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VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC.

, (VIDIFI)
TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
HN-HP EXPRESSWAY PROJECT MANAGEMENT BOARD - BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section


Tn gi thu: E
Contractor : GS Engin
Nh thu : Tp o

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants : MI-VJEC Joint Venture
T vn gim st: Lin danh MI-VJEC

ACCEPTANCE OF WORK ITEM COMPLETED


NGHIM THU CNG TC XY LP (CNG VIC, B PHN, KT CU)
Project (D n) : Ha Noi - Hai Phong Expressway Project / D n ng t cao tc H Ni- Hi Phng
Work Items: Bridge works
Sub-structure
(Hng mc): Thi cng cu
Kt cu phn di
Location / (v tr):
A7-01 bridge/ Cu A7-01
Name of completed work part (Tn b phn cng trnh hon thnh):

Pile cap/B tr: P4R

Time, location of inspection / (Thi gian nghim thu):


- Begining time (Bt u): 15h00 ngy (date)
12 thng(month)
11
nm(year)
- Finish time: (Kt thc): 16h00 ngy (date)
12 thng(month)
11
nm(year)
Acceptance Attendees / Thnh phn tham gia nghim thu:
The Engineer Representative / i din t vn gim st :
- Mr (ng) :
Francisco E.Perez
Position (chc v):
Resident Engineer / K s thng tr
- Mr (ng) :
Nguyen Van Ngoc
Position (chc v):
Bridge Engineer / K s cu
Contractors Representative/ i din ca nh thu :
- Mr (ng) :
Kim Chang Hwan
Position (chc v): Acting Project Manager / Quyn Gim c d n
- Mr (ng) :
Bui Doan Hieu
Position (chc v): QC Manager / Gim c QLCL
All the parties have jointly implement the followings (Cc bn cng tin hnh):
1.Check the following documents (Xem xt cc ti liu sau):
- Request for inspection No./(Phiu yu cu nghim thu s):
RFI.13110514, RFI.13110515 and RFI.13111203
- Detailed design and Shop drawings/(H s thit k k thut v bn v thi cng): Shop drawings/ Bn v s

EX7-A7-01-SUB-P4-0010, EX7-A7-01-SUB-P4-0020, EX7-A7-01-SUB-P4-0060, EX7-A7-01-SUB-P4-0070, EX7-A7-01-SUB-P4-0080, EX7-A7-01-SUB-P4-0

- Technical Specification/(Tiu chun k thut ca d n):


Ha Noi - Hai Phong Expressway Project / DA ng
- Intenal acceptance minute of the Contractor/(Bin bn nghim thu ni b ca nh thu):
- Acceptance minutes of construction work/(Cc bin bn nghim thu cng vic xy dng):
- Checking and testing results of materials and equipment during construction/(Cc kt qu kim tra, th nghim vt liu,
thit b trong qu trnh xy dng):
2. Visualy check on site evaluate the quality ( Kim tra ti hin trng v nhn xt v cht lng)

..Meet the requirement of construction quality/ t yu cu v cht lng


3.The corrections comparing to the technical design (Cc sa i so vi thit k c ph duyt)

...No/ Khng...
4.Conclusion and recommendation (Kt lun v kin ngh)
............................................................................................................................................................................................
Acceptance is given
Chp thun nghim thu.
............................................................................................................................................................................................
Acceptance is not given. The following defects must be re ctified before .................. for re - inspection.
Khng chp thun nghim thu. Yu cu khc phc cc khim khuyt lit k di y trc ngy .......... nghim thu li.

............................................................................................................................................................................................
CONTRACTORS REPRESENTATIVE
(I DIN NH THU)

ENGINEERS REPRESENTA
(I DIN T VN GIM

QC Manager
(Gim c QLCL)

Acting Project Manager


(Quyn gim c d n)

Bridge Engineer
(K s cu)

Bui Doan Hieu

Kim Chang Hwan

Nguyen Van Ngoc

RE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TRIN H TNG V U T TI CHNH VIT NAM VIDIFI

EMENT BOARD - BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300
Contractor : GS Engineering & Construction
Nh thu : Tp on Xy dng v K thut GS

ANCE OF WORK ITEM COMPLETED

G TC XY LP (CNG VIC, B PHN, KT CU)

Pile cap/B tr: P4R

2013
2013

Resident Engineer / K s thng tr


Bridge Engineer / K s cu
Position (chc v): Acting Project Manager / Quyn Gim c d n

RFI.13110514, RFI.13110515 and RFI.13111203

4-0060, EX7-A7-01-SUB-P4-0070, EX7-A7-01-SUB-P4-0080, EX7-A7-01-SUB-P4-0090

Ha Noi - Hai Phong Expressway Project / DA ng cao tc HN -HP


Attachment List / Danh sch nh km
Attachment List / Danh sch nh km
Attachment List / Danh sch nh km

rement of construction quality/ t yu cu v cht lng

No/ Khng...

ENGINEERS REPRESENTATIVE
(I DIN T VN GIM ST)
Resident Engineer
(K s thng tr)

Francisco E.Perez

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000


Tn gi thu: EX-7, Km72+00

CHECKING REPORT OF FORMWORK OF PILE CAP


(Bo co kim tra vn khun b tr)

Form N
Date (d/m/yy - ngy, thng, nm):

November 6, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0010

Request number (Phiu yu cu gim st s):

EX7-A7-01-SUB-P4-0020

PLAN (Hnh minh ho)

P4R
CL o f Pier PL

THAI BINH

RFI.13110514

p1

1- Checking coordinate of point (Kim tra to cc im):


C

p2

Check point
(im K.tra)

Design(TK)

Actual(TT)

2301208.014

2301208.017

0.003

554427.250

554427.248

-0.002

+1.000

+1.003

0.003

HAI PHONG

Tolerance
(Dung sai)

p4

P1

p3

P2

Check point
(im K.tra)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301204.308

2301204.297

-0.011

2301205.948

2301205.968

0.020

554429.316

554429.331

0.015

554423.544

554423.544

0.000

+1.000

+0.998

-0.002

+1.000

+1.006

0.006

P3

P4

Check point
(im K.tra)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301211.720

2301211.716

-0.004

2301210.080

2301210.081

0.001

554425.184

554425.202

0.018

554430.956

554430.955

-0.001

+1.000

+1.005

0.005

+1.000

+1.001

0.001

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 Tolerance of location (Sai lch v v tr):
4- Figure stability of fromwork ( chc chn ca vn khun):
5- Tightness of formwork ( kn kht ca vn khun):
6- Formwork release agent (Qut cht chng dnh b mt):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
The Contractor (Nh thu)
Surveyor
(Kho st)

The Consultant (TVGS)


Construction Manager
(Gim c thi cng)

Inspector
(Gim st vin)

Topo.Engine
(K s a h

Tran Van Hoan

Lee Gil Jae

Vu Van Hiep

Nguyen The T

NT AND FINANCE INVESTMENT JSC., (VIDIFI)


V U T TI CHNH VIT NAM VIDIFI
L D N NG T CAO TC H NI - HI PHNG
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

FORMWORK OF PILE CAP


a vn khun b tr)
Form No: SUB-PC-03

n / ng nghim thu
The Consultant (TVGS)
Topo.Engineer
(K s a hnh)

Nguyen The Thuc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section fro


Tn gi thu: EX

CHECKING REPORT OF STEEL GENERAL OF PILECAP


(Bo co kim tra tng hp ct thp b tr)
Date (d/m/yy - ngy, thng, nm):

November 6, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0060

Request number (Phiu yu cu gim st s):

RFI.13110514

+Steel cerfiticate number (Chng ch th nghim s):

TN/0770CM

TN/8737

TN/8772

Length/
Chiu di
(mm)

No.
(TT)

Item
(Chi tit)

Diameter
ng knh
(mm)

F1

D 22

6,444

F2

D 22

F3

Design/
T.k

EX7-A7-01-SUB-P4-0070

EX7-A7-01-SUB-P4-0090

TN/8781

Quatity/
S lng
(bar/thanh)
Actual/
T.t

EX7-A7-01-SUB-P4-0080

Distance/
Khong cch
(mm)

Joint length/
C.di ni
(mm)
Design/
T.k

Actual/
T.t

Unit weight/
T.lng v
(Kg/m)

Design/
T.k

Actual/
T.t

Design/
T.k

Actual/
T.t

6,440

78

78

150

150

3.042

6,444

6,441

78

78

150

150

3.042

D 25

6,524

6,522

39

39

150

150

3.973

F4

D 25

6,524

6,523

39

39

150

150

3.973

F5

D 16

5,790

5,791

20

20

150

150

1.552

F6

D 16

2,170

2,171

78

78

150

150

1.552

F7

D 16

5,790

5,789

20

20

150

150

1.552

F8

D 16

2,124

2,123

78

78

150

150

1.552

F9

D 16

1,963

1,961

41

41

600

600

1.552

10

C1

D 29

8,414

8,410

80

80

150

150

5.060

11

C3c

D 16

6,652

6,650

11

11

100

100

1.552

12

C4c

D 16

2,379

2,375

33

33

100

100

1.552

13

C5c

D 16

2,379

2,377

33

33

100

100

1.552

14

C6c

D 16

5,852

5,850

11

11

100

100

1.552
D 16
D 22

Total weight/tng trng lng

D 25
D 29

OK
+ Reinforcement is clean ( sch s ca ct thp):
+ Tolerance of Bar spacing (Sai lch v khong cch cc bc ct thp):
+ Dimension and location of concrete block cover (Kch thc v v tr con k):
+ Figure stability of Reinforcement and Exposed reinforcement ( chc chn ca lng thp v ct thp ch):
+ Worked steel Reinforcement (Cht lng gia cng ct thp):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu

The Contractor (Nh thu)


Site Engineer
(K s hin trng)

The Consultant (TVGS)


Construction Manager
(Gim c thi cng)

Inspector
(Gim st vin )

Br
(K s cu)

Bui Van Cong

Lee Gil Jae

Vu Van Hiep

Ngu

EVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


N H TNG V U T TI CHNH VIT NAM VIDIFI
BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

T OF STEEL GENERAL OF PILECAP


m tra tng hp ct thp b tr)
Form No: SUB-PC-04

EX7-A7-01-SUB-P4-0090

Total weight/
Tng trng lng
(Kg)
Design/
T.k

Actual/
T.t

1,529.01

1,528.06

1,529.01

1,528.29

1,010.87

1,010.56

1,010.87

1,010.72

179.72

179.75

262.69

262.81

179.72

179.69

257.12

257.00

124.91

124.78

3,405.99
113.56
121.84
121.84
99.91

Remark/
Ghi ch

Rebar for
pilecap/
ct thp
b tr

3,404.37
113.53 Rebar for
column
(installed
121.64
with rebar
of pile cap
121.74 together
99.87

1,461.32

1,460.82

3,058.01

3,056.35

2,021.75

2,021.28

3,405.99

3,404.37

9,947.07

9,942.82

NOT OK

tance is given / ng nghim thu

The Consultant (TVGS)


Bridge Engineer
(K s cu)

Nguyen Van Ngoc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300

INSPECTION SHEET FOR PREPARATION OF CONCRETING


(Bin bn kim tra cng tc chun b b tng)
Form No: SUB-PC-05
Date (d/m/yy - ngy, thng, nm):

November 6, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0060

Request number ( Phiu yu cu gim st s):

RFI.13110515

Method and tools of checking for approval:

OK

EX7-A7-01-SUB-P4-0070

EX7-A7-01-SUB-P4-0080

EX7-A7-01-SUB-P4-0090

Description (Ni dung)


I. Equipment (Thit b).

OK

Concrete batching plant (trm trn b tng):

Concrete transport (vn chuyn b tng):

Concrete placing pipes (ng b tng):

Concrete pump, if any (bm btng nu c):

Vibrator (m b tng):

Electrics (cp in):

Not OK

II. Material (Vt liu).


1

Cement (Xi mng):

Sand (Ct):

Rock ()

Water (Nc)

Admixture (Ph gia)

Concrete mix (Cp phi trn)

Cement
(Xi mng)

Sand
(Ct)

Rock
()

Water
(Nc)

Admixture
(Ph gia)

V (Dung tch 1 m3concrete)

390 KG

795 KG

1057 KG

171.1 KG

3900 mL

V (Dung tch 7 m concrete)

2730 KG

5565 KG

7399 KG

1197.7 KG

27300 mL

Other
(Khc)

III. Others (Cc vn khc).


1

Access road (ng dn):

Workforce (Nhn cng):

Chipping construction joint (To nhm mi ni thi cng):

Safety works (cng tc an ton)

Note: Section II Material will be checked and accepted by Engineers Material Engineer (Lu : Mc II Vt liu s c K s Vt liu kim tra v chp thun)

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu

The Contractor (Nh thu)

The Consultant (TVGS)

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

Inspector
(Gim st vin)

Vu Van Hiep

Bridge Engineer
(K s cu)

Nguyen Van Ngoc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300

REPORT ON CONCRETE PLACING OF PILECAP


(Bo co b tng b tr)
Form No: SUB-PC-06-1
Date (d/m/yy - ngy, thng, nm):

November 6, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0060

Request number ( Phiu yu cu gim st s):

RFI.13110515

Method and tools of checking for approval:

OK

EX7-A7-01-SUB-P4-0070

Designed slump ( st tht k):

15.0 2.5 (cm)

Concrete quantity, designed (Khi lng b tng thit k):

71.32 m3

Concrete quantity, actual (Khi lng b tng thc t):

73.00 m3

Concrete supply and casting (Vn chuyn v b tng):

mixer truck, concrete pump


Time (Thi gian)

Vehicle Plate No.


(S xe)

Start
(B. u)

Finish
(K.Thc)

EX7-A7-01-SUB-P4-0080

Slump ( st)
cm

Temperature.
(N.)
o
C

Volume
(T.tch BT - m3)

EX7-A7-01-SUB-P4-0090

Volume increase
(T.tch BT cng dn m3)

15C - 01175

18:32

18:41

17.5

31.0

15C - 01173

18:47

18:57

17.5

31.5

14

15C - 01171

19:01

19:15

15.0

31.5

21

15C - 01175

19:20

19:29

16.0

31.5

28

15C - 01173

19:32

19:45

15.5

31.0

35

15C - 01171

19:49

20:00

15.0

31.0

41

15C - 01175

20:06

20:17

15.0

31.5

48

15C - 01173

20:23

20:36

16.0

31.0

55

15C - 01171

21:10

21:20

15.0

31.5

61

10

15C - 01175

21:26

21:37

16.0

31.0

68

11

15C - 01173

21:52

22:00

16.0

31.5

73

Total

73.0 m3

73.0 m3

Sample
(S mu)

03

03

03

12
13
14
15
16
17
18
19
20
21
22
23
09 mu

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu
The Contractor (Nh thu)

The Consultant (TVGS)

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

Inspector
(Gim st vin)

Vu Van Hiep

Bridge Engineer
(K s cu)

Nguyen Van Ngoc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300

CHECKING RECORD OF STRUCTURE COMPLETED


(Bin bn kim tra b phn kt cu hon thnh)

Date (d/m/yy - ngy, thng, nm):

November 13, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0010

EX7-A7-01-SUB-P4-0020

RFI.13111203

PLAN (Hnh minh ho)

P4R
CL o f Pier PL

THAI BINH

Request number (Phiu yu cu gim st s):

p1

1- Checking coordinate of point (Kim tra to cc im):

p2

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301208.014

2301208.010

-0.004

554427.250

554427.253

0.003

+1.000

+0.982

-0.018

HAI PHONG

Check point
(im K.tra)

P1

Check point
(im K.tra)

Design(TK)

X
Y

p4

p3

P2

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301204.308

2301204.306

-0.002

2301205.948

2301205.962

0.014

554429.316

554429.322

0.006

554423.544

554423.546

0.002

+1.000

+0.992

-0.008

+1.000

+0.999

-0.001

Check point
(im K.tra)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301211.720

2301211.726

0.006

2301210.080

2301210.073

-0.007

554425.184

554425.189

0.005

554430.956

554430.966

0.010

+1.000

+0.993

-0.007

+1.000

+0.990

-0.010

P3

P4

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 -Tolerance of location (Sai lch v v tr):
4- Quality curing of concrete (Cht lng cng tc bo dng b tng):
5- Quality of surface concrete (Cht lng b mt b tng):
6- All surfaces be coated with two coats of bituminous membrance (Qut hai lp nha ng cc mt b tng): 2kg/m2
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
The Contractor (Nh thu)

The Consultant (TVGS)

Surveyor
(Kho st)

Construction Manager
(Gim c thi cng)

Inspector
(Gim st vin)

Topo.Engineer
(K s a hnh)

Tran Van Hoan

Lee Gil Jae

Vu Van Hiep

Nguyen The Thuc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
HN-HP EXPRESSWAY PROJECT MANAGEMENT BOARD - BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section


Tn gi thu: E
Contractor : GS Engin
Nh thu : Tp o

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants : MI-VJEC Joint Venture
T vn gim st: Lin danh MI-VJEC

ACCEPTANCE OF WORK ITEM COMPLETED


NGHIM THU CNG TC XY LP (CNG VIC, B PHN, KT CU)
Project (D n) : Ha Noi - Hai Phong Expressway Project / D n ng t cao tc H Ni- Hi Phng
Work Items: Bridge works
Sub-structure
(Hng mc): Thi cng cu
Kt cu phn di
Location / (v tr):
A7-01 bridge/ Cu A7-01
Name of completed work part (Tn b phn cng trnh hon thnh):

Pile cap/B tr: P4L

Time, location of inspection / (Thi gian nghim thu):

- Begining time (Bt u): 16h00 ngy (date)


12 thng(month)
11
nm(year)
- Finish time: (Kt thc): 17h00 ngy (date)
12 thng(month)
11
nm(year)
Acceptance Attendees / Thnh phn tham gia nghim thu:
The Engineer Representative / i din t vn gim st :
- Mr (ng) :
Francisco E.Perez
Position (chc v):
Resident Engineer / K s thng tr
- Mr (ng) :
Nguyen Van Ngoc
Position (chc v):
Bridge Engineer / K s cu
Contractors Representative/ i din ca nh thu :
- Mr (ng) :
Kim Chang Hwan
Position (chc v): Acting Project Manager / Quyn Gim c d n
- Mr (ng) :
Bui Doan Hieu
Position (chc v): QC Manager / Gim c QLCL
All the parties have jointly implement the followings (Cc bn cng tin hnh):
1.Check the following documents (Xem xt cc ti liu sau):
- Request for inspection No./(Phiu yu cu nghim thu s):
RFI.13110824, RFI.13110825, RFI.13110826 and RFI.13111203
- Detailed design and Shop drawings/(H s thit k k thut v bn v thi cng): Shop drawings/ Bn v s

EX7-A7-01-SUB-P4-0010, EX7-A7-01-SUB-P4-0020, EX7-A7-01-SUB-P4-0030, EX7-A7-01-SUB-P4-0040, EX7-A7-01-SUB-P4-0050, EX7-A7-01-SUB-P4-0

- Technical Specification/(Tiu chun k thut ca d n):


Ha Noi - Hai Phong Expressway Project / DA ng
- Intenal acceptance minute of the Contractor/(Bin bn nghim thu ni b ca nh thu):
- Acceptance minutes of construction work/(Cc bin bn nghim thu cng vic xy dng):
- Checking and testing results of materials and equipment during construction/(Cc kt qu kim tra, th nghim vt liu,
thit b trong qu trnh xy dng):
2. Visualy check on site evaluate the quality ( Kim tra ti hin trng v nhn xt v cht lng)

..Meet the requirement of construction quality/ t yu cu v cht lng


3.The corrections comparing to the technical design (Cc sa i so vi thit k c ph duyt)

...No/ Khng...
4.Conclusion and recommendation (Kt lun v kin ngh)
............................................................................................................................................................................................
Acceptance is given
Chp thun nghim thu.
............................................................................................................................................................................................
Acceptance is not given. The following defects must be re ctified before .................. for re - inspection.
Khng chp thun nghim thu. Yu cu khc phc cc khim khuyt lit k di y trc ngy .......... nghim thu li.

............................................................................................................................................................................................
CONTRACTORS REPRESENTATIVE
(I DIN NH THU)

ENGINEERS REPRESENT
(I DIN T VN GIM

QC Manager
(Gim c QLCL)

Acting Project Manager


(Quyn gim c d n)

Bridge Engineer
(K s cu)

Bui Doan Hieu

Kim Chang Hwan

Nguyen Van Ngoc

RE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TRIN H TNG V U T TI CHNH VIT NAM VIDIFI

EMENT BOARD - BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300
Contractor : GS Engineering & Construction
Nh thu : Tp on Xy dng v K thut GS

ANCE OF WORK ITEM COMPLETED

G TC XY LP (CNG VIC, B PHN, KT CU)

Pile cap/B tr: P4L

2013
2013

Resident Engineer / K s thng tr


Bridge Engineer / K s cu
Position (chc v): Acting Project Manager / Quyn Gim c d n

RFI.13110824, RFI.13110825, RFI.13110826 and RFI.13111203

4-0030, EX7-A7-01-SUB-P4-0040, EX7-A7-01-SUB-P4-0050, EX7-A7-01-SUB-P4-0090

Ha Noi - Hai Phong Expressway Project / DA ng cao tc HN -HP


Attachment List / Danh sch nh km
Attachment List / Danh sch nh km
Attachment List / Danh sch nh km

rement of construction quality/ t yu cu v cht lng

No/ Khng...

ENGINEERS REPRESENTATIVE
(I DIN T VN GIM ST)
Resident Engineer
(K s thng tr)

Francisco E.Perez

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000


Tn gi thu: EX-7, Km72+00

CHECKING REPORT OF FORMWORK OF PILE CAP


(Bo co kim tra vn khun b tr)

Form N
Date (d/m/yy - ngy, thng, nm):

November 9, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0010

Request number (Phiu yu cu gim st s):

EX7-A7-01-SUB-P4-0020

PLAN (Hnh minh ho)

P4L
p1

1- Checking coordinate of point (Kim tra to cc im):


C

CL o f Pier PL

THAI BINH

RFI.13110824

p2

Check point
(im K.tra)

Design(TK)

Actual(TT)

2301205.934

2301205.941

0.007

554434.570

554434.568

-0.002

+1.000

+1.003

0.003

HAI PHONG

Tolerance
(Dung sai)

P1

p4

p3

P2

Check point
(im K.tra)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301202.228

2301202.226

-0.002

2301203.868

2301203.870

0.002

554436.636

554436.647

0.011

554430.864

554430.869

0.005

+1.000

+0.997

-0.003

+1.000

+1.006

0.006

P3

P4

Check point
(im K.tra)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301209.640

2301209.649

0.009

2301208.000

2301208.006

0.006

554432.504

554432.520

0.016

554438.276

554438.288

0.012

+1.000

+0.999

-0.001

+1.000

+1.004

0.004

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 Tolerance of location (Sai lch v v tr):
4- Figure stability of fromwork ( chc chn ca vn khun):
5- Tightness of formwork ( kn kht ca vn khun):
6- Formwork release agent (Qut cht chng dnh b mt):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
The Contractor (Nh thu)
Surveyor
(Kho st)

The Consultant (TVGS)


Construction Manager
(Gim c thi cng)

Inspector
(Gim st vin)

Topo.Engine
(K s a h

Tran Van Hoan

Lee Gil Jae

Vu Van Hiep

Nguyen The T

NT AND FINANCE INVESTMENT JSC., (VIDIFI)


V U T TI CHNH VIT NAM VIDIFI
L D N NG T CAO TC H NI - HI PHNG
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

FORMWORK OF PILE CAP


a vn khun b tr)
Form No: SUB-PC-03

n / ng nghim thu
The Consultant (TVGS)
Topo.Engineer
(K s a hnh)

Nguyen The Thuc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from


Tn gi thu: EX-7

CHECKING REPORT OF STEEL GENERAL OF PILECAP


(Bo co kim tra tng hp ct thp b tr)
Date (d/m/yy - ngy, thng, nm):

November 9, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0030

Request number (Phiu yu cu gim st s):

RFI.13110825

+Steel cerfiticate number (Chng ch th nghim s):

TN/0770CM

TN/8737

TN/8772

Length/
Chiu di
(mm)

No.
(TT)

Item
(Chi tit)

Diameter
ng knh
(mm)

F1

D 22

6,444

F2

D 22

F3

Design/
T.k

EX7-A7-01-SUB-P4-0050

EX7-A7-01-SUB-P4-0090

TN/8781

Quatity/
S lng
(bar/thanh)
Actual/
T.t

EX7-A7-01-SUB-P4-0040

Distance/
Khong cch
(mm)

Joint length/
C.di ni
(mm)
Design/
T.k

Total weight/
Tng trng l
(Kg)

Design/
T.k

Actual/
T.t

Design/
T.k

Actual/
T.t

6,440

78

78

150

150

3.042

1529.01

6,444

6,447

78

78

150

150

3.042

1529.01

D 25

6,524

6,520

39

39

150

150

3.973

1010.87

F4

D 25

6,524

6,528

39

39

150

150

3.973

1010.87

F5

D 16

5,790

5,785

20

20

150

150

1.552

179.72

F6

D 16

2,170

2,175

78

78

150

150

1.552

262.69

F7

D 16

5,790

5,785

20

20

150

150

1.552

179.72

F8

D 16

2,124

2,120

78

78

150

150

1.552

257.12

F9

D 16

1,963

1,960

41

41

600

600

1.552

124.91

10

C1

D 29

8,414

###

80

80

150

150

5.060

3405.99

11

C3c

D 16

6,652

6,650

11

11

100

100

1.552

113.56

12

C4c

D 16

2,379

2,375

33

33

100

100

1.552

121.84

13

C5c

D 16

2,379

2,374

33

33

100

100

1.552

121.84

14

C6c

D 16

5,852

5,850

11

11

100

100

1.552

99.91

D 16

1461.32

D 22

3058.01

D 25

2021.75

D 29

3405.99

Total weight/tng trng lng

Actual/
T.t

Unit weight/
T.lng v
(Kg/m)

Design/
T.k

9947.07

OK

NOT OK

+ Reinforcement is clean ( sch s ca ct thp):


+ Tolerance of Bar spacing (Sai lch v khong cch cc bc ct thp):
+ Dimension and location of concrete block cover (Kch thc v v tr con k):
+ Figure stability of Reinforcement and Exposed reinforcement ( chc chn ca lng thp v ct thp ch):
+ Worked steel Reinforcement (Cht lng gia cng ct thp):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu

The Contractor (Nh thu)


Site Engineer
(K s hin trng)

The Consultant (TVGS)


Construction Manager
(Gim c thi cng)

Inspector
(Gim st vin )

Bridge Eng
(K s c

Bui Van Cong

Lee Gil Jae

Vu Van Hiep

Nguyen Van

PMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


NG V U T TI CHNH VIT NAM VIDIFI
UN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

F STEEL GENERAL OF PILECAP


a tng hp ct thp b tr)
Form No: SUB-PC-04

Total weight/
Tng trng lng
(Kg)
Actual/
T.t

Remark/
Ghi ch

1,528.06
1,529.72
1,010.25
1,011.49
179.57

Rebar for
pilecap/
ct thp
b tr

263.30
179.57
256.64
124.72
3,405.99
113.53

Rebar for
column(installe
121.64 d with rebar of
pile cap
together
121.59
99.87
1460.41
3057.78
2021.75
3405.99
9945.92

given / ng nghim thu

The Consultant (TVGS)


Bridge Engineer
(K s cu)

Nguyen Van Ngoc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300

INSPECTION SHEET FOR PREPARATION OF CONCRETING


(Bin bn kim tra cng tc chun b b tng)
Form No: SUB-PC-05
Date (d/m/yy - ngy, thng, nm):

November 9, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0030

Request number ( Phiu yu cu gim st s):

RFI.13110826

Method and tools of checking for approval:

OK

EX7-A7-01-SUB-P4-0040

EX7-A7-01-SUB-P4-0050

EX7-A7-01-SUB-P4-0090

Description (Ni dung)


I. Equipment (Thit b).

OK

Concrete batching plant (trm trn b tng):

Concrete transport (vn chuyn b tng):

Concrete placing pipes (ng b tng):

Concrete pump, if any (bm btng nu c):

Vibrator (m b tng):

Electrics (cp in):

Not OK

II. Material (Vt liu).


1

Cement (Xi mng):

Sand (Ct):

Rock ()

Water (Nc)

Admixture (Ph gia)

Concrete mix (Cp phi trn)

Cement
(Xi mng)

Sand
(Ct)

Rock
()

Water
(Nc)

Admixture
(Ph gia)

V (Dung tch 1 m3concrete)

390 KG

795 KG

1057 KG

171.1 KG

3900 mL

V (Dung tch 7 m concrete)

2730 KG

5565 KG

7399 KG

1197.7 KG

27300 mL

Other
(Khc)

III. Others (Cc vn khc).


1

Access road (ng dn):

Workforce (Nhn cng):

Chipping construction joint (To nhm mi ni thi cng):

Safety works (cng tc an ton)

Note: Section II Material will be checked and accepted by Engineers Material Engineer (Lu : Mc II Vt liu s c K s Vt liu kim tra v chp thun)

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu

The Contractor (Nh thu)

The Consultant (TVGS)

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

Inspector
(Gim st vin)

Vu Van Hiep

Bridge Engineer
(K s cu)

Nguyen Van Ngoc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300

REPORT ON CONCRETE PLACING OF PILECAP


(Bo co b tng b tr)
Form No: SUB-PC-06-1
Date (d/m/yy - ngy, thng, nm):

November 9, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0030

Request number (Phiu yu cu gim st s):

RFI.13110826

Method and tools of checking for approval:

OK

EX7-A7-01-SUB-P4-0040

Designed slump ( st tht k):

15.0 2.5 (cm)

Concrete quantity, designed (Khi lng b tng thit k):

71.32 m3

Concrete quantity, actual (Khi lng b tng thc t):

73.00 m3

Concrete supply and casting (Vn chuyn v b tng):

mixer truck, concrete pump


Time (Thi gian)

Vehicle Plate No.


(S xe)

Start
(B. u)

Finish
(K.Thc)

EX7-A7-01-SUB-P4-0050

Slump ( st)
cm

Temperature.
(N.)
o
C

Volume
(T.tch BT - m3)

EX7-A7-01-SUB-P4-0090

Increase volume
(T.tch BT cng dnm3)

Sample
(S mu)

15C - 01171

16:56

17:09

16.0

31.5

6.0

6.0

15C - 01173

17:14

17:26

15.0

31.0

7.0

13.0

15C - 01175

17:30

17:38

16.5

31.5

7.0

20.0

15C - 01171

17:41

17:53

17.0

31.5

6.0

26.0

15C - 01173

17:56

18:04

17.0

31.0

7.0

33.0

15C - 01175

18:12

18:23

17.0

31.5

7.0

40.0

15C - 01171

18:36

18:46

16.5

31.0

6.0

46.0

15C - 01173

18:58

19:13

16.5

31.5

7.0

53.0

15C - 01175

19:17

19:30

16.5

31.0

7.0

60.0

10

15C - 01171

19:34

19:46

17.0

31.5

6.0

66.0

11

15C - 01173

19:49

20:06

16.5

31.5

7.0

73.0

03

Total

73.0 m3

73.00 m3

09 mu

03

03

12
13
14
15
16
17
18
19
20
21
22
23

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu
The Contractor (Nh thu)

The Consultant (TVGS)

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

Inspector
(Gim st vin)

Vu Van Hiep

Bridge Engineer
(K s cu)

Nguyen Van Ngoc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300

CHECKING RECORD OF STRUCTURE COMPLETED


(Bin bn kim tra b phn kt cu hon thnh)

Date (d/m/yy - ngy, thng, nm):

November 13, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr):

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0010

EX7-A7-01-SUB-P4-0020

RFI.13111203

PLAN (Hnh minh ho)

P4L
CL o f Pier PL

THAI BINH

Request number (Phiu yu cu gim st s):

p1

1- Checking coordinate of point (Kim tra to cc im):

p2

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301205.934

2301205.930

-0.004

554434.570

554434.575

0.005

+1.000

+0.994

-0.006

HAI PHONG

Check point
(im K.tra)

P1

Check point
(im K.tra)

Design(TK)

X
Y

p4

p3

P2

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301202.228

2301202.224

-0.004

2301203.868

2301203.865

-0.003

554436.636

554436.630

-0.006

554430.864

554430.864

0.000

+1.000

+1.001

0.001

+1.000

+1.006

0.006

Check point
(im K.tra)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301209.640

2301209.635

-0.005

2301208.000

2301207.996

-0.004

554432.504

554432.517

0.013

554438.276

554438.267

-0.009

+1.000

+1.003

0.003

+1.000

+1.004

0.004

P3

P4

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 -Tolerance of location (Sai lch v v tr):
4- Quality curing of concrete (Cht lng cng tc bo dng b tng):
5- Quality of surface concrete (Cht lng b mt b tng):
6- All surfaces be coated with two coats of bituminous membrance (Qut hai lp nha ng cc mt b tng): 2kg/m2
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
The Contractor (Nh thu)

The Consultant (TVGS)

Surveyor
(Kho st)

Construction Manager
(Gim c thi cng)

Inspector
(Gim st vin)

Topo.Engineer
(K s a hnh)

Tran Van Hoan

Lee Gil Jae

Vu Van Hiep

Nguyen The Thuc

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

REPORT ON LEAN CONCRETE PLACING


(Bo co b tng lt)
Form No: SUB-PC-02-2
Date (d/m/yy - ngy, thng, nm):

#REF!

Work Item (Hng mc):

#REF!

Name of the Part (Tn b phn):

Pier (Tr)

Base on (cn c vo):

#REF!

#REF!

Request number ( Phiu yu cu gim st s ):

#REF!

Method and tools of checking for approval:

#REF!

Designed slump ( st tht k):

12 2.5 cm

Concrete quantity, designed (Khi lng b tng thit k):

#REF!

Concrete quantity, actual (Khi lng b tng thc t):

#REF!

Concrete supply and casting (Vn chuyn v b tng):

mixer truck, crane

Time (Thi gian)


Vehicle Plate No.
(S xe)

#REF!

Start
(B. u)
#REF!

Finish
(K.Thc)

Slump ( st)

Temperature.
(N.)

Volume
(T.tch BT - m3)

Sample
(S mu)

#REF!

#REF!

#REF!

#REF!

#REF!

Total

#REF!

#REF!

2
3
4
5
6
7
8
9
10

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu

Site Engineer (K s hin trng)

#REF!

Nguyn Quang Tun

#REF!

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
HN-HP EXPRESSWAY PROJECT MANAGEMENT BOARD - BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section from Km72+00


Tn gi thu: EX-7, Km72+00
Contractor : GS Engineering & Const
Nh thu : Tp on Xy dng

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants : MI-VJEC Joint Venture
T vn gim st: Lin danh MI-VJEC

INTERNAL ACCEPTANCE OF WORK ITEM COMPLETED


NGHIM THU NI B CNG TC XY LP (CNG VIC, B PHN, KT CU)
Project (D n) : Ha Noi - Hai Phong Expressway Project / D n ng t cao tc H Ni- Hi Phng
Sub-structure
Work Items: Bridge works
(Hng mc): Thi cng cu
Kt cu phn di
Location / (v tr):
A7-01 bridge/ Cu A7-01
Name of completed work part (Tn b phn cng trnh hon thnh):
Pile cap/ B tr: P4R
Time, location of inspection / (Thi gian nghim thu):
- Begining time (Bt u): 09h00 ngy (date)
11 thng(month)
11
nm(year)
2013
- Finish time: (Kt thc): 10h00 ngy (date)
11 thng(month)
11
nm(year)
2013
Acceptance Attendees / Thnh phn tham gia nghim thu:
The Constructor Representative / i din Nh thu :
- Mr (ng) :
Lee Gil Jae
Position (chc v):
Bridge Manager / Gim c thi cng cu
The Construction teams Representative/ i din i thi cng :
- Mr (ng) :
Bui Van Cong
Position (chc v): Site Engineer / K s hin trng
- Mr (ng) :
Position (chc v:
All the parties have jointly implement the followings (Cc bn cng tin hnh):
1.Check the following documents (Xem xt cc ti liu sau):
- Request for inspection No./(Phiu yu cu nghim thu s):
- Detailed design and Shop drawings/(H s thit k k thut v bn v thi cng): Shop drawings/ Bn v s
EX7-A7-01-SUB-P4-0010, EX7-A7-01-SUB-P4-0020, EX7-A7-01-SUB-P4-0060, EX7-A7-01-SUB-P4-0070, EX7-A7-01-SUB-P4-0080, EX7-A7-01-SUB-P4-0090

- Technical Specification/(Tiu chun k thut ca d n):


- Intenal acceptance minute of the Contractor/(Bin bn nghim thu ni b ca nh thu):
- Acceptance minutes of construction work/(Cc bin bn nghim thu cng vic xy dng):
- Checking and testing results of materials and equipment during construction
(Cc kt qu kim tra, th nghim vt liu, thit b trong qu trnh xy dng):
2. Visualy check on site evaluate the quality ( Kim tra ti hin trng v nhn xt v cht lng)
Meet the requirement of construction work/ t yu cu cht lng thi cng
3.The corrections comparing to the technical design (Cc sa i so vi thit k c ph duyt)
No/Khng
4.Conclusion and recommendation (Kt lun v kin ngh)
............................................................................................................................................................................................
Acceptance is given
Chp thun nghim thu.
............................................................................................................................................................................................
Acceptance is not given. The following defects must be re ctified before .................. for re - inspection.
Khng chp thun nghim thu. Yu cu khc phc cc khim khuyt lit k di y trc ngy .......... nghim thu li.

............................................................................................................................................................................................
CONSTRUCTION TEAMS REPRESENTATIVE
(I DIN I THI CNG)

CONTRACTORS REPRESENTATIVE
(I DIN NH THU)

Bui Van Cong

Lee Gil Jae

SC., (VIDIFI)
VIDIFI

I - HI PHNG.

: EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300
tor : GS Engineering & Construction
h thu : Tp on Xy dng v K thut GS

TED
KT CU)

c thi cng cu

EX7-A7-01-SUB-P4-0090

RS REPRESENTATIVE
N NH THU)

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km7


Tn gi thu: EX-7, Km7

CHECKING REPORT OF FORMWORK OF PILECAP


(Bo co kim tra vn khun b tr)

Date (d/m/yy - ngy, thng, nm):

November 5, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr)

Base on (cn c vo):

Shop drawings:

P4R
EX7-A7-01-SUB-P4-0010

EX7-A7-01-SUB-P4-0020

PLAN (Hnh minh ho)

P4R
CL o f Pier PL

THAI BINH

Request number (Phiu yu cu gim st s):

p1

1- Checking coordinate of point (Kim tra to cc im):


C
Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301208.014

2301208.019

0.005

554427.250

554427.246

-0.004

+1.000

+1.006

0.006

HAI PHONG

Check point
(im K.tra)

P1

Check point
(im K.tra)

Design(TK)

p4

P2

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301204.308

2301204.295

-0.013

2301205.948

2301205.962

0.014

554429.316

554429.330

0.014

554423.544

554423.548

0.004

+1.000

+0.996

-0.004

+1.000

+1.005

0.005

P3

Check point
(im K.tra)

Design(TK)

X
Y
Z

P4

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301211.720

2301211.718

-0.002

2301210.080

2301210.085

0.005

554425.184

554425.200

0.016

554430.956

554430.958

0.002

+1.000

+1.007

0.007

+1.000

+1.003

0.003

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 Tolerance of location (Sai lch v v tr):
4- Figure stability of fromwork ( chc chn ca vn khun):
5- Tightness of formwork ( kn kht ca vn khun):
6- Formwork release agent (Qut cht chng dnh b mt):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
Surveyor
(Kho st)

Construction Manager
(Gim c thi cng)

Tran Van Hoan

Lee Gil Jae

EVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


N H TNG V U T TI CHNH VIT NAM VIDIFI
BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

ORT OF FORMWORK OF PILECAP


kim tra vn khun b tr)

p1

CL o f Pier PL

Form No: SUB-PC-03

p2

p4

p3

th design

ptance is given / ng nghim thu


Construction Manager
(Gim c thi cng)

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section from Km


Tn gi thu: EX-7, K

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

CHECKING REPORT OF STEEL GENERAL OF PILECAP


(Bo co kim tra tng hp ct thp b tr)
Date (d/m/yy - ngy, thng, nm):

November 5, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pilecap (B tr)

Base on (cn c vo):

Shop drawings:

P4R
EX7-A7-01-SUB-P4-0060

EX7-A7-01-SUB-P4-0070

TN/0770CM

TN/8772

EX7-A7-01-SUB-P4-0080

EX7-A7-01-SUB-P4-0090

Request number (Phiu yu cu gim st s):


+Steel cerfiticate number (Chng ch th nghim s):

No.
(TT)

Item
(Chi tit)

Diameter
ng knh
(mm)

F1

TN/8737

Length/
Chiu di
(mm)

TN/8781

Quatity/
S lng
(bar/thanh)

Distance/
Khong cch
(mm)

Joint length/
C.di ni
(mm)
Design/
T.k

Actual/
T.t

Unit weight/
T.lng v
(Kg/m)

Total weight/
Tng trng ln
(Kg)

Design/
T.k

Actual/
T.t

Design/
T.k

Actual/
T.t

Design/
T.k

Actual/
T.t

D22

6444

6450

78

78

150

150

3.042

1,529.01

F2

D22

6444

6445

78

78

150

150

3.042

1,529.01

F3

D25

6524

6525

39

39

150

150

3.973

1,010.87

F4

D25

6524

6530

39

39

150

150

3.973

1,010.87

F5

D16

5790

5795

20

20

150

150

1.552

179.72

F6

D16

2170

2180

78

78

150

150

1.552

262.69

F7

D16

5790

5795

20

20

150

150

1.552

179.72

F8

D16

2124

2125

78

78

150

150

1.552

257.12

F9

D16

1963

1965

41

41

600

600

1.552

124.91

10

C1

D29

8414

8415

80

80

150

150

5.06

3,405.99

11

C3c

D16

6652

6655

11

11

100

100

1.552

113.56

12

C4c

D16

2379

2380

33

33

100

100

1.552

121.84

13

C5c

D16

2379

2380

33

33

100

100

1.552

121.84

14

C6c

D16

5852

5855

11

11

100

100

1.552

99.91

D16

1,461.32

D22

3,058.01

D25

2,021.75

D29

3,405.99

Total weight/tng trng lng

Design/
T.k

9,947.07

OK
+ Reinforcement is clean ( sch s ca ct thp):
+ Tolerance of Bar spacing (Sai lch v khong cch cc bc ct thp):
+ Dimension and location of concrete block cover (Kch thc v v tr con k):
+ Figure stability of Reinforcement and Exposed reinforcement ( chc chn ca lng thp v ct thp ch):
+ Worked steel Reinforcement (Cht lng gia cng ct thp):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

NOT OK

EX-7 Section from Km72+000 to Km 81+300


n gi thu: EX-7, Km72+000 to Km81+300

Form No: SUB-PC-04

Total weight/
Tng trng lng
(Kg)
Actual/
T.t

Remark/
Ghi ch

1,530.43
1,529.24
1,011.03
1,011.80
179.88

Rebar for
pilecap/
ct thp
b tr

263.90
179.88
257.24
125.04
3,406.39
113.61
121.89
121.89
99.96

1,463.30
3,059.67
2,022.83
3,406.39
9,952.19

Rebar for
column
(installed with
rebar of pile
cap together

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72


Tn gi thu: EX-7, Km7

INSPECTION SHEET FOR PREPARATION OF CONCRETING


(Bin bn kim tra cng tc chun b b tng)

Date (d/m/yy - ngy, thng, nm):

November 5, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr)

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0060

EX7-A7-01-SUB-P4-0070

EX7-A7-01-SUB-P4-0080

EX7-A7-01-SU

Request number (Phiu yu cu gim st s):


Method and tools of checking for approval:

OK

Description (Ni dung)


I. Equipment (Thit b).

OK

Concrete batching plant (trm trn b tng):

Concrete transport (vn chuyn b tng):

Concrete placing pipes (ng b tng):

Concrete pump, if any (bm btng nu c):

Vibrator (m b tng):

Electrics (cp in):

Not OK

II. Material (Vt liu).


1

Cement (Xi mng):

Sand (Ct):

Rock ()

Water (Nc)

Admixture (Ph gia)

Concrete mix (Cp phi trn)

Cement
(Xi mng)

Sand
(Ct)

Rock
()

Water
(Nc)

Admixture
(Ph gia)

V (Dung tch 1 m3concrete)

390 KG

795 KG

1057 KG

171 KG

3900 mL

V (Dung tch 7 m3 concrete)

2730 KG

5565 KG

7399 KG

1197 KG

27300 mL

III. Others (Cc vn khc).


1

Access road (ng dn):

Workforce (Nhn cng):

Chipping construction joint (To nhm mi ni thi cng):

Safety works (cng tc an ton)

Note: Section II Material will be checked and accepted by Engineers Material Engineer (Lu : Mc II Vt liu s c K s Vt liu kim trav chp thun)
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


N H TNG V U T TI CHNH VIT NAM VIDIFI
BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

FOR PREPARATION OF CONCRETING


m tra cng tc chun b b tng)
Form No: SUB-PC-05

EX7-A7-01-SUB-P4-0090

Other
(Khc)

Lu : Mc II Vt liu s c K s Vt liu kim trav chp thun)

eptance is given / ng nghim thu

Construction Manager
(Gim c thi cng)

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

INTERNAL REPORT ON CONCRETE PLACING OF PILECAP


(Bo co ni b b tng b tr)
Form No: SUB-PC-06-1
Date (d/m/yy - ngy, thng, nm):

06-Nov-13

Work Item (Hng mc):

#REF!

Name of the Part (Tn b phn):

Pier (Tr)

Base on (cn c vo):

Shop drawings:

P4R

Request number ( Phiu yu cu gim st s ) EX:

Method and tools of checking for approval:

15 2 .5 cm

Designed slump ( st tht k):


Concrete quantity, designed (Khi lng b tng thit k):

115.2 m3

Concrete quantity, actual (Khi lng b tng thc t):

48.0 m3

Concrete supply and casting (Vn chuyn v b tng):

mixer truck, chute


Time (Thi gian)

Vehicle Plate No.


(S xe)

Start
(B. u)

Finish
(K.Thc)

Slump ( st)

Temperature.
(N.)

Volume
(T.tch BT - m3)

Sample
(S mu)

15C - 01175

18:32

18:41

17.5

31

#VALUE!

15C - 01173

18:47

18:57

17.5

31.5

#VALUE!

15C - 01171

19:01

19:15

15

31.5

#VALUE!

15C - 01175

19:20

19:29

16

31.5

#VALUE!

15C - 01173

19:32

19:45

15.5

31

#VALUE!

15C - 01171

19:49

20:00

15

31

#VALUE!

15C - 01175

20:06

20:17

15

31.5

#VALUE!

0:00

0:00

#VALUE!

0:00

0:00

#VALUE!

10

0:00

0:00

#VALUE!

11

0:00

0:00

#VALUE!

12

0:00

0:00

#VALUE!

13

0:00

0:00

#VALUE!

14

0:00

0:00

#VALUE!

#VALUE!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu

Site Engineer (K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72


Tn gi thu: EX-7, Km72

INTERNAL CHECKING RECORD OF STRUCTURE COMPLETED


(Bin bn kim tra ni b, b phn kt cu hon thnh)
Date (d/m/yy - ngy, thng, nm):

November 12, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pilecap (B tr)

P4R

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0010

EX7-A7-01-SUB-P4-0020

PLAN (Hnh minh ho)

P4R
CL o f Pier PL

THAI BINH

Request number ( Phiu yu cu gim st s )

p1

1- Checking coordinate of point (Kim tra to cc im):


C
Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301208.014

2301208.011

-0.003

554427.250

554427.255

0.005

+1.000

+0.984

-0.016

HAI PHONG

Check point
(im K.tra)

P1

Check point
(im K.tra)

Design(TK)

p4

p3

P2

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301204.308

2301204.308

0.000

2301205.948

2301205.960

0.012

554429.316

554429.320

0.004

554423.544

554423.545

0.001

+1.000

+0.995

-0.005

+1.000

+0.998

-0.002

P3

Check point
(im K.tra)

Design(TK)

p2

P4

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301211.720

2301211.725

0.005

2301210.080

2301210.075

-0.005

554425.184

554425.187

0.003

554430.956

554430.965

0.009

+1.000

+0.994

-0.006

+1.000

+0.993

-0.007

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 -Tolerance of location (Sai lch v v tr):
4- Quality curing of concrete (Cht lng cng tc bo dng b tng):
5- Quality of surface concrete (Cht lng b mt b tng):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
Surveyor
(Kho st)

Construction Manager
(Gim c thi cng)

Tran Van Hoan

Lee Gil Jae

Tran Van Hoan

Lee Gil Jae

Section from Km72+000 to Km 81+300


i thu: EX-7, Km72+000 to Km81+300

er

Form No: SUB-PC-07

p2

p3

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
HN-HP EXPRESSWAY PROJECT MANAGEMENT BOARD - BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section from Km72+00


Tn gi thu: EX-7, Km72+00
Contractor : GS Engineering & Const
Nh thu : Tp on Xy dng

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants : MI-VJEC Joint Venture
T vn gim st: Lin danh MI-VJEC

INTERNAL ACCEPTANCE OF WORK ITEM COMPLETED


NGHIM THU NI B CNG TC XY LP (CNG VIC, B PHN, KT CU)
Project (D n) : Ha Noi - Hai Phong Expressway Project / D n ng t cao tc H Ni- Hi Phng
Sub-structure
Work Items: Bridge works
(Hng mc): Thi cng cu
Kt cu phn di
Location / (v tr):
A7-01 bridge/ Cu A7-01
Name of completed work part (Tn b phn cng trnh hon thnh):
Pile cap/ B tr: P4L
Time, location of inspection / (Thi gian nghim thu):
- Begining time (Bt u): 10h00 ngy (date)
11 thng(month)
11
nm(year)
2013
- Finish time: (Kt thc): 11h00 ngy (date)
11 thng(month)
11
nm(year)
2013
Acceptance Attendees / Thnh phn tham gia nghim thu:
The Constructor Representative / i din Nh thu :
- Mr (ng) :
Lee Gil Jae
Position (chc v):
Bridge Manager / Gim c thi cng cu
The Construction teams Representative/ i din i thi cng :
- Mr (ng) :
Bui Van Cong
Position (chc v): Site Engineer / K s hin trng
- Mr (ng) :
Position (chc v:
All the parties have jointly implement the followings (Cc bn cng tin hnh):
1.Check the following documents (Xem xt cc ti liu sau):
- Request for inspection No./(Phiu yu cu nghim thu s):
- Detailed design and Shop drawings/(H s thit k k thut v bn v thi cng): Shop drawings/ Bn v s
EX7-A7-01-SUB-P4-0010, EX7-A7-01-SUB-P4-0020, EX7-A7-01-SUB-P4-0030, EX7-A7-01-SUB-P4-0040, EX7-A7-01-SUB-P4-0050, EX7-A7-01-SUB-P4-0090

- Technical Specification/(Tiu chun k thut ca d n):


- Intenal acceptance minute of the Contractor/(Bin bn nghim thu ni b ca nh thu):
- Acceptance minutes of construction work/(Cc bin bn nghim thu cng vic xy dng):
- Checking and testing results of materials and equipment during construction
(Cc kt qu kim tra, th nghim vt liu, thit b trong qu trnh xy dng):
2. Visualy check on site evaluate the quality ( Kim tra ti hin trng v nhn xt v cht lng)
Meet the requirement of construction work/ t yu cu cht lng thi cng
3.The corrections comparing to the technical design (Cc sa i so vi thit k c ph duyt)
No/Khng
4.Conclusion and recommendation (Kt lun v kin ngh)
............................................................................................................................................................................................
Acceptance is given
Chp thun nghim thu.
............................................................................................................................................................................................
Acceptance is not given. The following defects must be re ctified before .................. for re - inspection.
Khng chp thun nghim thu. Yu cu khc phc cc khim khuyt lit k di y trc ngy .......... nghim thu li.

............................................................................................................................................................................................
CONSTRUCTION TEAMS REPRESENTATIVE
(I DIN I THI CNG)

CONTRACTORS REPRESENTATIVE
(I DIN NH THU)

Bui Van Cong

Lee Gil Jae

SC., (VIDIFI)
VIDIFI

I - HI PHNG.

: EX-7 Section from Km72+000 to Km 81+300


Tn gi thu: EX-7, Km72+000 to Km81+300
tor : GS Engineering & Construction
h thu : Tp on Xy dng v K thut GS

TED
KT CU)

c thi cng cu

EX7-A7-01-SUB-P4-0090

RS REPRESENTATIVE
N NH THU)

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km7


Tn gi thu: EX-7, Km7

CHECKING REPORT OF FORMWORK OF PILECAP


(Bo co kim tra vn khun b tr)

Date (d/m/yy - ngy, thng, nm):

November 8, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr)

Base on (cn c vo):

Shop drawings:

P4L
EX7-A7-01-SUB-P4-0010

EX7-A7-01-SUB-P4-0020

PLAN (Hnh minh ho)

P4L
CL o f Pier PL

THAI BINH

Request number (Phiu yu cu gim st s):

p1

1- Checking coordinate of point (Kim tra to cc im):


C
Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301205.934

2301205.940

0.006

554434.570

554434.567

-0.003

+1.000

+1.007

0.007

HAI PHONG

Check point
(im K.tra)

P1

Check point
(im K.tra)

Design(TK)

p4

P2

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301202.228

2301202.225

-0.003

2301203.868

2301203.871

0.003

554436.636

554436.648

0.012

554430.864

554430.867

0.003

+1.000

+0.999

-0.001

+1.000

+1.003

0.003

P3

Check point
(im K.tra)

Design(TK)

X
Y
Z

P4

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301209.640

2301209.650

0.010

2301208.000

2301208.008

0.008

554432.504

554432.521

0.017

554438.276

554438.289

0.013

+1.000

+0.997

-0.003

+1.000

+1.005

0.005

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 Tolerance of location (Sai lch v v tr):
4- Figure stability of fromwork ( chc chn ca vn khun):
5- Tightness of formwork ( kn kht ca vn khun):
6- Formwork release agent (Qut cht chng dnh b mt):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
Surveyor
(Kho st)

Construction Manager
(Gim c thi cng)

Tran Van Hoan

Lee Gil Jae

EVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


N H TNG V U T TI CHNH VIT NAM VIDIFI
BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

ORT OF FORMWORK OF PILECAP


kim tra vn khun b tr)

p1

CL o f Pier PL

Form No: SUB-PC-03

p2

p4

p3

th design

ptance is given / ng nghim thu


Construction Manager
(Gim c thi cng)

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.

Package : EX-7 Section from Km7


Tn gi thu: EX-7, Km7

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

CHECKING REPORT OF STEEL GENERAL OF PILECAP


(Bo co kim tra tng hp ct thp b tr)
Date (d/m/yy - ngy, thng, nm):

November 8, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pilecap (B tr)

Base on (cn c vo):

Shop drawings:EX7-A7-01-SUB-P1-0030

P4L
EX7-A7-01-SUB-P1-0040

EX7-A7-01-SUB-P1-0050 EX7-A7-01-SUB-P1-0090

Request number (Phiu yu cu gim st s):


+Steel cerfiticate number (Chng ch th nghim s):

No.
(TT)

Item
(Chi tit)

Diameter
ng knh
(mm)

F1

TN/0770CM

TN/8737

Length/
Chiu di
(mm)

TN/8772

Quatity/
S lng
(bar/thanh)

TN/8781

Distance/
Khong cch
(mm)

Joint length/
C.di ni
(mm)
Design/
T.k

Total weight/
Tng trng l
(Kg)

Design/
T.k

Actual/
T.t

Design/
T.k

Actual/
T.t

Design/
T.k

Actual/
T.t

D22

6444

6445

78

78

150

150

3.042

1,529.01

F2

D22

6444

6450

78

78

150

150

3.042

1,529.01

F3

D25

6524

6525

39

39

150

150

3.973

1,010.87

F4

D25

6524

6530

39

39

150

150

3.973

1,010.87

F5

D16

5790

5795

20

20

150

150

1.552

179.72

F6

D16

2170

2175

78

78

150

150

1.552

262.69

F7

D16

5790

5795

20

20

150

150

1.552

179.72

F8

D16

2124

2125

78

78

150

150

1.552

257.12

F9

D16

1963

1965

41

41

600

600

1.552

124.91

10

C1

D29

8414

8415

80

80

150

150

5.06

3,405.99

11

C3c

D16

6652

6660

11

11

100

100

1.552

113.56

12

C4c

D16

2379

2380

33

33

100

100

1.552

121.84

13

C5c

D16

2379

2380

33

33

100

100

1.552

121.84

14

C6c

D16

5852

5855

11

11

100

100

1.552

99.91

D16

1,461.32

D22

3,058.01

D25

2,021.75

D29

3,405.99

Total weight/tng trng lng

Actual/
T.t

Unit weight/
T.lng v
(Kg/m)

Design/
T.k

9,947.07
OK
+ Reinforcement is clean ( sch s ca ct thp):
+ Tolerance of Bar spacing (Sai lch v khong cch cc bc ct thp):
+ Dimension and location of concrete block cover (Kch thc v v tr con k):
+ Figure stability of Reinforcement and Exposed reinforcement ( chc chn ca lng thp v ct thp ch):
+ Worked steel Reinforcement (Cht lng gia cng ct thp):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

NOT OK

Bui Van Cong

Lee Gil Jae

7 Section from Km72+000 to Km 81+300


gi thu: EX-7, Km72+000 to Km81+300

Form No: SUB-PC-04

Total weight/
Tng trng lng
(Kg)
Actual/
T.t

Remark/
Ghi ch

1,529.24
1,530.43
1,011.03
1,011.80
179.88

Rebar for
pilecap/
ct thp
b tr

263.30
179.88
257.24
125.04
3,406.39
113.70
121.89
121.89
99.96

1,462.78
3,059.67
2,022.83
3,406.39
9,951.67

Rebar for
column(inst
alled with
rebar of
pile cap
together

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72


Tn gi thu: EX-7, Km7

INSPECTION SHEET FOR PREPARATION OF CONCRETING


(Bin bn kim tra cng tc chun b b tng)

Date (d/m/yy - ngy, thng, nm):

November 8, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pile cap (B tr)

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P1-0030

EX7-A7-01-SUB-P1-0040

EX7-A7-01-SUB-P1-0050

EX7-A7-01-SU

Request number (Phiu yu cu gim st s):


Method and tools of checking for approval:

Description (Ni dung)


I. Equipment (Thit b).

OK

Concrete batching plant (trm trn b tng):

Concrete transport (vn chuyn b tng):

Concrete placing pipes (ng b tng):

Concrete pump, if any (bm btng nu c):

Vibrator (m b tng):

Electrics (cp in):

Not OK

II. Material (Vt liu).


1

Cement (Xi mng):

Sand (Ct):

Rock ()

Water (Nc)

Admixture (Ph gia)

Concrete mix (Cp phi trn)

Cement
(Xi mng)

Sand
(Ct)

Rock
()

Water
(Nc)

Admixture
(Ph gia)

V (Dung tch 1 m3concrete)

390 KG

795 KG

1057 KG

171 KG

3900 mL

V (Dung tch 7 m3 concrete)

2730 KG

5565 KG

7399 KG

1197 KG

27300 mL

III. Others (Cc vn khc).


1

Access road (ng dn):

Workforce (Nhn cng):

Chipping construction joint (To nhm mi ni thi cng):

Safety works (cng tc an ton)

Note: Section II Material will be checked and accepted by Engineers Material Engineer (Lu : Mc II Vt liu s c K s Vt liu kim tra v chp thun)
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu

Site Engineer
(K s hin trng)

Construction Manager
(Gim c thi cng)

Bui Van Cong

Lee Gil Jae

DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


N H TNG V U T TI CHNH VIT NAM VIDIFI
BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

FOR PREPARATION OF CONCRETING


m tra cng tc chun b b tng)
Form No: SUB-PC-05

EX7-A7-01-SUB-P1-0090

Other
(Khc)

Lu : Mc II Vt liu s c K s Vt liu kim tra v chp thun)

eptance is given / ng nghim thu

Construction Manager
(Gim c thi cng)

Lee Gil Jae

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Project: Ha Noi Hai Phong Expressway
Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

Package : EX-7 Section from Km72


Tn gi thu: EX-7, Km72

INTERNAL CHECKING RECORD OF STRUCTURE COMPLETED


(Bin bn kim tra ni b, b phn kt cu hon thnh)
Date (d/m/yy - ngy, thng, nm):

November 12, 2013

Work Item (Hng mc):

Substructure of A7-01 Bridge / kt cu phn di cu A7-01

Name of the Part (Tn b phn):

Pilecap (B tr)

P4L

Base on (cn c vo):

Shop drawings:

EX7-A7-01-SUB-P4-0010

EX7-A7-01-SUB-P4-0020

PLAN (Hnh minh ho)

P4L
CL of Pier PL

THAI BINH

Request number (Phiu yu cu gim st s):

p1

1- Checking coordinate of point (Kim tra to cc im):


C
Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301205.934

2301205.931

-0.003

554434.570

554434.573

0.003

+1.000

+0.995

-0.005

HAI PHONG

Check point
(im K.tra)

P1

Check point
(im K.tra)

Design(TK)

p4

p3

P2

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301202.228

2301202.222

-0.006

2301203.868

2301203.866

-0.002

554436.636

554436.632

-0.004

554430.864

554430.866

0.002

+1.000

+1.004

0.004

+1.000

+1.008

0.008

P3

Check point
(im K.tra)

Design(TK)

p2

P4

Actual(TT)

Tolerance
(Dung sai)

Design(TK)

Actual(TT)

Tolerance
(Dung sai)

2301209.640

2301209.634

-0.006

2301208.000

2301207.995

-0.005

554432.504

554432.512

0.008

554438.276

554438.268

-0.008

+1.000

+1.006

0.006

+1.000

+1.003

0.003

X, Y, Z: Tolerance of base in horizontal & longitudinal directions and in lever compared with design
(tr s lch ca im o theo phng ngang, dc, cao so vi t.k theo chiu to ).
OK

NOT OK

2- Tolerance of base in horizontal & longitudinal directions (Sai lch v kch thc):
3 -Tolerance of location (Sai lch v v tr):
4- Quality curing of concrete (Cht lng cng tc bo dng b tng):
5- Quality of surface concrete (Cht lng b mt b tng):
Conclusion (Kt lun) :
Acceptance is given / ng nghim thu
Surveyor
(Kho st)

Construction Manager
(Gim c thi cng)

Tran Van Hoan

Lee Gil Jae

Tran Van Hoan

Lee Gil Jae

Section from Km72+000 to Km 81+300


i thu: EX-7, Km72+000 to Km81+300

er

Form No: SUB-PC-07

p2

p3

VIETNAM INFRASTRUCTURE DEVELOPMENT AND FINANCE INVESTMENT JSC., (VIDIFI)


TNG CNG TY PHT TRIN H TNG V U T TI CHNH VIT NAM VIDIFI
PROJECT MANAGEMENT BOARD HN-HP BAN QUN L D N NG T CAO TC H NI - HI PHNG.
Package : EX-7 Section from Km72+000 to Km 81+300
Tn gi thu: EX-7, Km72+000 to Km81+300

Project: Ha Noi Hai Phong Expressway


Tn d n: ng cao tc H ni Hi Phng
Consultants (T Vn gim st) :MI-VJEC
Contractor (Nh thu): GS Engineering & Construction.

INTERNAL REPORT ON CONCRETE PLACING OF PIER BODY


(Bo co ni b b tng b tr)
Form No: SUB-PB-04-1
Date (d/m/yy - ngy, thng, nm):

#REF!

Work Item (Hng mc):

#REF!

Name of the Part (Tn b phn):

#REF!

Base on (cn c vo):

#REF!

#REF!

Request number ( Phiu yu cu gim st s )

#REF!

Method and tools of checking for approval:

#REF!

15 2 .5 cm

Designed slump ( st tht k):


Concrete quantity, designed (Khi lng b tng thit k):

#REF!

Concrete quantity, actual (Khi lng b tng thc t):

#REF!

Concrete supply and casting (Vn chuyn v b tng):

mixer truck, crane

Time (Thi gian)


Vehicle Plate No.
(S xe)

Start
(B. u)

Finish
(K.Thc)

Slump ( st)

Temperature.
(N.)

Volume
(T.tch BT - m3)

Sample
(S mu)

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

Total

#REF!

#REF!

8
9
10
11
12

Conclusion (Kt lun) :


Acceptance is given / ng nghim thu
Site Engineer
(K s hin trng)

#REF!

Nguyn Quang Tun

#REF!