Project Name	[Project name]	Inspection Checklist Finished Concrete
Project Number	[Project number]
Client	[Client name]	WBS ID	[WBS ID]	Date	[Date]
Client’s Repres.	[Client representative name]	Mix Design	[Mix design]	Pour Date/Time
Contractor	[Contractor name]	Reference Doc	[Drawing etc. against which is inspected]
Report No.	[Checklist to be attached to ITR no. …]
Location	[Area]
Item	Work Executor	Contractor	Client	Remarks
Checked (initials & Date)	Hold Point	Inspected (initials & Date)	Hold Point	Inspected (initials & Date)
1.0 Curing
2.1 Strip Date & Time	W H	W H
2.2 Curing Method	W H	W H
2.3 Curing Duration	W H	W H
2.0 Survey
2.1 Dimensions, Position, Level	W H	W H
2.2 Embedded Items	W H	W H
3.0 Surface Finish
3.1 Proposed Repair (if necessary)	W H	W H
3.2 Final Inspection after Repair (if applicable)	W H	W H
3.3 Center Lines and other Markings	W H	W H
Work Executor	Contractor Acceptance	Client Acceptance
Name	Name	Name
Signature	Signature	Signature
Date	Date	Date