WORK REQUEST

PROJECT

: Amaia Trece Martires Cavite

LOCATION

: Brgy. Conchu Trece Martires Cavite

DATE PREPARED:

ACTIVITY START DATE:

Civil/Structural

Sanitary/Plumbing

Elec'l/Auxiliaries

Architectural

FDAS/BAS

Mechanical

WORK REQUEST FOR:

Phase, Block:

MATERIALS REF. NO

Lot No.:

REQUESTED BY :

MDCBP

Subcon

_________________________________

_____________________________________________________

(Company)

(Name / Designation)

WORK ACTIVITY PERMIT (WAP)

SUBCONTRACTORS: Project In Charge (PIC)
We hereby certify that preceding works have been completed and accepted. We certify
further that we are ready to do our respective works with this work request.

REVIEWED AND CHECKED

SURVEYOR
Field QC Engineer

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

CIVIL/STRUCTURAL
Field QC Engineer
ARCHITECTURAL
Field QC Engineer
ELECTRICAL / AUXILIARIES
Field QC Engineer
MECHANICAL
Field QC Engineer

SANITARY / PLUMBING
Field QC Engineer

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

FIRE PROTECTION
Field QC Engineer
FDAS
Field Engineer
SAFETY
Safety Officer
COMMENTS:

NOTE : This form must be submitted to the QA Team, duly accomplished & signed by the corresponding Contra
RECOMMENDING APPROVAL:

APPROVED BY:

(MDCBP Superintendent/Supervisor)
DISTRIBUTION :

Subcon

(MDCBP Quality Assurance )

Document Controller

FORM NO. : F-QM-GF-001

ite

Y START DATE:

CONTROL No. :

MDCBP-BVTapia-WR-0__
Elec'l/Auxiliaries

Fire Protection

Mechanical

Others : ______________________________________

DRAWING REF. NO

METHODOLOGY REF. NO.

______________________________

PATOQ REF. NO.

_________________________________

nation)

(Signature)

WORK INSPECT REQUEST (WIR)

INSPECTED BY:

REMARKS

SUBCON

MDCBP

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

Name/Signature/Date

ed by the corresponding Contractors' personnel in charge at least 24 hours before actual execution.

Assurance )

APPROVED BY:
(MDCBP Project In Charge)
Revision No. : 002 (May2014)

LAYOUT AND EXCAVATION CHECKLIST

PROJECT

: Amaia Trece Martires Cavite

LOCATION

: Brgy. Conchu Trece Martires Cavite

DATE PREPARED :

CONTROL NO

BUILDING AREA / LEVEL:

INSPECTION

GRIDLINE / AXES:
Complied

WORK ITEM INSPECTED

SC

FE

1. Site Clearing
a. Cleared of trees (AS NECESSARY), shrubs, debris and others that obstructs or
endangers the structure.
b. Checked for expansive soil; TESTED for acceptability, and replaced (AS NECESSARY);
Replacement of unsuitable soil material (if applicable)
2. Layout, Orientation & Elevations
a. Property lines and lot monuments checked
b. Squareness of construction / building lines checked
c. Set back per staking layout complied
d. Referrence from vertical & horizontal controls checked
3. Footing Excavation
a. Dimensions & minimum depth complied
b. Distances of all footings per plan checked
c. Footing bed soil type checked; measures adopted (AS NECESSARY)
d. Checked for expansive soil; TESTED for acceptability, and replaced (AS NECESSARY);
TDD should already provide information regarding items c & d
4. Gravel Bedding
a. Bedding thickness checked & sufficiently compacted
b. Soil poisoning mixture and rate of application maintained
5. Backfilling
a. Acceptable filling material
b. All areas for backfilling should be well compacted
c. Proper location of embedded pipes, conduits, sleeves and boxes checked
d. Checked for wavy surface; bush hammered & replastered
REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before a
INSPECTION.
PREPARED BY:

(Sub-Con PIC / QAQC)

DISTRIBUTION :

INSPECTED BY:

(MDCBP Field QC Engineer)

Subcon

APPROVED BY:

( MDCBP Superintendent/Supervisor)
MDCBP Document Control

Revision No. 002 (M

FORM NO. : LD-001

: Amaia Trece Martires Cavite
: Brgy. Conchu Trece Martires Cavite
CONTROL NO. :

INSPECTION DATE/TIME :

REMARKS

d by the corresponding Contractor's Personnel-in-Charge at least 24 hours before actual

TION.

( MDCBP Superintendent/Supervisor)
MDCBP Document Control

Revision No. 002 (May 2014)

PROJECT : Amaia Trece Martires Cavite

SITE DRAINAGE
INSPECTION CHECKLIST

LOCATION : Brgy. Conchu Trece Martires Cavite

DATE SUBMITTED:

CONTROL NO.

BUILDING AREA / LEVEL:

INSPECTION DATE/TIME

GRIDLINE / AXES:
CHECK THAT THE FOLLOWING COMPLY WITH APPROVED SUBMITTALS , FOR CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:
Complied
SC
FE

PARTICULARS
A.

EXCAVATION
1. Trenches are excavated to depths, lines and grades as shown in the Plans.
2. Trenches for Drainage pipes are excavated after the subgrade is prepared, before laying the Sub
base.

4. Rock is excavated to minimum overdepth and backfilled and graded with loose, moist earth or
small gravel.

5. Unstable soil material is removed to depth approved by the Engineer.

3. If no, sufficient cover is provided over the pipes to protect the pipes from crushing.

B.

LAYING
1.
2.
3.
4.
5.
6.
7.
8.
9.

C.

D.

RE

Pipes are laid carefully to line and grade as shown on Drawings.

Pipes are laid and fitted to smooth and uniform inverts.
Proper installation of spacer block.
All joints are filled with mortar.
pipes,
exterior
only) of a joint.
Addl(60-300mm
mortar forms
a band
roundjoints
the outside
Water is kept out of the trench until joints are set.
Grade and joints of pipes are not disturbed after laying.
All exterior surfaces or subsurface structures are protected and preserved.
Concrete incasement is on specks.

BACKFILLING
1. Backfill material is placed manually in layers of 15cm depth, moistened and compacted.
2. Pipes are covered not less than 30cm.
APPURTENANCE
1.
2.
3.
4.
5.

Floors of manholes slope towards the center.

The base is smooth and shaped to allow continuous flow of storm water.
Manholes covers under non-vehicular traffic are RC.
Manholes covers under vehicular traffic are cast iron.
Manholes, catch basins, street inlets and area drains are large enough to fit a man, and provided
with ladder rungs.

6.
7.
8.
9.
10.

Junction boxes are constructed of CHB walls, concrete bases and RC covers.
CHB cells are completely filled with Class C concrete mix.
All joints are costura finish.
Corners of concrete bases are rounded and shaped to fit pipes.
Street inlets, headwalls and concrete aprons, and area drains are placed in positions as shown in
the Drawings.

REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours b
PREPARED BY:

(SubCon PIC / QAQC)

DISTRIBUTION :

INSPECTED BY:

(MDCBP Field QC Engineer)

Subcon

APPROVED BY:

(MDCBP Superintendent/Supervisor)
MDCBP Document Control

FORM NO. F-QM-LD-004

artires Cavite
Trece Martires Cavite
CONTROL NO.

INSPECTION DATE/TIME :

NSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:

REMARKS

signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before actual INSPECTION.

(MDCBP Superintendent/Supervisor)
MDCBP Document Control

Revision No. 002 (May 2014)

PROJECT: Amaia Trece Martires Cavite

SUBBASE & BASECOURSE

PREPARATION CHECKLIST

LOCATION : Brgy. Conchu Trece Martires Cavite

DATE PREPARED:

CONTROL NO.

BUILDING AREA / LEVEL:

INSPECTION DATE/TIME

GRIDLINE / AXES:
CHECK THAT THE FOLLOWING COMPLY WITH APPROVED SUBMITTALS , FOR CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:
Complied

PARTICULARS

SC

FE

1. Crushed aggregate subbase is a uniform mixture.

2. Crushed aggregate subbase is spread uniform and free from concentration of coarse or fine
materials.

3. All voids on the surface are completely filled.

4. Crushed aggregate subbase is spread and leveled uniformly, transversely and longitudinally.

RE

SUBGRADE

A.
1.

Granular subgrade is spread uniform and free from concentration of coarse or fine materials.
2. All voids on the surface are completely filled.
3.
Granular subgrade is spread and leveled uniformly, transversely and longitudinally.
4.
Vibration Rollers compact the subbase gradually from the outside towards the center.
5. The entire surface of each layer is properly-shaped and dressed with a motor grader.
6. The finished surface is well-closed, free from movement under compaction plant, uniform and free
from ridges, cracks or loose materials.
GRANULAR SUBBASE

B.
1.

Granular subbase is spread uniform and free from concentration of coarse or fine materials.
2. All voids on the surface are completely filled.
3.
Granular subbase is spread and leveled uniformly, transversely and longitudinally.
4.
Vibration Rollers compact the subbase gradually from the outside towards the center.
5. The entire surface of each layer is properly-shaped and dressed with a motor grader.
6. The finished surface is well-closed, free from movement under compaction plant, uniform and free
from ridges, cracks or loose materials.

CRUSHED AGGREGATE BASE

C.

5.
Vibration Rollers compact the subbase gradually from the outside towards the center.
6. The entire surface of each layer is properly-shaped and dressed with a motor grader.

REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours be
PREPARED BY:

INSPECTED BY:

APPROVED BY:

(SubCon PIC / QAQC)

(MDCBP Field QC Engineer)

(MDCBP Superintendent/Supervisor)

DISTRIBUTION :

Subcon

MDCBP Document Control

FORM NO. : F-QM-LD-005

rtires Cavite

Trece Martires Cavite

CONTROL NO.

INSPECTION DATE/TIME :

NSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:

REMARKS

signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before actual INSPECTION.

(MDCBP Superintendent/Supervisor)

MDCBP Document Control

Revision No. 002 (May 2014)

PROJECT : Amaia Trece Martires Cavite

LOCATION : Brgy. Conchu Trece Martires Cavite
SIDEWALKS INSPECTION CHECKLIST

DATE SUBMITTED:

CONTROL NO.

AREA /ROAD :

INSPECTION DATE/TIME

GRIDLINE/STATION:
CHECK THAT THE FOLLOWING COMPLY WITH APPROVED SUBMITTALS , FOR CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:
QC TEAM

PARTICULARS
A.

SC

FE

RE

EXECUTION
1. Forms are straight, free from warp, adequate to resist distortion and extend to the full depth of the
concrete.
2. All forms are staked securely in position.
3. Line and Grade are as specified in the Drawings.
4. Tops pre-formed fillers are set 5 mm. below the top of the finished sidewalk.
5. The surface is cut through to depth of 10 mm with a trowel at intervals of 1 meter or where
required, perpendicular to the edge of the sidewalk.
6. The surface is brushed
7. The edges and transverse cuts of the sidewalk are rounded to a radius 15 mm.

REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor's Personnel-in-Charge at least 24 h
PREPARED BY:

INSPECTED BY:

APPROVED BY:

(SubCon PIC / QAQC)

(MDCBP Field QC Engineer)

(MDCBP Superintendent/Supervis

DISTRIBUTION :

Subcon

MDCBP Document Control

FORM NO. : F-QM-LD-006

a Trece Martires Cavite

Conchu Trece Martires Cavite

CONTROL NO.

INSPECTION DATE/TIME :

FOR CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:

REMARKS

nd signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before actual INSPECTION.

(MDCBP Superintendent/Supervisor)
MDCBP Document Control

Revision No. 002 (May 2014)

FORM
PROJECT : Amaia Trece Martires Cavite

CURBS & GUTTER

INSPECTION CHECKLIST

LOCATION : Brgy. Conchu Trece Martires Cavite

DATE PREPARED:

CONTROL NO.

AREA /ROAD :

INSPECTION DATE/TIME :

GRIDLINE/STATION:
CHECK THAT THE FOLLOWING COMPLY WITH APPROVED SUBMITTALS , FOR CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:
Complied

PARTICULARS
A.
1.
2.
3.
4.

B.

PREPARATION
Dimensions, line and grade are according to the Drawings
Excavation is made to required depth and base.
Materials in soft areas are removed and replaced with suitable materials.
150 mm layers of cinders or approved clean permeable granular materials provide bedding for the
curb/ gutter

FORMATION
1. Forms are built and shaped according to the curvature on the Drawings
2. Forms are smoothed to leave the finished works true to the dimensions on the Drawings, with the
surface finish as specified
3.
Construction
is not moreby
than
25 templates
meters in length
2 meters.
Sections are separated
sheet
placedand
not not
lessless
thanthan
50 mm
greater than the depth of
4. the curb/gutter.
5. Concrete forms for inlets are thoroughly coated with form oil prior to use.

C.

D.

REINFORCEMENT
1. Steel reinforcement is placed in the position shown on the Drawings.
2. Bars are tied at all intersections.
EXECUTION
1. Mortar is used within 30 minutes of preparation.
2. The top of the curb/gutter is floated smooth and the edges rounded to the radius shown on the
Drawings.
3.
Separate mortar coat or working dry cement onto the surface is not used for finishing.
4. Section templates are removed while the forms are still in place.
5. Forms used against the face of combination curb and gutter is removed as soon as the concrete
can sufficiently hold its place.
6.
Forms used against curb or gutter are removed within 24 hours after concrete is placed.

E.

SC

FE

REMARKS

STRIPPING
1. Expansion joints set at 25 m. intervals coincide with the expansion joints of cement concrete
pavements or as shown in the Drawings.
2. Exposed surfaces of the curb and gutter is finished until smooth.
3. Junction boxes or manholes are thoroughly cleaned of any accumulation of silt, debris or foreign
matter.

REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before ac
PREPARED BY:

INSPECTED BY:

APPROVED BY:

(SubCon PIC / QAQC)

(MDCBP Field QC Engineer)

(MDCBP Superintendent/Supervisor)

DISTRIBUTION :

Subcon

MDCBP Document Control

Revisio

FORM NO.: F-QM-LD-007

rtires Cavite

Trece Martires Cavite

CONTROL NO.

INSPECTION DATE/TIME :

STRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:

REMARKS

ed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before actual INSPECTION.

Revision No. 002 (May 2014)

PROJECT
LOCATION

PRE - CONCRETING CHECKLIST

DATE PREPARED :

BUILDING AREA / LEVEL:

GRIDLINE / AXES:

CHECK THAT THE FOLLOWING COMPLIES WITH APPROVED SUBMITTALS , FOR CONSTRUCTION DRAWINGS AND
Complied

COMPONENTS

SC

FE

1.0 FORMWORK
DATE INSPECTED:
a. Survey acceptance, elevation

b. Position,Line & Level

c. Chamfers

d. Tightness
e. Blockouts/embedments
f. Struts and Bracings
g. Construction Joints
h. Cleaned and oiled
i. Surface Quality

j. Safety protection

2.0 REINFORCEMENTS

Complied

DATE INSPECTED:
a. Size, Number & Spacing

SC

FE

b. Lap length
c. Alignment/plumbness
d. Ties/strirrups
e. Spacers, chairs, covers
f. Embedments
g. Cleanliness

h. Rebar wire secured

i. Others
3.0 EQUIPMENT/CONCRETING

Complied

DATE INSPECTED:

SC

a. Finish level reference per approved plan?

b. Concrete Pouring Monitoring ready?

c. Vibrator conditions with Back up

FE

Details (if any)

d. Curing & moisture protection ready?

e. Method of concrete placement approved?
f. Concreting tools per approved Method?

g. Clearance from MEPFS approved? ( If applicable)

h. Field Concreting Team
h.1 Field Engineer

h.2 Subcon PIC/QC

h.3 Foreman

h.4 Skilled workers

h.5 Pouring crew

i. Estimated Concrete volume

j. Sufficient and Safe Concreting Access?

CONCRETE POURING STATISTICS

Schedule of Pouring Date
Schedule of Pouring Time
Estimated Volume (m3)
Target Slump

REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor
PREPARED BY:

INSPECTED BY:
PENNYLENE GUASIS
(Sub-Con PIC/QAQC)

DISTRIBUTION :

(MDCBP Field QC Engineer)

Subcon

FORM NO. : F-QM-ST-001

: AMAIA SCAPES TRECE MARTIRES
: BRGY. CONCHU, TRECE MARTIRES, CAVITE

PREPARED :

CONTROL NO. :

STRUCTURE :

INSPECTION DATE/TIME :

PAVEMENT

CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:

Details (if any)

REMARKS

CONCRETE POURING STATISTICS

Actual Pouring Date:
Actual Pouring Time :
Actual Volume (m3) Poured :
Actual Slump Range :

signed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before

actual INSPECTION.

APPROVED BY:

(MDCBP Field QC Engineer)

(MDCBP Superintendent/Supervisor)
MDCBP Document Control
Revision No. 002 (May 2014)

POST - CONCRETE
CHECKLIST

PROJECT:

AMAIA SCAPES TRECE MARTIRES

LOCATION:

BRGY. CONCHU, TRECE MARTIRES, CAVITE

DATE PREPARED :

AREA / LEVEL :
GRIDLINE / AXES:

CHECK THAT THE FOLLOWING COMPLY WITH APPROVED SUBMITTALS , FOR CONSTRUCTION DRAWINGS AND T
Complied

COMPONENTS

SC

FE

1.0 CAST CONCRETE (Checks formworks strip)

a. Curing in place (water/burlap)
b. Dimensional Check

c. Formed Faces, deviation from line

d. Built-in items Position / Level

e. Cleanness of the next lift rebar
f. Vertical / Lateral Alignment

g. Surface quality appearance

No honeycomb

No Cracks

No Bugholes

No exposed rebars
h. Others

Remedial Work (if any)

Remedial Work Completed

Concrete Test Report Reference ( If Available):

REMARKS:

NOTE : This form must be submitted to The OPERATIONS, duly accomplished and signed by the corresponding Contractor's Personn
PREPARED BY:

INSPECTED BY:
PENNYLENE GUASIS
(Sub-Con PIC/QAQC )

DISTRIBUTION :

(MDCBP Field QC Engineer)

Subcon

FORM NO. : F-QM-ST-002

CAPES TRECE MARTIRES

ONCHU, TRECE MARTIRES, CAVITE

DATE CASTED:

CONTROL NO. :

STRUCTURE :

INSPECTION DATE/TIME :
PAVEMENT

R CONSTRUCTION DRAWINGS AND TECHNICAL SPECIFICATIONS:

REMARKS

ed by the corresponding Contractor's Personnel-in-Charge at least 24 hours before actual INSPECTION.

eld QC Engineer)

APPROVED BY:

(MDCBP Superintendent/Supervisor)
MDCBP Document Control
Revision No. 002 (May 2014)