Quality Management System : HEADWALLS AND WING WALLS Fill in the form below and submit accordingly, Alternatively click to download fillable form. 1. Request Details 1.1 Date and Time of Request* 1.2 Date and Time of Inspection Required* 1.3 Date and time of Delivery of Request* 1.4 Details of Section of Work to be Inspected/Approved* Request checked by site agent*: Please Select: YesNo Signature of Site Agent: Upload Digital Signature? (png,jpg,gif)NoYes Please sign below: Signature of Recipient (Engineer’s Representative): Upload Digital Signature (png,jpg,gif)?NoYes Please sign below: 2. Inspection 2.1 Location/Start Point* 2.2 Latest drawings used*:Please SelectYesNo 2.3 Blinding layer acceptable*:Please SelectYesNo 2.4 Angles/dimensions correct*:Please SelectYesNo 2.5 Reinforcing/spacer blocks in place*:Please SelectYesNo 2.6Formwork clean & propped*:Please SelectYesNo 2.7 Joints in position*:Please SelectYesNo 2.8 To correct line & level*:Please SelectYesNo Date Inspected*: 4. Casting Details 4.1 Ready-mix delivery note*: 4.2 Class of Concrete*: 4.3 Slump test results*: 4.4 Cube markings*: 4.5 Date concrete cast*: 4.6 Method of placing*: 4.7 Finishing requirements*: 4.8 Method of curing*: 4.9 Air temperature if < 2° C or > 32° C*: 4. Approval The headwalls & wingwalls, as detailed above, has been* Please SelectApprovedNot Approved The contractor can now commence with concreting for the above portion of the Works. In the case of NON approval, the contractor is to rectify the following*: Name* Signature*: Upload Digital Signature?: NoYesPlease sign below: