Check List For Prior Approval For PR

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

MINISTRY OF CITY PLANING WATER SUPPLY AND HIGHER EDUCATION

NATIONAL WATER SUPPLY & DRAINAGE BOARD


N A T IO N A L W A T E R S U P P L Y & D R A I N A G E B O A R D

KANDY NORTH – PATHADUMBARA INTEGRATED WATER SUPPLY PROJECT


Pahala Kondadeniya, Katugasthota, Kandy
Tel: (+94)81-2492287 Fax: (+94)81-2492286 E-Mail:[email protected]
Contract No: RSC-C/P&P/D&B/PATHADUMBARA/2013
Form No: KNPIWSP/
Contract: Plant & Design- Build for Civil and M&E Works CLPR No : …… …… …… …… …… …… … ..
………
CHECK LIST FOR PRIOR APPROVAL FOR
Division and Zone:
PERMANENT REINSTATEMENT(CLPR)
Contractor is here by required to complete this Check
Location and Node
List and submit to the Engineer's Representative and
obtain prior approval before laying the asphalt. of the Road:

Date: Chainage:
From …….………... To ….…………...
Asphalt / Macadam
Work Description: Type of Road:
To the Engineer / Engineer’s Representative: From the Contractor:

Contractor's Representative's Report Engineer's Representative's Comment


Item No Description
Yes No Comments Yes No Comments

1 Material quality according to the specification

ABC (AIV)            

ABC Thickness

Asphalt thickness

2 Compaction tests according to the specification

ABC Layer

Soil Layers

3 Before asphalt laying according to the method statement/specification

Surface preparation            

Sufficient resources

Prepared by Checked By Witness and Approved By Engineer's


The Contractor Companion Contractor Representatives NWSDB
Name :
__________________________ Name:___________________________ Name:__________________________

Designation:_____________________ Designation:______________________ Designation:______________________

Organization:____________________ Organization:_____________________ Organization:_____________________


Date :
___________________________ Date:____________________________ Date:___________________________

Signature:_______________________ Signature:________________________ Signature:________________________

Page No. CLPAC/B/1 of 1

You might also like