date

Signature Overprinted Name/Date

Noted by (Construction Manager):

Signature Overprinted Name/Date

Signature Overprinted Name/Date

NOTE: The following should be attached to the work permit.

REJECTED REQUEST NO.:

WORK PERMIT NO.:

DESCRIPTION OF WORK / INSTALLATION / STRUCTURE(S)

Confirmation of Request / persons to be present during inspection

(Inspection of work performed)

CQC Safety Engineer

REJECTED REQUEST NO.:

WORK PERMIT NO.:

DESCRIPTION OF WORK / INSTALLATION / STRUCTURE(S)

Confirmation of Request / persons to be present during inspection

(Inspection of work performed)

CQC Safety Engineer

PERMIT REQUESTED BY:

GRIDLINE / AXES / LOCATION:

DESCRIPTION OF WORK INSTALLATION:

REQUEST FOR INSPECTION NO(S).

TEST REPORT NO.

REJECTED REQUEST NO.:

INSTR TO COMMENCE NO.:

hout the attached Inspection Checklists for each applicable trade.

ds minor rectification C-Work needs major rectification; Hold work/installation

PERMIT REQUESTED BY:

GRIDLINE / AXES / LOCATION:

REQUEST FOR INSPECTION NO(S).

TEST REPORT NO.

REJECTED REQUEST NO.:

INSTR TO COMMENCE NO.:

hout the attached Inspection Checklists for each applicable trade.

ds minor rectification C-Work needs major rectification; Hold work/installation

CONCRETE POURING REQUEST

GRIDLINE / AXES / LOCATION:

BATCH PLANT / LOCATION:

REQD SLUMP: CURING METHOD:

REQUEST FOR INSPECTION NO(S).

TEST REPORT NO.

REJECTED REQUEST NO.:

INSTR TO COMMENCE NO.:

hout the attached Inspection Checklists for each applicable trade.

INITIAL PHASE CONTROL

ds minor rectification C-Work needs major rectification; Hold work/installation

CONFIRMATION OF VERBAL INSTRUCTION

Signature Overprinted Name/Date

Signature Overprinted Name/Date

REQUEST FOR APPROVAL

Signature Overprinted Name/Date

Signature Overprinted Name/Date

Presented herein is the site instructions for your strict compliance:

Signature Overprinted Name/Date