General Forms.1a
General Forms.1a
General Forms.1a
WORK
LOCATION :
DATE PREPARED: CONTROL No. :
GRID LINE:
SURVEYOR
CIVIL/STRUCTURAL
ARCHITECTURAL
ELECTRICAL / AUXILIARIES
MECHANICAL
SANITARY / PLUMBING
FIRE PROTECTION
FDAS
SAFETY
NOTE : This form must be submitted to the QA Team, duly accomplished & signed by the corresponding Contractors' personnel in charge at least 24 hours before actual execution.
COMMENTS:
WORK REQUEST
PROJECT : HEAD SPORTS PHILIPPINES
LOCATION : ANFLO INDUSTRIAL ESTATE, PANABO CITY
DATE PREPARED: : ### ACTIVITY START DATE: CONTROL No. :
SURVEYOR
CIVIL/STRUCTURAL
ARCHITECTURAL
ELECTRICAL / AUXILIARIES
MECHANICAL
SANITARY / PLUMBING
FIRE PROTECTION
FDAS
SAFETY
LANDSCAPE
COMMENTS:
NOTE : This form must be submitted to the QA Team, duly accomplished & signed by the corresponding Contractors' personnel in charge at least 24 hours before actual execution.
REMARKS:
PREPARED BY : APPROVED BY :
REMARKS:
PREPARED BY :
DISTRIBUTION :
FORM NO.:F-QM-G
Carwill Superintendent/Supervisor
Remarks
Revision No. : June 01,2022
REINFORCING BAR TEST RESULT PROJECT :
MONITORING LOCATION :
Materials Delivery
Qty U.Wt. Total Wt. Mill Sample Date of Bending Test
No. Inspection Control DR. No. Size Grade
(pcs) (kg) (kg) Certificate Ref. # Testing Required Actual
No.
###
REMARKS:
DISTRIBUTION : Subcon
FORM NO. : F-QM-GF-003
REVIEWED BY:
MDC Superintendent/Supervisor
ITEM
PARTICULAR/S QUANTITY QUALITY REMARKS
NO.
_______________________________________ ___________________________________
CCI WAREHOUSE SUPERVISOR/SUBCON-PIC CCI SITE ENGINEER
RECOMMENDING APPROVAL: APPROVED BY:
___________________________________ ___________________________________
CCI QA ENGINEER CCI CONSTRUCTION MANAGER
NOTE : This form must be submitted to The Operation TEAM, duly accomplished and signed by the corresponding Contractor's
Personnel-in-Charge prior to approval of site deliveries.
Complied
COMPONENTS REMARKS/ COMMENTS
YES NO
1 Approved Drawings
1
REBAR FAILED IN TEST RESULT
2 Approved Materials
1
3 Approved Methodology
1
6 Approved Mock Up
1
12 Site Cleanliness
1
13
13
NOTE : This form must be submitted to The QA head, duly accomplished and signed by the corresponding CCI Personnel-in-Charge every Friday
of the week.
PREPARED BY: NOTED BY: APPROVED BY:
1 HONEYCOMB
2 SEVERE HONEYCOMB
3 PLUMBNESS
4 TWISTED
5
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REMARKS:
DISTRIBUTION : Subcon
PROJECT :
LOCATION :
MATERIALS
TOTAL COST IWR STATUS Remarks
UNIT COST AMOUNT
HANDOVER LOCATION :
HANDOVER NO. :
DATE :
(Subcon to Subcon)
AREA :
This is to certify that we have fully inspected/surveyed the above-mentioned area being handed over to us and is now ready
NOTED BY :
HANDOVER LOCATION :
HANDOVER NO. :
DATE :
(Carwill to Subcon)
This is to certify that Carwill is handing over the area stated below to (NAME OF SUBCON)
________________________________________________________________________________________ .
AREA :
This is to certify that we have fully inspected/surveyed the above-mentioned area being handed over to us and is now ready
NOTED BY :
HANDOVER LOCATION :
HANDOVER NO. :
DATE :
(Subcon to Carwill)
AREA :
This is to certify that we have fully inspected/surveyed the above-mentioned area being handed over to us and is now ready
NOTED BY :
NOTICE OF LOCATION :
REPORT NO. :
DATE PREPARED :
COMPLETION
To (Owner) :
Address :
CONTRACT FOR :
CONTRACT DATE :
The work performed under this contract has been inspected by authorized representatives of the Owner and Contractor and the
Project (or specfied part of the Project, as indicated above) is hereby accepted by the Owner and declared to be substantially
completed on the above date.
Completion of the work shall mean substantial completion of the project or specified area of the project. The date of
such substantial completion of a project or specified area of a project is the date when the construction is sufficiently
completed, in accordance with the contract documents, as modified by any change orders agreed to by the parties, so
that the Owner can occupy or utilize the project or specified area of the project for the use of which it was intended.
A list of all items remaining to be completed or corrected is appended hereto. All such work shall be completed or corrected to the
satisfaction of the Owner within _____ calendar days after the above date, otherwise the Contractor does hereby waive any and all
claims to all monies withheld by the Owner under the Contract to cover the value of all such uncompleted or uncorrected items.
The Contractor hereby certifies the above Notice of Completion and agrees to complete and correct all of the items on the appended
list within _____ calendar days or waives and and all rights to any monies withheld therefor.
BY :
CONTRACTOR AUTHORIZED REPRESENTATIVE DATE
The Owner accepts the Project or specified area of the Project as substantially complete and will assume full possession of the
Project or specified area of the Project at _____ (time), on _______________ (date). The responsibility for utilities, security, and
insurance under the Contract Document will be assumed by the Owner after the aforementioned date.
BY :
OWNER AUTHORIZED REPRESENTATIVE DATE
REMARKS :
The following items or supplementary sheets listing such items remaining to be completed or corrected are hereby made a part of this document by
this reference thereto.
previous no. :
✓ new submittal date : February 16, 2023
resubmittal 1 2 3 date :
ACTION
TYPE QTY UNIT DESCRIPTION DATE FLOW
A B C D
CONTRACTOR TO
MANAGEMENT
SHOP DRAWINGS Length extension of the square bar for added strength
MANAGEMENT TO
ARCHITECT
PRODUCT CATALOG/DATA
ARCHITECT TO
ENGINEERING
SAMPLES
ENGINEERING TO
ARCHITECT
TEST FORMS
ARCHITECT TO
MANAGEMENT
MOCK-UP
MANAGEMENT TO
CONTRACTOR
OTHERS
copies:
DISTRIBUTION: Contractor Project Manager Others:
Subcontractor Quantity Surveyor
Revision No. : REV 001 June 01,2022
FORM NO. : F-QM-GF-0014-01
previous no. :
✓ new submittal date : February 20, 2023
resubmittal 1 2 3 date :
ACTION
TYPE QTY UNIT DESCRIPTION DATE FLOW
A B C D
CONTRACTOR TO
MANAGEMENT
SHOP DRAWINGS
MANAGEMENT TO
ARCHITECT
PRODUCT CATALOG/DATA
ARCHITECT TO
ENGINEERING
SAMPLES
ENGINEERING TO
ARCHITECT
TEST FORMS
ARCHITECT TO
Controlled Low Strength Material (CLSM) in lieu of Soil MANAGEMENT
MOCK-UP 40 m3 Cement Base as backfill material before Slab on
Grade (SOG)
MANAGEMENT TO
CONTRACTOR
OTHERS
copies:
DISTRIBUTION: Contractor Project Manager Others:
Subcontractor Quantity Surveyor
Revision No. : REV 001 June 01,2022
FORM NO. : F-QM-GF-0012
INFORMATION NEEDED:
1
REMARKS:
1
REPLY FROM:
______________________ ________________________ __________________________
(Company) (Name / Designation) (Signature)
To:
From:
Sent:
Response Required:
Subject:
resubmittal 1 2 3 date :
qty. title / description / manufacturer specs. Section, title and paragraph / drawing, detail reference
Notes
date returned
name, title and signature of approving authority date required from consultant * +/-
by consultant
copies:
DISTRIBUTION: Contractor Project Manager Others:
Subcontractor Quantity Surveyor
Revision No. : REV 001 June 01,2022
CONTRACTOR :
CP NO. :
: SUBMITTAL LOG REGISTRY
Action Code:
GISTRY
REQUIRED SUBMITTAL
Submission Date
Compliance
Certificates
Certificates
Certificates
Certificates
Catalogue/
Product Data
Brochures
Warranty
Material
Sample
Test
Test
Mill
bmittal Reference No.
Plan Actual
A - Approved; work may proceed C - Disapproved/ Resubmit
B - Approved; subject to corrections noted
STATUS
Approval Date
Drawings
Mock-up/
Methods
Material
Sample
ISVR
Shop
Disapproved/ Resubmit
Action
Remarks
Code
Supplier
FORM NO. : F-QM-GF-015
Name: Max Lewis M. Domaoan Sign: Title: CCI QA/QC Engineer Company: Date: 1/30/2023
Precast works
Received by: (Operations/PIC) Concrete Topping
Name: Jose Pabualan Sign: Title: CCI - PIC Company: Date: 1/30/2023
Structural Fabrication
PART 3: ANALYSIS AND ACTION PLAN (Operation/PIC or his Delegate) Structural Erection
Remedial/ Corrective Action Joint Sealer
Waterproofing
The stirrups were removed in order to align the mainbars Kitchen Cabinets & Accessories
Bedroom Closet & Acessories
Toilet (Comfort Rooms) & Acessories
Doors
REJECT / REPLACE REPAIR RE-WORK USE AS-IS Windows
Flooring System
Root Cause Action To Prevent Recurrence Wall Finishes
Ceiling Finishes
Double Checking the Layout given to reassure
Proper Layout done by the Surveyor Grills & Railings
its alignment Painting
Signages & Mail Boxes
Proposed by:
Name Sign Date
Elevator
Escalator
PART 4: APPROVAL OF REMEDIAL CORRECTIVE ACTION (Project Manager or his Delegate and DESIGNER) Fire Detection and Alarm System
Project Manager: Designer/ Consultant (if necessary) Communication
CCTV
ACCEPTED Name ACCEPTED Name P.A. System
HVAC
REJECTED Sign REJECTED Sign Fire Protection
Plumbing SystemSystem
Date Date Sanitary System
Lighting and Power
PART 5: FOLLOW-UP and CLOSE-OUT (QA ENGINEER) Earthing and Lightning Protection
Remedial Works Completed Confirmation Close-out Confirmation Top Soil
Field Engineer/QA Enginer QA Engineer Seeding and Mulching
Name Name Plant and Trees Planting
Sign Sign Clearing and Grubbing
Date Date Cut/Excavation
WR Date WR Date Engineering Fill and Testing
PART 6: COST IMPLICATIONs (Tick and provide a copy if any) Disposal of Surplus/ Contaminated Materials
Subgrade Preparation
Commercial Administrative Legal Contract OPCEN PM Sub-base Preparation
Base Preparation
DISTRIBUTION : Subcon QA Operation TSD Project Documentation Fence, Guide Rail and Railing
Curb and Gutter/Sidewalks
Concrete Barriers
Traffic Control Devices
Retaining Walls
Reinforced Earth
Formworks & Dowel Tie Bars
Concrete Pavement
Asphalt Pavement
Road Marking
Drainage Trench Excavation
Culvert and Storm Bedding and Backfill
Sewer Construction
Manholes, Catchbasins, Sub Drains and Ditch Inlets
Pipe Trench Excavation
Sand Bedding & Backfill
Pipe Laying
Water Tanks
Bulk Excavation
Dewatering
Soil Protection
Backfilling & Compaction works
Ground Desification
Soil Poisoning
Piling Works
Formworks/Falsework
Rebar works
Concrete works
Precast works
Concrete Topping
Structural Fabrication
Structural Erection
Joint Sealer
Waterproofing
Kitchen Cabinets & Accessories
Bedroom Closet & Acessories
Toilet (Comfort Rooms) & Acessories
Doors
Windows
Flooring System
Wall Finishes
Ceiling Finishes
Grills & Railings
Painting
Signages & Mail Boxes
Elevator
Escalator
Fire Detection and Alarm System
Communication
CCTV
P.A. System
HVAC
Fire Protection System
Plumbing System
Sanitary System
Lighting and Power
Earthing and Lightning Protection
Top Soil
Seeding and Mulching
Plant and Trees Planting
Clearing and Grubbing
Cut/Excavation
Engineering Fill and Testing
Disposal of Surplus/ Contaminated Materials
Subgrade Preparation
Sub-base Preparation
Base Preparation
Fence, Guide Rail and Railing
Curb and Gutter/Sidewalks
Concrete Barriers
Traffic Control Devices
Retaining Walls
Reinforced Earth
Formworks & Dowel Tie Bars
Concrete Pavement
Asphalt Pavement
Road Marking
Drainage Trench Excavation
Culvert and Storm Bedding and Backfill
Sewer Construction
Manholes, Catchbasins, Sub Drains and Ditch Inlets
Pipe Trench Excavation
Sand Bedding & Backfill
Pipe Laying
Water Tanks
FORM NO. : F-QM-GF-016
Progress Inspection Report
Appendix 1
PIR No.
DETAILS
Name/
Sign Position Date Weather
WORK SCOPE
Compliance Contact (Sub, Lab,
Work Activity Work Description Eng, Super)
Yes No
COMMENTS
Discussions
Yes No
NCR No
PHOTOGRAPHS
No. Description
Appendix 1
No. Description
Page of
FORM NO. : F-QM-GF-XXXX
In accordance with the plans, specifications and other terms and conditions of the Contract.
This Certificate does not relieve the Contractor from its responsibilities pertaining to
the Guarantee of the completed items of work as stipulated in the Contract.
Accepted by:
Owner
AREA :
This is to certify that we have fully inspected/surveyed the above-mentioned area being handed over to us.
CONSTRUCTION MANAGEMENT
Date:
Scope of Work:
Responsible
ITEMS TSD
Operations
Subcon
REMARKS
(CCI)
1. Method Statement
2. Inspection and Testing Plan
3. Material Submittals
a. Product data
b. Mill Certificate (if applicable)
c. Sieve Analysis (if applicable)
d. Rebar Testing
e. Trial Mix
f. Concrete Testing
h. MSDS
i. Calibration Certificates
4. Shop Drawing / IFC Drawings
5. Construction Specification
Note: All the tick box indicate the person responsible for the completeness of the Approved Submittals prior to proceeding of PATOQ