Checklist & Milestone Approval Format no 1

Check list for

Temporary
ANRS Road & Building Design and Page 1 of 1
Activities &
Construction Supervision Works
others
Enterprise

CHECK LIST FOR work permit

Project:- Farm Implement Flexible Shop Factory
Employer:-ANRS Metal Industry & Machine Technology Development Enterprise
Block/Bill:____________
Contractor:- Amhara Urban Development & Building S.Co Axes:
Consultant:- ANRS R&BD&CSWE Floor:
Location:- Kombolcha
Document Referred:- Contract Document, Drawings & Inspections
Temporary Activities & Others ( ) Make a (√)
C NC NA

 Provision of general plan of temporary works for approval;

 All physical obstructions are to be considered by the contractor;
 Location of temporary blocks and structure are to be agreed both
by the contractor and the Engineer;
 The Contractor is expected to facilitate the Setting Out tools and
materials within the Mobilization Period;
 Position of Crushers and Batching Plants should be with the
approval/consent of the Client and others
 Set up Mixers, and Material's dumping place shall be with the
approval of the Engineer;
a. Equipments
b. Materials
c. House Services
 The Contractor shall immediately submit his Master Schedule to
the Consultant, and his Work Methodology of subsequent activities
to the Engineer for approval
 The Contractor shall separately submit his method of Site Protection
from flood;
 Quality of RE's Office and other facilities
 The Contractor is needed to be ready in case of Under Ground Water
encounter;
 The Contractor should avail himself of pre construction materials
testing during the mobilization period;

 Provision of General Items

Additional Remarks

For the Consultant: For The Contractor

Name: Name:
Signature: Signature:
Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 2
Check list for
Site clearance Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR work permit

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Contract document, drawings & inspections

Site Clearance(2312) Make a (√)

C NC NA

 Materials test requisition & results for previous pages 001

 Preparation of estimated measurement
 Distance of setting out board from the edge of building
and stabilization means of the setting out erections
 Elevation, Level ness, angle and alignment of the profile
board and strings
 Accuracy of transferred Bench Mark
 Remedy given for physical obstruction
 Means of taking the existing Ground Elevation
 Grid Points considered
 Conformity of the readings with the drawings
 Methodology of removal
 Site protection

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Clearing the Site. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval Format no 3
Check list for
Bulk Excavation ANRS Road & Building Design and Construction Page 1 of 1
Supervision Works Enterprise

CHECK LIST FOR work permit

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Contract document, drawings & inspections

Bulk Excavation (023132-135) Make a (√)

C NC NA

 Submittal of work methodology (02311)

 Preparation of estimated measurement
 Investigation of under ground physical obstruction
by the Contractor
 Qualification of Personnel
 Submittal of pre excavation readings on same Grid Points
 Approval of top soil materials Disposal
 Machineries to be applied
 Requisition of Back filling materials test

Any other Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Bulk Excavation works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant:- For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 4
Check list for Pit
Excavation ANRS Road & Building Design and Construction
Supervision Works Enterprise
Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Pit Excavation (023132-135 ) Make a (√)

C NC NA

 Submittal of methodology milestone

 Conformity of dimension & working space
 Readiness of materials for subsequent works
 Similarity of the soil strata with the log for bulk exc.
 Distance of disposal of Bulk Excavated material
 Checking final layer of excavation work to be
Executed during lean concreting
 Beginning of production of appropriate concrete spacers*
 Readiness to protect the pit wall from falling in
by referring soil log (depending on the soil log)

Additional Remarks ________________

_____________________________________________________________________________________

*Only to remind the Contractor

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Pit Excavation works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Format no 5
Construction of - Farm Implement Flexible Shop Factory
 Check list Trench Checklist & Milestone Approval
Excavation Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Trench Excavation (023132-135 ) Make a (√)

C NC NA

 Necessity of Masonry Foundation along the stated axes

 Availability of materials for subsequent work
 Submittal of work methodology
 Qualification of work men/ operators
 Equipment for excavation
 Submittal of pre excavation elevation readings
 Readiness to protect trench wall from falling in
Additional Remarks ________________
_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Trench Excavation works. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 6
Check list for
Footing formwork ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 5

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Element of Structure: Footing pad
Formwork Make a (√)
C NC NA

 Submittal of formwork design and method of construction;

 Type & quality of material to be used for formwork /metal or wood
 Provision of Lean concrete
 Clearing /Disposal/ of excavated material away form the pit.
 Provision of means for draining under ground water if there is any
 Similarity of the soil strata with the soil-log assumed during design
 Condition of the bottom of the pit /Crack or any other effect from weather/
 Required working space and means of supporting the wall of the pit for
preventing from falling down;
 Invert level of excavated pit /care for stress development between
adjacent footing/
 Foundation depth, width, lines & levels to correspond with the drawing;
(Separate each work)
 Proportion and volume of concrete used to level any irregular surface
for placing foundation.
 Filling over excavation with selected fill class-5 concrete/Cyclopean Concrete
up to the required inverted level;
 Supporting the face of excavation with sheeting, Timbering, strutting
& shoring;
 Decision on under ground condition and physical obstruction;
 Submittal of formwork design and method of construction;
 Availability of enough spacer for concrete cover;
 Readiness for preparation of required reinforcement to be placed
on that specific formwork

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 6
Check list for
Footing rebar ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 5

Element of Structure: Footing pad

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________

Placing of Reinforcement (033) Make a (√)

C NC NA

 Fulfilment of quality test

 Checked for the right dimension, level & straightness of formwork.
 Method used to keep the formwork in position /clamp, bolt or anchors/
 Well braced and strong enough formwork to carry the load
 Rigidity, wrapping & opening of formwork joints due to shrinkage of timber.
 Coated with release agent for the inside surface of formwork;
 Nature & type of release agent;
 Avoiding contact between release agent and reinforcement / care not to be
visible on the finished work/
 Submittal of shop drawing/bar schedule/;
 Handling & storage of reinforcement /raised from ground, protected from
weather effect and appropriate location not to hinder progress of work/
 Availability of reinforcement free from dirt, oil, paint, rust & other foreign
substance;
 Readiness to place the reinforcement as per the drawing;
 Availability of spacer for concrete cover /shape, dimension & type of spacer/;
 Proposed method the prevent displacement of reinforcement from tolerance
 Exact position of footing column reinforcement and stirrup of it

Format no 6

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Footing Concrete Page 3 of 5

ANRS Road & Building Design and Construction

Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Element of Structure: Footing pad
Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Placing of Concrete Make a (√)
` C NC NA

 Submittal of mix proportion for the mix design;

 Rechecking footing formwork from displacement of the
fixed position, level and alignment.
 Spacer Position
 Rechecking the rigidity of the scaffolding & shuttering
formwork from displacement of the fixed position.
 Leak tightness of joints between form work element;
 Cleanliness of form work
 Cleanliness of Lean concreted area
 Surface condition of reinforcement
 Diameter, location, spacing, required length, required
number, shape, bonding dimension of the reinforcement
both for footing and foundation column.
 Proper positioning of foundation column reinforcement with the footing;
 Alignment of centring of foundation column reinforcements
 Method used for pouring concrete to avoid segregation/Chute,
down pipe, trucking, or any other/
Check the following before production of concrete
Aggregates / Fine or Coarse/
 Sufficiency for different size of aggregates piled separately;
 Sufficiency of aggregates protected from contamination, minimized
segregation;
 Prevention of intermingling aggregates with adjacent material;
 Provision of adequate drainage for the piled aggregates
for maintaining uniform moisture content;

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 6
Check list for
Footing Concrete ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 4 of 5

Make a (√)
Cement C NC NA

 Fulfillment of quality test

 Type of cement. (Ordinary Portland, pozolana, sulphate resistant etc.)
 Stored separately from other items;
 Protected from dampness, due to weather or ground condition;
 Stored so that the cement will be used on the some order as it is
delivered;
 Free form dampness & partial setting;
 Age of cement
Water
 Protected from contamination
 Quality test for aggressiveness
Admixture
 Stored according to manufacturer’s instruction;
 Preserved & identified with labels;
 Type of admixture
Mix
 Size of gauging box for measuring aggregates;
 Required duration to mix the cement & aggregate thoroughly
/check manufacturer’s instruction of the mixer/ Vibrator R.P.M
 Loading capacity of the mixer
 Capacity of Vibrator
 Availability of enough number of mixer & vibrator for ensuring
continuous supply & compaction of concrete;
 Cleanliness of the mixer
 Availability of aggregate, cement & equipment for producing the
required volume of concrete
 Maximum size of aggregated allowed in the mix;
 Moisture content of aggregate;
 Temperature of aggregate
 Duration of concrete mix

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 6
Check list for
Footing Concrete ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 5 of 5

Make a (√)
Cement C NC NA

 Slump & water/Cement ratio of freshly mixed concrete

 Workability of concrete for ensuring proper handling and placing
of concrete without segregation/low, medium, high/;
 Weather / care during heavy rain & hot weather/
 Additional Remarks ______________
________________________________________________________________________________

For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Placing of Concrete.

For the consultant For The Contractor

Name Name
Signature Signature
Date Date
C=conformed NC= not conformed NA= not applicable

Format no 7

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Foundation column Page 1 of 2

ANRS Road & Building Design and Construction

Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Bill of quantity, drawings & specifications.
Element of Structure: - Foundation Column
Formwork (032) Make a (√)
` C NC NA

 Submittal of formwork design with representative sketch showing

size, shape, location of opening for pouring concrete, strength,

 Rigidity, bracing detail, method of fixing, method of removing the

form, detail at joints, method to be used for grouting, Method to
be used for keeping the formwork in position during placing
of concrete;
 Cleanness of starter bar form any cement phase

 Test result of reinforcement for all requirements (Tensite, yield ,elong).

 Cleanliness of all reinforcement bar (free from dirt, paint, oil,

rust and other foreign substances.)
 Diameter, number, spacing, length, shape and bending dimension
of main reinforcement bar in accordance with the drawing
 Method of tying stirrups with main bar.
 Deviation from the drawing in fixing & positioning of reinforcement
 Over lap location and length to be as shown on drawing(30 to 40Φbar);
 Type, shape, dimension, spacing and method of fixing of
spacer to maintain the required concrete cover;
 Alignment of columns along an axis.
 Type of material to be used for form work;
 Method used to treat the formwork for preventing adherence
of concrete from oil, or any other release agent.
 Cleanliness & smoothness for surface of forms to be used;
 Provision of starter bar at location of intermediate structure lintels
to avoid chiselling of concrete on the face of column;

Format no 7

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Foundation column Page 2 of 2

ANRS Road & Building Design and Construction

Supervision Works Enterprise

 Conformity of proper dimension of the finished surface (example to use

formwork with height not more than the finished level of column)

Additional Remarks ________________

____________________________________________________________________________________

For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Fixing Formwork.

For the consultant For The Contractor

Name Name
Signature Signature
Date Date
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 8
Check list for
Stone Masonry
Page 1 of 2
Foundation ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Stone Masonry Foundation (0411/2) Make a (√)

C NC NA

 Submittal of work methodology

 Distance of excavated material from the brim of the Trench
 Conducted materials test
 Protection of Trench wall from falling in
 Submittal of scaffolding design
 Type & size of Masonry (Uniformly thick/battered)
 Size of Stone masonry
 Qualification of work men
 Bedding material (lean concrete/50mm aggregate)
 Uniformity of colour, texture, etc of the stone
 Proportion of height to length of the stone
 Checking minimum 3pcsof stones/m2 spanning from
face to face of Masonry
 Means of apportioning courses uniformly throughout the height
 Level of Electrical and Sanitary pipes out let
 Mix ratio of mortar & box size
 W/C ratio of the mortar and program to conduct test
 Program to prevent expiry of mortar during longer break
 Reliability of the Mixer
 Chosen axes to display the sample/model of Masonry

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 8
Check list for
Stone Masonry ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2
foundation

Additional Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Stone Masonry works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 9
Check list for
Backfill ANRS Road & Building Design and Construction
Supervision Works Enterprise
Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Backfilling (02314) Make a (√)

C NC NA

 Backfill material (borrowed/from site)

 Submittal of the Backfill material test result
 Necessity of Hard core material testing
 Conformity of readings of the reduced level with the first reading
 Cut surface (reduced ground) compaction before Backfilling begin
 Method of sprinkling of water and its sufficiency
 Method of spreading the fill material
 Method proposed for safety of Sanitary and Electrical pipes
 Moisture content of the area to be filled
 Thickness of backfilling layer
 Method of blending for mixed material
 Decision on No of Test points for Compaction
 Anti Termite solutions (if applicable)
 Surface cleanliness of the area to be filled
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Back filling works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 10
Check list for
Hard Core
ANRS Road & Building Design and Construction Page 1 of 1
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project: ----------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: --------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: --------------------------
Document Referred: Contract document, drawings & inspections

Hard coring(023163) Make a (√)

C NC NA

 Fulfilment of Quality of Test Results of the Compaction

 Confirmation of estimated quality against the documents
 Time elapsed after compaction completion
 Surface condition of the area to be covered
 Quality of Hard core material
 Availability of well-graded materials for Blinding

Additional Remarks ________________

_____________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Hard Coring works. The take-off sheet of this activity shall
immediately be signed upon completion.
.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Project: ________
Construction of - Farm Implement Flexible Shop Factory
Employer: Checklist &Block/Bill:
____________ Milestone Approval
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred:
Element of Structure: - _____Floor Column , Grade beam or _____ Floor beam
Placing of Concrete (031)

Format no 11
Check list for
Column & Beam ANRS Road & Building Design and Construction
Supervision Works Enterprise
Page 1 of 3

Make a (√)
` C NC NA

 Checking of main reinforcement, stirrup & spacer from

displacement of the fixed position, level & alignment;
 Conformity of the formwork with approved formwork design
 Grout tightness & sufficiency of rigidity to prevent disturbance
due to pressure of concrete, effect of vibrator & other load.
 Conformity of proper dimension for the finished surface;
 Provision of opening for maintaining pouring height of concrete
with out segregation;
 Cleanliness, smoothness and treatment with release agent for the
surface of formwork.
 The alignment of column along axis;
 Conformity for right dimension, vertical alignment & level of
finished element;
 Keeping the displacement of reinforcement with in the limit of tolerance;

Check the following before production of concrete

Aggregates / Fine or Coarse/

 Sufficiency for different size of aggregates piled separately;

 Sufficiency of aggregates protected from contamination, minimized
segregation;
 Prevention of intermingling aggregates with adjacent material;
 Provision of adequate drainage for the piled aggregates
for maintaining uniform moisture content;

Format no 11

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Column & Beam Page 2 of 3

ANRS Road & Building Design and Construction

Supervision Works Enterprise

Cement Make a (√)

C NC NA
 Fulfilment of Quality Test
 Type of cement. (Ordinary Portland, pozolana, sulphate resistant etc.)
 Stored separately from other items;
 Protected from dampness, due to weather or ground condition;
 Stored so that the cement will be used on the some order as
it is delivered;
 Free form dampness & partial setting;
 Age of cement
Water

 Protected from contamination

Admixture

 Stored according to manufacturer’s instruction;

 Preserved & identified with labels;
 Type of admixture
Mix

 Size of gauging box for measuring aggregates;

 Required duration to mix the cement & aggregate thoroughly
/check manufacturer’s instruction of the mixer/
 Loading capacity of the mixer
 Availability of enough number of mixer & vibrator for ensuring
continuous supply & compaction of concrete;
 Cleanliness of the mixer
 Availability of aggregate, cement & equipment for producing
the required volume of concrete
 Submittal of mix proportion for the mix design;
 Maximum size of aggregated allowed in the mix;
 Moisture content of aggregate;
 Slump & water/Cement ratio of freshly mixed concrete

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 11
Check list for
Column & Beam ANRS Road & Building Design and Construction
Supervision Works Enterprise
Page 3 of 3

 Workability of concrete for ensuring proper handling and

placing of concrete without segregation/low, medium, high/;
 Weather / care during heavy rain & hot weather/
 Additional Remarks______________________________________________________________
________________________________________________________________________________

For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Placing of Concrete.

For the consultant For The Contractor

Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 12
Check list for
Electrical Work
ANRS Road & Building Design and Construction Page 1 of 2
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred:

Electrical Work Inspection

Positioning of conduits and junction boxes(15) Make a (√)

` C NC NA

 Qualification of Electrician/Grade
 Location slab/
- Wall
- Normal ceiling
 Material approval slip number
 Conduits nature (rigid/flexible)
 Conduits size (mention size)
 Junction box size/nature
 Shape of junction box
- Polygonal
- Circular
 Filler of inverted box
 Connection to formwork/wall
 Size of pins/brackets for surface mounting
 Protection measure from breakage/displacement
 Method of bending/shaping
 Junction of conduits and boxes
 Method of keeping imposition
 Element for wire pulling
 Location of fire place for shaping work
 Overlap in conduit connection
 Approximate length of embedded conduit
 Method of crossing in structural frames
 Cover to embedded conduits

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 12
Check list for
Electrical work
ANRS Road & Building Design and Construction Page 2 of 2
Supervision Works Enterprise

Additional Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Conduit works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 13
Check list for
Ground slab
Page 1 of 3
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Contract document, drawings & inspections
Element of Structure: Ground Floor slab
Placing of Concrete (031) Make a (√)
` C NC NA

 Rechecking the level, cleanliness and smoothness of formwork

from displacement of fixed position, level and alignment.
 Diameter, number, length, shape, bending dimension of
main reinforcement bar in accordance with the drawing;
 Spacing, length and method of tying main bar.
 Cleanliness of all reinforcement bar (free from dirt, paint,
oil, rust and other foreign sunstones;
 Deviation from the drawing in fixing & positioning of reinforcement;
 Over lap location and length to be as shown on drawing;
 Type, shape, dimension, spacing and method of fixing of
spacer to maintain the required concrete cover;

 Detail of all reinforcement necessary for positioning &

supporting structural reinforcement /number, length,
diameter & shape for chair & spacing bars;

 Attention for positioning of top reinforcement in cantilever section/

presence of bar fixer during placing of concrete for correction
and positioning of reinforcement during placing of concrete/

 Provision of starter at location of hand rails for further welding

and avoid chiseling of concrete on the waste of staircase.

 Approval of toilet seat fixture so that the exact position for the
outlet can be identified.

 Provision of pvc pipes on the outlet position of toilet seats to avoid

further chiseling,
 Proper positioning &fixing of electrical conduits and
sanitary pies. /Note:- Approve the work permit under this
titles before placing concrete./

 Expansion joint

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 13
Check list for
Ground slab
ANRS Road & Building Design and Construction Page 2 of 3
Supervision Works Enterprise
Make a (√)
C NC NA
Check the following before production of concrete
Aggregates / Fine or Course/

 Sufficiency for different size of aggregates piled separately;

 Sufficiency of aggregates protected from contamination,
minimized segregation;
 Prevention of intermingling aggregates with adjacent material;
 Provision of adequate drainage for the piled aggregates
for maintaining uniform moisture content;
Cement
 Type of cement. (Ordinary Portland, pozolana, sulphate
resistant etc.)
 Stored separately from other items;
 Protected from dampness, due to weather or ground condition;
 Stored so that the cement will be used on the some order as it
is delivered;
 Free form dampness & partial setting;
 Age of cement
Water
 Protected from contamination
Admixture
 Stored according to manufacturer’s instruction;
 Preserved & identified with labels;
 Type of admixture
Mix
 Size of gauging box for measuring aggregates;
 Required duration to mix the cement & aggregate thoroughly
/check manufacturer’s instruction of the mixer/
 Loading capacity of the mixer
 Availability of enough number of mixer & vibrator for ensuring
continuous supply & compaction of concrete;
 Cleanliness of the mixer
 Availability of aggregate, cement & equipment for producing
the required volume of concrete

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 13
Check list for
Ground slab
Page 3 of 3
ANRS Road & Building Design and Construction
Supervision Works Enterprise

 Submittal of mix proportion for the mix design;

 Maximum size of aggregated allowed in the mix;
 Moisture content of aggregate;
 Slump & water/Cement ratio of freshly mixed concrete
 Workability of concrete for ensuring proper handling and
placing of concrete without segregation/low, medium, high/;
 Weather / care during heavy rain & hot weather/

Additional Remarks: __________________________________________________________________

___________________________________________________________________________________
For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Placing of Concrete.
For the consultant For The Contractor
Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 14
Check list for
Slab & Staircase ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________

Document Referred:

Element of Structure: Suspended Slab staircase

Placing Of Reinforcement (033) Make a (√)
` C NC NA
 Submittal of form work design;
 Conformity with approved formwork design i.e. dimension,
shape, strength method of fixing, rigidity, bracing detail,
detail for a false work or centring, method of removing the
form and detail at joints. (Slab thickness, waist)
 Test result of reinforcement for all requirements;
 Submittal of shop drawing showing Diameter, Spacing, number,
length, shape, method of tying and bending dimension of main
reinforcement bar in accordance with the drawing;
 Cleanliness of all reinforcement bar (free from dirt, paint, oil,
rust and other foreign sunstones;
 Over lap location and length to be as shown on drawing;
 Type, shape, dimension, spacing and method of fixing of
spacer to maintain the required concrete cover;
 Type of material to be used for form work;
 Method used to treat the formwork for preventing adherence
of concrete /coating with oil or any other release agent/
 Cleanliness & smoothness for surface of forms to be used;
 A grout check to provide clean, leveled & horizontal joint
/e.g. Plastic sheet/
 Usage of top form work for casting concrete on surface
steeper then 20º from horizontal to enable the concrete to
be properly compacted;
 Solidness of support for false work.

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 14
Check list for
Slab & Staircase ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks: __________________________________________________________________

___________________________________________________________________________________
For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Placing of
Reinforcement.

For the consultant For The Contractor

Name Name
Signature Signature
Date Date

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 15
Check list for
Carpentry & Joinery
ANRS Road & Building Design and Construction Page 1 of 3
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Contract document, drawings & inspections
Carpentry and Joinery Inspection Make a (√)
C NC NA
Eucalyptus / Timber truss
Truss
 Availability of roofing materials

 Location of truss with respective type

 Positioning of tie element

a. Diameter of bars/size of strands

b. Length of ties

c. Embedment length to support sections

d. Method of tying to structures

e. Corrosion protection measure of ties

f. Location of ties with reference to support

 Checking the level of support structure

 Degree of dryness of members

 Moisture content of members

 Size of structural components (Diameter, thickness, depth, length)

 Metal stripe size for splice(Thickness, length)

 Metal stripe size at nodal points (Thickness, length)

 Size of nails at various nodules

a. Intersection of rafter and bottom chord

b. Intersection of king post to members

c. Intermediate nodules

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 15
Check list for
Carpentry & Joinery ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 3

Make a (√)
C NC NA

 Termite protection

 Checking of completed single structure Components against the

drawing (Model)

 False work for temporary works

 Placing of off - position assembled truss

 c/c spacing of members

 Checking the invert level of bottom chords

 Plumbing condition of individual truss

 Protection from adverse weather effects

Purlines

 Material, type (Zigba, kerrero, eculyptus etc...)

 Lab test of purlin material

 Size of purline section (c/s, Diameter)

 Degree of dryness/seasoning

 Degree of paleness

 Sound wood nature

 Presence of loose knots

 Free from warpping

 Cleanly cut nature of edges

 State of stacking at stock

 Visibility of cracks

 Method of splice(Vertical, slant angle etc..)

 Stiffener for splice(Linear, Metal stripe etc..)

 Cleat size at truss points

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 15
Check list for
Carpentry & Joinery ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 3 of 3

Make a (√)
C NC NA

 Shape /Size/Material of wedges

 Size of nails

a. At splice points for linear

b. At splices for metal stripe

c. At fixing point of purlin to truss

 Type of termite treatment

 Spacing of purlin members

 Length of used purlin section

 Degree of straightness/Slope in directions

a. Longitudinal
b. Transverse
c. Diagonal
Before fixing of roof cover

 Protection from adverse weather effect

Additional Remarks: _____

___________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Truss & Purline works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA=

not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 16
Check list for
Roof Work
ANRS Road & Building Design and Construction Page 1 of 1
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Contract document, drawings & inspections
Roofing and Wall Cladding (06) Make a (√)
C NC NA

 Submittal of work methodology

 Protective coat to respective truss & purlin members
 Centre to centre distance of purlin
 Type of Roofing
 Qualification of work men
 Level ness of the purlins
 Submittal of Shop Drawings for plain sheet accessories
(ridge cap, copping, e.t.c)
 Length of each plain sheet accessory
 Overlap length (side and end lap) of the roofing/ cladding
 Galvanization nature of the roofing
 Fixing material quality
 Washer’s nature
 Weight per ml of EGA roof
 Thickness of the roofing/Cladding/ sheet accessories
 Proposed access to the roof
 Precedence of fascia board and gutter fixing
Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Roof/cladding works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant:- For the Contractor:-

Name Name
Signature Signature
Date Date:

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 17
Check list for
Steel Work
Page 1 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________

Document Referred: Bill of quantity, drawings & specifications

Structural Steel Works (09) Make a (√)

C NC NA
 Submittal of work methodology
 Type of steel member
 Size of section
 Size of /bolts/nuts
 Storage condition
 Submittal of Shop Drawing
 Qualification of work men
 Submittal of test result
 Level ness of bearing element buried in concrete members
 Means of joining members with each other and with Other members
 Fabrication place convenience
 Means of piercing holes and slots, and their tolerance
 Weld type
Thickness
Angle of weld
 Reliability of machines
 Type and size of electrodes /Quality
 Closing of end openings for tubular section
 Sufficiency of camber height for truss
 Nature of bolt thread and means of protecting them
from corrosion
 Submittal of Temporary Scaffolding design

Format no 17
Check list for
Steel Work
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Construction of - Farm Implement Flexible Shop Factory

 Mounting mechanism Checklist & Milestone Approval
 Sufficiency of anti rust paint

Additional Remarks ____________________

____________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Structural steel work fabrication/fixing works. The take-off
sheet of this activity shall immediately be signed upon completion.

For the Consultant:- For the Contractor:-

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not applicable

Format no 18
Check list for
Masonry Wall ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project: ________
Construction of - Farm Implement Flexible Shop Factory
Employer: Checklist &Block/Bill:
____________ Milestone Approval
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred:
Document Referred: Contract document, drawings & inspections
Super Structure
Masonry for Elevation works (04/0411) Make a (√)
C NC NA

 Masonry type/stone, HCB, Brick

 Submittal of work methodology
 Raw materials Quality (Sand, Water)
 Conducted materials test
 Means of transport of goods
 Submittal of scaffolding design
 Type of Masonry (Uniformly thick/battered)
 Size of masonry
 Bondage of Masonry
 Qualification of work men
 Binding material (Mix ratio(Box size)
 Uniformity of colour, texture, size etc of the wall
 Labour tools Quality
 Embedment of Electrical and Sanitary items
 W/C ratio of the mortar
 Program to prevent expiry of mortar during longer break
 Reliability of the Mixer
 Chosen axes to display the sample/model of Masonry
 Mortar joint thickness

Format no 18
Check list for
Masonry Wall ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks ________________

Construction of - Farm Implement Flexible Shop Factory
 Checklist & Milestone Approval
_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Stone Masonry work . The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not applicable

Format no 19
Check list for
Plastering Work
ANRS Road & Building Design and Construction Page 1 of 2
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project:- Meeting Hall & Cafiteria Building Maintenance Work
Employer:- ANRS Main Auditing Office Block/Bill:-
__________
Contractor:- TESHALE FORSIDO B.C Axes:-_____________

Construction of - Farm Implement Flexible Shop Factory

Consultant:- ANRSChecklist & Milestone Approval
R&BD&CSWE Floor:-
_______________
Location:- BAHIR DAR
Documents Referred:- Contract Document, Drawings & Inspections
Plastering work inspection (111) Make a (√)
C NC NA

 Qualification of plasterer

 Location of item wall/ceiling/parapets

 Plumb state of erected wall

 Wall material to be plastered

 Chiselling state of concrete surface

 Testing of pies before plastering

 Condition of surface to be plastered

 Clearing of excess mortar of masonry joints/Recess provision

 Type of plaster mortar /mix proportion for various coats

 Watering of surface before plaster

 Quality of fine aggregate, water, lime etc..

 Method of mixing of mortar;

 Nature of labour tools; (Trowel, ramming pan, Straight edges etc..)

 Max. allowable thickness of coats of plaster(1st coat, 2nd coat, 3rd coat)

 Duration between 1st and 2nd coat

 Minimum days gap between date of second coat and last coat

 Curing state of plaster

 Method of spray of curing water

 Plumbing state of plaster

 Perfection of designed angle at junction points

 Linearity of plastered wall

 Allowable duration time of mortar between mixing and placing

 Joining nature of wall to ceiling/Recessing

Format no 19
Check list for
Plastering Work
ANRS Road & Building Design and Construction Page 2 of 2
Supervision Works Enterprise

Make a (√)
Construction of - Farm Implement Flexible Shop Factory
 Checklist & Milestone Approval C NC NA

 Joining nature of wall to framing/Recessing

 Smooth nature of last coated surface

Additional Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Plastering work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not applicable

Format no 20
Check list for
One Coat Plaster
Page 1 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project:- Meeting Hall & Cafiteria Building Maintenance Work

Construction of - Farm Implement Flexible Shop Factory

Employer:- ANRS Main Checklist & Milestone
Auditing Office Approval Block/Bill:-
__________
Contractor:- TESHALE FORSIDO B.C Axes:-_____________

Consultant:- ANRS R&BD&CSWE Floor:-

_______________
Location:- BAHIR DAR
Documents Referred:- Contract Document, Drawings & Inspections

One Coat (Single Coat) Plastering(111)

Guide line for theoretical know how and practical application of the captioned works in evaluation of
submitted contractor’s methodology.
Make a (√)
C NC NA

 Checking of completion of the preceding works.

 Checking of the intended volume with contract.
 Leveling and plumbing state of erected wall.
 Raking out of mortar joints assure of key embedment
zone to plaster.
 Raking preferably to be carried out at state of setting.
 Mix ratio of plaster is uniform from start to end of work.
 Sand of fairly graded type creates better adhering nature.
 Presence of lime in cement mortar facilitates deduction
of crack formation but elongates setting time.
 Duration in between successive throw of paste develop
break time for setting of mortar.
 Lime also helps to reform workability of mixed mortar.
 By no means the thickness of single coat has to exceed 1.25 cms.
 Too much wetting of erected wall reduces the sticking nature of mortar.
 Protection of plastered surface from adverse effect of weather has to be
done till time of reasonable state of strength development of coated surfaces.

 Guniting is also best method of provision of cement and sand mixed mortar.
*(Guniting – application of mortar to walls under Preumatic pressure through
a cement gun. Application of mortar under pressure develops good bondage and strength.)

Format no 20

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
One Coat Plaster Page 2 of 2

ANRS Road & Building Design and Construction

Supervision Works Enterprise

Additional Remarks ________________

__________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Finishing work works. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor
Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 21

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Rendering work Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred:
Document Referred: Contract document, drawings & inspections

Inspection for rendering work (111) Make a (√)

C NC NA
 Qualification of Plasterer

 Area to be rendered with reference to quality

 Checking readiness of surface wall to be rendered

a. Completion of erection of designed surface

b. Dryness of proposed surface

c. Cleanliness of surface from external un - necessities (Dust, Solid etc...)

d. Completion of other embedded element positioning

e. Centering work of areas to be rendered (Level, plumping, shaping etc..)

 Quality of seeved sand, crushed aggregate, water etc..

 Service ability of rendering tool

 Mix ratio of mortar(1:2) and W:C ratios

 Wetting of surface before start of rendering

 Presentation of plots of sample wall (Independent of project part)

 Maximum deviation of rendering components from average coat thickness;

 Checking homogeneity of colour appearance of rendering

 Lines (Vertical and Horizontal) where discontinuity can be allowed

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed rendering work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:
C=conformed NC= not conformed NA= not applicable

Format no 22

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Wooden door Page 1 of 2

AN
RS Road & Building Design and Construction Supervision
Works Enterprise

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred:
Document Referred: Contract document, drawings & inspections

Wooden doors (07) Make a (√)

C NC NA
 nd
Readiness of surface (End of 2 coat plastering)

 Material approval slip Nº

 Compare with approved sample

 Sample approval slip Nº (Date)

 Location of door/block/floor/room

 Size of door

a) Frame

- Raw material
- Thickness
- Width
- Homogeneity

b) Opening Leaf

- Thickness
- Height
- Width
- Elevation homogeneity
- Raw material (Facing, edges)

 State of stacking at stock

 Surface nature of faces (Solid and flush doors)

 Appearance of panels/patterns of faces

 Type of joints at corners

 Adhesive type

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 22
Check list for
Wooden door
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Make a (√)
C NC NA
 Nature of nail

a. Size of nail at frames/leafs

b. Oval lost head nails position

 Edge stiffeners wood

 Air gap underneath doors (Clearance)

 Model type fixed door condition

a. Seasoning condition
b. State of paleness
c. Warping nature
d. Presence of cracks
e. Presence of loose knots
f. Homogeneity nature
 Nature of hinges (Comparison of approved sample with site deliveries)
 Nature of lock
 Nature of stoppers
 Nature of fasteners/hold fasts
 Water proof adhesive type (For external doors)
 Checking at fixing (Location, level, plumbing, angles at corner)
 Model type fixed door condition
Additional remarks: _________________________________________________________________________
_________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed plumbing work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name Name
Signature Signature
Date Date:
C=conformed NC= not conformed NA= not
applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 23
Check list for
Metal Work ANRS Road & Building Design and Construction Page 1 of 1
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Contract document, drawings & inspections

Metal Work Fabrication and Fixing (8&10) Make a (√)

C NC NA

 Submittal of work methodology

 Completion of 2nd coat plastering
 Label of Door, Window, Sky light
 Type of metal
 Cross section / size of metal
 Qualification of work men
 Submittal of Shop Drawing
 Condition of storage
 Submittal of approval of accessories
 Submittal of approved sample/model
 Fabrication place convenience
 Compatibility of size and shape of glazing bead with the frame
 Availability of anti rust paint at site and 1st coat
 Checking size and no of anchor straps
 Position of fixity w.r.t. Thickness of wall
 Checking of wall opening with tolerance
Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Metal work fabrication/fixing works. The take-off sheet of this
activity shall immediately be signed upon completion.
For the Consultant:- For the Contractor:-
Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Format no 24
Check list for
Electrical Installation
Page 1 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Construction of - Farm Implement Flexible Shop Factory

 Project: ________ Checklist & Milestone Approval
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Contract document, drawings & inspections

Electrical work Inspection (15)

Pulling of wires/cables and related accessories Make a (√)

C NC NA
 Qualification of electrician/Grade

 Location slab /wall ceiling open areas

 Material approval slip number

 Size of wire/Cable/Colour

 Rigidity condition at time of pulling

 Nature of wire connectors

 Sizes of connectors

 Size and nature of insulating tape

 Nature of clamps

 Insulation at point of cable connection

 Angle of bends in section crossing/cables

 Size of connectors

 Trancking connection to walls/ceiling/floor

 Size of pins/brackets for conduits/trancking;

 Spacing of pins/brackets;

 Adopted moisture protection at manhole chambers/cables

 Length of wires;

Format no 24
Check list for
Electrical Installation ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval Make a (√)
C NC NA

 Size/nature of junction box

 Conduit cover
 Shape of junction box
 Overlap of conduit connection
 Crossings at structural frames

Additional Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical wiring works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name Name
Signature Signature
Date Date:

C=conformed NC= not conformed NA= not applicable

Format no 25
Check list for
Ceiling work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Construction of - Farm Implement Flexible Shop Factory
 Consultant: _______Checklist & Milestone
Floor: Approval
Location: ___________________

Document Referred: Bill of quantity, drawings & specifications

Ceiling Work (07531) Make a (√)

C NC NA

 Qualification of work men (0732)

 Submittal of work methodology
 Preparation of estimated measurement
 Lab test of purline material
 Checking plainness
 Sufficient availability and storage of ceiling board
 Sufficiency of vent openings
 Fixing condition of ceiling to support
 Decision on the pattern of the ceiling
 Provision of ventilation
 Provision of anti-termite
 State of flooring (Stage of concrete)
 Uniformity of the Ceiling material w.r.t. Texture, colour, e.t.c
 Checking stability of battens
 Size of batten and positioning
 Quality test submission for battens
 Maximum spacing of battens (both ways)
 Way of fixing of conduits and junction boxes
 Sufficiency of hangers for ceiling/design

Format no 25
Check list for
Ceiling work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

 Check leakage on the roof cover

 Position of Inspection hole
 Time taken between batten execution and chip wood cladding
 Mechanism to avoid stain formed by rusted nails
 Stability of battens
 Mock up rooms

Construction of - Farm Implement Flexible Shop Factory

Additional Remarks Checklist & Milestone Approval ___________________
_______________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Ceiling/Cladding works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant: - For the Contractor:-

Name Name

Signature Signature

Date Date:

C=conformed NC= not conformed NA= not applicable

Format no 26
Check list for
Sanitary work
ANRS Road & Building Design and Construction Page 1 of 2
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project:- Meeting Hall & Cafiteria Building Maintenance Work
Employer:- ANRS Main Auditing Office Block/Bill:-
__________
Contractor:- TESHALE FORSIDO B.C Axes:-_____________

Consultant:- ANRS R&BD&CSWE Floor:-

_______________
Location:- BAHIR DAR
Documents Referred:- Contract Document, Drawings & Inspections
Plumbing and sanitary work inspection(14)
Indoor use G.I. pipes Make a (√)
C NC NA

 Qualification of plumber

 Location of item floor/wall/roof

Construction of - Farm Implement Flexible Shop Factory
 Checklist & Milestone Approval
Material approval slip number(Date)

 Checking physical properties of approved sample with deliveries

 Pipe position(Surface/embedded)

 Nature of wall/ thickness

 Fixtures
a. Colour appearance
b. Formation of threads
c. On site random manual thread formation against the approval
d. Checking of weight of specimen
e. Presence of cracks

 Nature of fiber for end connection

 (Flexibility, water absorption, sticking, character one to other)

 Selected type of paint (non lubricant) for fibers interlinking nature

 Sufficiency of threaded length for connection

 Connection to turn point members

 Installation height with reference to riser diagram

 Angle of projection of lines at edge of turns

 Embedment element to specified location

 Spacing and location of anchorages to pipe lines

 Testing of pipe before coverage of surfaces

Format no 26
Check list for
Sanitary work ANR
S Road & Building Design and Construction Page 2 of 2
Supervision Works Enterprise

Additional Remarks:_________________________________________________________________

__________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Plumbing works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:
Signature: Signature:
Construction of - Farm Implement Flexible Shop Factory
Date: Checklist &Date:
Milestone Approval
C=conformed NC= not conformed NA= not applicable

Format no 27
Check list for
Sanitary work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:- Meeting Hall & Cafiteria Building Maintenance Work

Employer:- ANRS Main Auditing Office Block/Bill:-
__________
Contractor:- TESHALE FORSIDO B.C Axes:-_____________

Consultant:- ANRS R&BD&CSWE Floor:-

_______________
Location:- BAHIR DAR
Documents Referred:- Contract Document, Drawings & Inspections
Plumbing and sanitary work Inspection (14)

Indoor and out door UPVC PVC pipes Make a (√)

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval C NC NA

 Location of item floor/wall/roof

 Material approval slip number (Date)
 Checking physical properties of approved sample with deliveries

a. Comparison of product data

b. Colour appearance
c. Presence of cracks
d. Checking of unit linear length
e. Nature of rubber jointing rings/gaskets
f. Solvent for welding
g. Method of identification of checked element
h. Others

 Method of pipe protection from & degradation (polythene sheeting, shade etc. )
 Nature of surface where stored pipe to rest
(Soft material:- River sand, crushed stone etc..)
 Storage of coupling rings (Laying flat)
 Storage nature of rubber jointing ring and gasket
(Cool, dry place, away from diesel, storage etc..)
 Condition of crossing at structures
(Cut length, provision of flexible joints at extremes)
 Installation height with reference to riser diagram
 Offset measurements from project accessories with reference to design drawings
 Concentricity of one line to the next
 Minimum cut back length from damaged end

Format no 27
Check list for
Sanitary work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks:_________________________________________________________________

__________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Plumbing works. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Construction of - Farm Implement Flexible Shop Factory

Name:
Signature:
Checklist &Name:
Milestone Approval
Signature:
Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 28
Check list for
Cement Screed ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred:
Document Referred: Contract document, drawings & inspections

Cement Screed flooring Inspection Work (112) Make a (√)

C NC NA
 Qualification of mason
 Completion of preceding works/Ceiling/Plastering
 Leveling state of floor to be screed
Construction of - Farm Implement Flexible Shop Factory
 Checklist & Milestone Approval
Adopted method of levelling course
 Surface nature of floor chiselled/Washed
 Mix proportion of screed material
 Presence of colors pigments in mix
 Quality of fine aggregate, water etc..
 Method of mixing of mortar
 Nature of labour tools (Mason tools)
 Thickness of designed screed
 Precision on the level surface to be screed
 Smooth nature of finished level
 Curing period of screed surface
 Checking of F.F.L form near by rooms
 Protection measure of finished surface form damage
 Provision of expansion joint
Additional Remarks: _____
_________________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Floor screed works. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 29
Check list for
Ceramic Wall
ANRS Road & Building Design and Construction Page 1 of 2
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________

Document Referred: Bill of quantity, specifications, & drawings___

Ceramic wall tile coverage inspection work (112) Make a (√)
C NC NA
 Qualification of tiler
 Location of item internal /External wall
 Transverse/water absorption test
 Type of tile material ceramic/ precast element etc..
 Design of patterns
 Material approval slip and sample

Construction of - Farm Implement Flexible Shop Factory

  Colour of selected tile Checklist & Milestone Approval
 Checking of approved sample with site delivers
 Size of tile and deviation one to the other
 Thickness of tile
 Selection of equal sizes for placing
 Checking of surface nature to be covered
 Maximum projection of tile from wall surface
 Immersion of tiles in water before fixing
 Checking of plumbing, corner angle etc. before placing
 Mix proportion of tile paste
 Quality of adhesive
 Availability of tile spacer
 Cleaning and wetting of surfaces
 Nature of tools
 Cutting provision of uniform paste backings
 Curing period of tiles surface
 Application time of white cement/quantity/Unit weights
 Protection measure of unnecessary spread of pasted/cement on Surfaces/adhesive
 Plumbing/levelling/Linearity of wall surface
 Tile condition at outlets of embedded element
 Pressure test for embedded pipes

Format no 29
Check list for
Ceramic Wall
ANRS Road & Building Design and Construction Page 2 of 2
Supervision Works Enterprise

Additional Remarks _______________

____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed tile working. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

Construction of - Farm Implement Flexible Shop Factory

C=conformed Checklist & Milestone Approval
NC= not conformed NA= not applicable

Format no 30
Check list for
Solid Floor
ANRS Road & Building Design and Construction Page 1 of 2
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Bill of quantity, specifications, & drawings___

Solid Floor tile coverage Terrazo Granillia Cement Other

Inspection works
Make a (√)
C NC NA
 Qualification of tile layer

 Testing of material

 Material approval slip number and sample

 Nature of tile material ceramic /Terrazzo etc..

Construction of - Farm Implement Flexible Shop Factory

 Colour of selected tile Checklist & Milestone Approval
 Size of tile material (Length, width, thickness)

 Comparison of site deliveries with sample

 Selection of equal sizes/colour for placing

 Leveling condition of floor to be covered

 Designed pattern of tile placing

 Nature of binder (mortar) /Mix ratio

 Quality of water, fine aggregate etc..

 Method of mixing of mortar

 Adopted leveling course material for level correction

 Surface condition of floor to be covered (Well chiseled, washed etc...)

 Presence of spacer

 Immersion of tile in water before placing

 Cutting method of tiles

 Nature of tools

Format no 30
Check list for
Solid Floor
ANRS Road & Building Design and Construction Page 2 of 2
Supervision Works Enterprise
Make a (√)
C NC NA

 Slope condition wrt floor drains

 Tile nature at outlets of floor embedded elements

 Checking uniform spread of underneath paste/thickness

 Curing period of placed tile

 Level state of placed tile

 Grouting material type ,colour and application/colour

Additional Remarks :_____________________________________________________________________________

______________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed floor tile. The take-off sheet of this activity shall immediately be
signed upon completion.

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 31
Check list for
Solid Window Sill ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project: ________
Employer: ____________ Block/Bill:
Contractor: _____________ Axes:
Consultant: _______ Floor:
Location: ___________________
Document Referred: Contract document, drawings & inspections

Solid window sill coverage Terrazo Granillia Cement Other

Inspection works
Make a (√)
C NC NA
 Qualification of tile layer

 Testing of material

 Material approval slip number and sample

 Nature of tile material ceramic /Terrazzo etc..

 Colour of selected tile

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Size of tile material (Length, width, thickness)

 Comparison of site deliveries with sample

 Selection of equal sizes/colour for placing

 Leveling condition of window to be sill

 Nature of binder (mortar) /Mix ratio

 Quality of water, fine aggregate etc..

 Method of mixing of mortar

 Adopted leveling course material for level correction

 Surface condition of floor to be covered (Well chiseled, washed etc...)

 Immersion of tile in water before placing

 cutting method of tiles

 Nature of tools

 Slope condition wrt window sill grooving

 Checking uniform spread of underneath paste/thickness

 Curing period of placed tile

Format no 31
Check list for
Solid Window Sill ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Level state of placed tile

 Grouting material type ,colour and application/colour

Additional Remarks :______________________________________________________________________________

______________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed floor tile. The take-off sheet of this activity shall immediately be
signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

Construction of - Farm Implement Flexible Shop Factory

C=conformed Checklist & Milestone Approval
NC= not conformed NA= not applicable

Format no 32
Check list for
PVC tile floor ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Plastic/PVC tile flooring work Inspection (112)

Make a
(√)
C NC NA

 Qualification of tiller
 Readiness of floor W.R.T other works
 Material approval slip and sample
 Submittal of tiling module
 Colour of selected material
 Size of plastic tile (Length, width, thickness)
 Checking physical properties of sample with site deliveries;
a) Product data of sample with deliveries

Construction of - Farm Implement Flexible Shop Factory

 b) Flexibility of tile Checklist & Milestone Approval
c) Nature of underneath fiber of tile
d) Smooth/plane nature of surface
e) Nature of adhesive (approved with new deliveries)

 Nature of screed to be tiled, (Clean, washed, dried etc..)

 Leveling state of screed
 Rectification method of defective screed
 Duration from cast of screed to tile placing
 Adhesive application rate per unit area
 Presence of tile spacer
 Cutting method of tile for wall side position
 Method of stabilization of tiled surface (Rolling, consolidation)
 Protection measure for unnecessary surface spread of adhesive
 Cleaning state of finished surface

Format no 32
Check list for
PVC tile floor ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks :________________________________________________________________________

_________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical works. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name : Name:

Signature: Signature:

Date: Date: _______

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 33
Check list for
Marble floor ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Marble flooring Work Inspection (112) Make a (√)
C NC NA

 Qualification of tiler
 Designed pattern
 Checking of specified rooms with quantity
 Material approval slip number and sample
 Type of marble (Wellega Gojam, Harar etc.)
 Size of marble checking
a. Length
b. Breadth
c. Thickness
 Eadge condition of delivered piees
 Surface nature of delivered pieces (free from cracks, holes perforations)
 Condition of floor to be covered

Construction of - Farm Implement Flexible Shop Factory

 a. Checklist & Milestone Approval
Adopted levelling course correction
b. State of chiselling of surface
c. Washed and free from dust grits etc
d. Checking application of designed mortar thickness
 Type of mortar and mix ratio for laying
 Grouting type (material)
 Quality of fine aggregate, water etc..
 Method of mixing of mortar
 Mortar volume needed for immediate use
 Method of cutting of pieces induce of necessities
 Spacer type and size to be adopted
 Checking uniform spread of mortar under elements
 Condition of labour tools for fixing
 Shapes to made at vertical obstructions

Format no 33
Check list for
Marble floor
ANRS Road & Building Design and Construction Page 2 of 2
Supervision Works Enterprise

Make a (√)
C NC NA

 Curing period of finished surface

 Checking of designed level /Grading
 Provision of white cement /others
 Cleaning method of un-necessities, paint, cement etc.
Additional Remarks :______________________________________________________________________________
______________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Floor screed work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 34
Check list for
Parquet floor ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Parquet flooring Work Inspection (112) Make a (√)
C NC NA

 Qualification of Carpenter /Joiner

 Checking of specified rooms with quantity /Dwg.

 Well sizend

 Completion state of sequential related works

 Termite protection

 Termite protection solution

 Material approval slip member and sample

 Well seasoned

 Checking of approved sample with deliveries:

a. Size of single element /Composite size

b. Thickness of element

c. Colour of element

d. Correction of composite element

Construction of - Farm Implement Flexible Shop Factory
 e. Checklist & Milestone Approval
Adhesive nature for correction

f. Raw materials used for fabrication

g. Surface pattern nature appearance

 Checking the surface nature of screed

a. Level condition as per design

b. Presence of wavy surface /Undulating

c. State of dryness of surface

d. Washed and dust free state

e. Readiness of surface to accept adhesive /Binder

f. Proper filling of voids

Format no 35
Check list for
Parquet floor ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Checking surface condition of supports

a. Spacing of surface embedded timber sections

b. Size of timber sections

c. Connection condition of supporting timber crossings

d. Designed gradient /level of supports

e. Stability of timber supports to their underneath element

f. Proposed provision of wedges and cleats

g. Method of connecting floor finish element to bottom supports (Nailing ,screws etc.)

h. Mack up/Model rooms

 Checking practicality of designed pattern provision

 Checking of designed gradient application

 “ “ level in different directions

 Perfection of close contact of two element surface junctions

 Method adopted for final level rectification

 Protection measure from contact of paints and other defective matters

 Application rate of selected type wax

 Mode sample

Construction of - Farm Implement Flexible Shop Factory

Additional Remarks: Checklist & Milestone Approval _____
_________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Flooring work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:
Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 36
Check list for
Mosaic ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Inspection for fixing of floor wall mosaic (112)

Make a (√)
C NC NA

 Readiness of surface for fixing of proposed work

 Checking of actual quantities with dwg/ documents

 Location of Mosaic ( Floor, Wall etc. )

 Nature of mosaic material ( ceramic, wood, glass, stone etc. )

 Material approval slip and sample

 Checking physical properties of sample with deliveries

a, Shape and pattern of individual elements

b, Size of a single pattern with components position

c, Thickness of elements

d, Colour of elements / approved single patterns

e, Shining nature of exposed surface

f, Checking of presence of cracks, holes etc.

g, Nature of underneath membrane of mosaic

 Strength / Dryness state of wall/ surface to be covered

Construction of - Farm Implement Flexible Shop Factory
  Checklist & Milestone Approval
Straightness, plumbing etc. nature of surface

 Clean surface appearance to be covered

( Free from dust, moisture, grease, irregularities etc. )

 Wetting of back surface prior to coverage

 Mix ratio of cement mortar mix/binder

 Quality of cement, sand and water

 Method of mixing of mortar/binder

 Minimum thickness of mortar backings/binder

Format no 36
Check list for
mosaic ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Checking of leveling, plumbing straightness of set element/grouting

 Joining nature of sets of elements / Indifferent directions

 Provision rate of white cement at joints of elements

 Removal of excess paste materials from finished surfaces

Additional Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 37
Check list for
Stair case steps ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Stair tread and riser inspection Make a (√)

C NC NA

 Quality of tiller/ Carpenter.

 Readiness of surface for placing.
 Type of material.
 Cleanness of surface.
a, Chiselling of surface.
b, Impresence of dust, dirt etc.
 Levelling state/plumbing state.
 Designed pattern of placing.
 Material approval slip (Date)
 Comparison of approved sample with deliveries.

a, Width (Tread, Riser)

b, Length
c, Thickness
d, colour
e, Place of production (Type)
f, Nosing size
g, Size of chamfer
h, Shape of chamfer
i, Anti-slipping nosing
Construction of - Farm Implement Flexible Shop Factory
 Checklist & Milestone Approval
j, Adhesive for additional nosing protection
k, Grouting material
 Line of nosing with stair soffit.
 Pattern at contact of tread and landing.
 Pattern at contact of riser and landing.
 Splice location and pattern.

Format no 37
Check list for Site
clearance
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Additional Remarks __________________

______________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Floor Finishing work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:
Signature: Signature:

Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 38
Check list for Steel
finished material ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Steel Ladders and Stair Hand Rails (08 & 10)

Make a (√)
C NC NA

 Qualification of welder
 Location Of item/actual position checking
 Material approval slip number/sample
 Checking physical appearance of sample with deliveries
 Size/Shape of Rungs
 Size/Shape of stringers
 Size/Shape of Support stays
 Size/Shape of support stay anchorages
 Size/Shape of holding down bolts
 Size/Shape of any fastenings
 Type of weld/electrode/size of weld
 Stratum for holding down bolts
 Safety cage necessities/typical designs
 Application of antirust coatings/other paints
 Clearance between stringer and wall
 Projection of stringer over top of last rung
 Shape of stringer at bottom embedment
 Depth of embedment at support stays
 Spacing in between successive
a. Stringers

Construction of - Farm Implement Flexible Shop Factory

 b. Rungs Checklist & Milestone Approval
c. Stair balustrades
 Angle of ladder to vertical wall
 Level of goings w.r.t to F.F.L of references
 Connection of handrail to balustrade

Format no 38
Check list for Steel
finished material ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Top/bottom spaces of balustrades/shape and sizes

 Balustrade connection to lower surfaces
 Balustrade bottom bracing for embedment
 Horizontal projection of balustrade from embedded surface edged
 Closing of opening at end

Additional Remarks:_________________________________________________________________
___________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Stair case finishing proceed work. The take-off sheet of this
activity shall immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:
Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 39
Check list for
Metal Work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Metal Work Inspection
Steel Stair Case Components (08 & 10) Make a (√)
C NC NA

 Qualification of manufacturer/Onsite production

 Location of time /Actual position checking
 Material approval slip number/sample
 Checking physical appearance of sample with deliveries
 Chequering or non-slip pattern of plate
 Projection depth of chequer from flat surface
 Thickness of chequer
 Characteristics of material
 Section of steel angle frame/curbing
 Type of weld/Thickness
 Selected type of paint/appropriateness/Antirust
 Pattern of open mesh floor
 Size of open mesh (Thickness, pattern size)
 Angle of spindle at support/width
 Kicker plate around openings
a. Size of sections
b. Projection over level of open mesh
c. Type of weld /connection detail
d. Painting type/coatings
 Size/shape of roof covering
 Size/Shape /Nature of main support stand
 Foundation of stand/embedment depth to footing
 Positioning of stand /Location, state of plumbing/
 Size/Position of stringers/Rungs/Safety cages
 Level of goings with reference to F.F.C

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Level of roof cover w.r.t to main house units
 Vertical clearance between successive treads

Format no 39
Check list for
Metal Work
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Additional Remarks ________________

__________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Steel Structure work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 40
Check list for
Painting ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project:- Meeting Hall & Cafiteria Building Maintenance Work

Employer:- ANRS Main Auditing Office Block/Bill:-
___________
Contractor:- TESHALE FORSIDO B.C Axes:-
___________________
Consultant:- ANRS R&BD&CSWE Floor:-
___________________
Location:- BAHIR DAR
Documents Referred:- Contract Document, Drawings & Inspections
Painting :(1200) Make a (√)
Metal Non Metal C NC NA

 Submittal of work methodology

 Surface Material
 Receive of approved paint schedule
 Submittal of paint manufacturer manual
 Preparation of estimated measurement and storage condition
 Qualified Work men
 Scaffolding design
 Paint type and proposed glue for white wash
 Availability of paint material
 Availability of tools
 Quality of surface area
 Priming paint (etching primer if applied)
 Sufficiency of primer coverage/Painting
 Time gap between successive paint applications
 Quality test of paint materials
 Finishing stage of the corresponding room
Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Glazing work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 41
Check list for
Glazing
Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: -------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: ----------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: --------------------------
Document Referred: Contract document, drawings & inspections

Glazing Work (13) Make a (√)

C NC NA

 Label of window/door/roof
 Stability of frame
 Type of glazing
 Colour of glazing
 Qualification of work men
 Estimated measurement preparation
 Size of cut and thickness of glazing material
 Quality of putty
 Quality test
 Fixing of samples with putty application
 Putty application position
 Sufficiency of space for putty application
 Spacing of bead screws/Firmness
 Condition of final coat of paint to frames
 Finishing stage of the wall/room to be glazed

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Glazing work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 42
Check list for
Water Proof
ANRS Road & Building Design and Construction Page 1 of 1
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Damp water proofing Work (15)

Make a (√)
C NC NA

 Submittal of detail application manual of the material

 Submittal of detail material approval
 Submittal of detail shop drawing
 Cleanliness of parent surface
 Quality of surfaces

 Submittal of guarantee certificate to the employer

 Slope of roofing
 Drying mechanism of surface

 Readiness of the surface for treatment application

 End of works at roof level
 Qualification of work men

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Pavement construction work. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 43
Check list for
Electrical Work
Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: ----------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: ---------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: ----------------------------
Document Referred: Contract document, drawings & inspections
Electrical work Inspection (15)

Fixing of Boards/Breakers/Bell Control Make a (√)

C NC NA
 Qualification of electrician /Grade
 Location of item wall/ceiling/floor

 Material approval slip number/Date/

 Material type plastic/metal-Thermoplastic

-Thermosetting
 Nature of fixing to proposed position product data/New idea
 Clamp nature at joint of boards to cables

 Grounding accessories destiny

 Visibility of cable lining and ease to identification

 Height of fixtures from floor (EELPA)

 Method of insulation at connections

 Horizontal off sets measurement formwork

 The size and type of cable to sub-boards

 Material type and size of riser duct (Manhole to boards)

 Checking the functionality of stand by lines/breakers

 Method of suspend of cables from duct contact

Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor
Name Name

Signature Signature

Date Date:

C=conformed NC= not conformed NA= not applicable

Format no 44

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Plastics Skirting Page 1 of 2

ANRS Road & Building Design and Construction

Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Fixing of plastic skirting Work Inspection (112) Make a (√)

C NC NA

 Qualification of tiler

 Checking of specified rooms with quantity /dwg.

 Completion state of sequential related works

 Material approval slip number with sample

 Checking of approved sample with deliveries

a. Height of material

b. Shape of “

c. Thickness of “

d. Colour of “

e. Rigidly /Flexibility of material

f. Adhesive nature with sample

g. Age of adhesive/Expiry

 Straightness of surface to be covered

 Nature of prepared surface to be covered (Free from paint, dust, excess mortar etc,)

 Capacity of surface to accept even distribution of adhesive

 Application rate of adhesive and tools

 Method of rolling for bondage of skirting material to covered surface

 Adopted method of splicing at continuity

 Detail at turn pint of surfaces to be covered.

 Connection state at contact point to flooring.

 Modification at sudden obstruction points.

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 44
Check list for
Plastic Skirting ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks _______________

____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Tile work. The take-off sheet of this activity shall immediately
be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 45

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Skirting Page 1 of 2

ANRS Road & Building Design and Construction

Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: -------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: --------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: ------------------------------
Document Referred: Contract document, drawings & inspections

Fixing of Terrazzo Ceramic Marble and other Similar Skirting (112)

Make a (√)
C NC NA

 Qualification of Mason/Tiler

 Readiness of room for execution of stated work

 Checking of specified rooms with quantity /Dwg.

 Completion state of sequential related works

 Material approval slip number with sample

 Checking of approved sample with deliveries

a. Height of skirting

b. Length of element

c. Thickness of element

d. Colour of element

e. Source of material (marble)

f. Perfection of corner angle

g. Nature of chamfer

 Allowable projection depth from wall surface

 Straightness of wall to be covered

 Nature of surface to covered (free from dirt, grease, obstruction etc.)

 Mix proportion of mortar paste

 Quality of fine aggregate, water

 Mortar volume for immediate use

 Method of cutting of pieces in case of necessities

 Spacer type and size to be adopted

 Condition of labour tools for placing work
 Checking uniform spread of mortar binder at backing

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 45
Check list for
Skirting
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

 Curing period of placed work

 Checking of straightness, level of work

 Provision of white cement /others.

 Cleaning method of finished surface

 Adhesive type

 Grouting materials/Nature

Additional Remarks: ____

_____________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Skirting work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 46
Check list for
Wooden Skirting ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Fixing of Wooden Made Skirting Make a (√)
C NC NA

 Qualification of carpenter/Joiner

 Checking of specified rooms with quantity /Dwg.

 Completion state of sequential related work

 Nature of wall where element to be fixed

 Material approval slip number with sample

 Checking approved sample with deliveries

a. Raw material nature (kerrero, tide etc)

b. Height of skirting

c. Thickness of skirting

d. Minimum allowable length of every leaf

e. Nature of chamfer

f. State of dryness

g. Presence of crack, knots, warp

h. Method of bulk storage

i. Selected type termite protection

j. Selected type moisture protection

k. Type of coating to be provided

l. Size of connecting fissure /location /spacing

m. Size of nail /nature of head/ required number

 Straightness of surface to be covered /Plumb state

 Perfection of cut element at ends

 Method of splice at continuation /Splice angle

 Passage condition at obstructions

 Joint treatment at splice points/Nail points

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 46
Check list for
Wooden Skirting ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Type of filler material

 Checking of straightness and level of fixed element

 Application of designed coatings /Rate /sequence

 Clearing method of finished surface.

Additional Remarks: ____

__________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Skirting work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 47
Check list for
Marble Cladding ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2
dry

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Marble Cladding to erected wall Inspection
Marble Cladding (Dry State) (112) Make a (√)
C NC NA

 Qualification of Mason.
 Type of tools for intended work.
 Checking of contract volume with intended area.
 Firmness of backing wall to withstand cladding.
 Shop drawing presentation against design.
 Designed Pattern of cladding area.
 Approved sample of adhesive.
 Observation of approved material sample against site deliveries.
 Submission of product data of adhesive.
 Readiness of surface to accept material to be clad.
a, Plumbing and levelling state.
b, Presence of plain surface wall.
c, Clear, free from dust, loose material etc.
 Application rate of adhesive

 Dry state of wall to be covered.

 Application of marble clad spacers.

 Grouting material.

 Volume of grout application as per thickness of marble.

 Method of cleaning of finished cladded wall surface.

 Plumbing and levelling state of fixed clad material.

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 47
Check list for
Marble Cladding
Page 2 of 2
dry ANRS Road & Building Design and Construction
Supervision Works Enterprise

Additional Remarks: ____

__________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor
Name:- _______________________ Name:-

Signature:- Signature:-

Date:- Date:-
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 48
Check list for
marble Cladding ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2
wet

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Marble Cladding to erected wall Inspection

Marble Cladding (Wet State) (112) Make a
(√)
C NC NA

 Qualification of Mason.

 Type of tools for intended work.

 Checking of contract volume with intended area.

 Firmness of backing wall to withstand cladding.

 Shop drawing presentation against design.

 Designed Pattern of cladding area.

 Checking of steel embedment to erected wall /As per design.

 Observation of approved material sample against site deliveries.

 Spacing of marble support metals/ row and columns.

 Groove formation of marble pieces /Size of groove/Shape.

 Readiness of surface to accept material to be clad.

a, Plumbing and leveling state.

b, Presence of rough /irregular surface wall.

c, Clear, free from dust, loose material etc.

d, Embedment of metal / rod to wall surface.

e, Perfection of grooves against size of embedded metal.

f, Proper location of recessed grooved against edge line of cladding material.

 Mix ratio of mortar material.

 Method of mixing of mortar.

 Wetting state of wall to be covered.

 Application of marble clad spacers.

 Type of grout against designer’s choice.

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 48
Check list for
Marble Cladding
Page 2 of 2
wet ANRS Road & Building Design and Construction
Supervision Works Enterprise

Make a (√)
C NC NA

 Volume of grout application as per thickness of marble.

 Method of cleaning of finished cladded wall surface.

 Plumbing and leveling state of fixed clad material.

Additional Remarks: ____

__________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name:- Name:-

Signature:- Signature:-

Date:- Date:-

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 49
Check list for
Down Pipe ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project: --------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: Misgie Kibretu BC Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: -----------------------------
Document Referred: Contract document, drawings & inspections

Down pipe (0643) Make a (√)

C NC NA

 Submittal of detail shop drawing

 Thickness, width and length of the brackets
 Type of Down pipe
 Nature of the material (its galvanization and the like)

 Type of lead materials

 No of joints; and type of connectors (for UPVC Down pipes)
 Sufficiency of overlap length
 Precedence of Fascia board/ final plastering
 Slope of Down pipe
 Spacing of the straps
 Detailing of Roof treatment connection with the Down pips
 Means of fixity
 Qualification of work men
 Sample preparation
Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Down pipe work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor
Name:- Name:-

Signature:- Signature:-

Date:- Date:-

C=conformed NC= not conformed NA= not applicable

Format no 50

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Gutter Work Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: TEREFIE High School

Employer: ANRS Health Bureau Block/Bill:
Contractor: ----------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: ---------------------------
Document Referred: Contract document, drawings & inspections

Gutter Work(0643) Make a (√)

C NC NA
 Submittal of detail shop drawing
 Thickness, width and length of the brackets
 Type of Gutter
 Nature of the material (Its galvanization and the like)
 Type of lead materials
 No of joints; and type of connectors (for U PVC Down pipes)
 Sufficiency of overlap length
 Precedence of Fascia board/ final plastering
 Slope of gutter
 Spacing of the straps
 Detailing of Roof treatment connection with the Down pips
 Means of fixity
 Qualification of work men
 Sample Preparation
Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Gutter work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 51

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Electrical fittings Page 1 of 1
ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: --------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: ----------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: --------------------------------------
Document Referred: Contract document, drawings & inspections

Electrical work Inspection

Fixing of electrical fittings/points (15) Make a (√)
C NC NA
 Qualification of electrician/Grade

 Location of item wall, ceiling, floor

 Material approval slip number(Date)

 Comparison of product data, approved sample and new arrivals

a. Checking the approved data with new arrival data

b. Physical comparison study of sample with the arrival;

 Fixing condition to proposed position product data guide line/other

 Angle of suspend with the illuminated Surface

 Height with reference to floor (EELPA standard/designed height)

 Horizontal off sets measurement from walls

 Position of access for change of damages/bulbs

 Precaution any measure for protection from last coat of paint

 Protection measure for incidental REDOX action at point of screws and slots;

 Access for placing of elevated fittings/replacement

Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Format no 52

Construction of - Farm Implement Flexible Shop Factory

 Check list for Checklist & Milestone Approval
Electrical Lighting Page 1 of 2

ANRS Road & Building Design and Construction

Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT

Project: ------------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: -------------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: ---------------------------------
Document Referred: Contract document, drawings & inspections

Electrical work Inspection

Lighting Arrestor system (15) Make a (√)
C NC NA
 Qualification of electrician/Grade

 Material approval slip (Date)

A. Location of copper plates roof/wall

 Length of plate

 Width of plate

 Thickness of plate

 Method of splice of plates

 Connection to roof elements/wall /Factory and others/

B. Location of copper plates columns/Shear wall/

 Shape of copper plates

 Length of plate

 Width of plate

 Thickness of plate

 Type of weld to reinforcement

 Size of weld

 Location of plate from top of footing pads

 Connection of plates to copper strands

 Size of strands (Dia. )

 Length of copper strands

 Pit size and nature of ground pits

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 52
Check list for
Electrical lighting
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Make a (√)
C NC NA
 Diameter / Height and embedment to ground of earthing rod

 Connection of earthing rod to strands/plates

Additional Remarks ________________

_____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 53
Check list for
Electrical Site work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Electrical work Inspection

Site work electrical/poles (15) Make a (√)
C NC NA
 Qualification of electrician/Grade

 Location of item

 Material approval slip number/Date/

 Physical identification of approved sample with the delivered one

(Raw material of approved sample -steel, cast iron etc..)

a. Size of pole/mast. (Dia., thickness, height)

b. Coats of paint (Priming, surface coat)

c. Angle of bend at turns

d. Cable in let holes (Shape, size, gate shape)

e. Moisture protection at opening and bulb location

f. Ladders to top

 Type and size of insulation tape

 Junction at point of two size connection

 Metal exposure from earthen contact

 Connector size and type at connection to cable

 Protection measure of cable contact to poles

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 53
Check list for
Electrical Site work
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Additional Remarks:_________________________________________________________

__________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electrical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 54
Check list for
Manholes & Chamber ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project: -------------------------------------
Employer: ANRS Health Bureau Block/Bill:
Contractor: --------------------------------- Axes:
Consultant: ANRS R&BD&CSWE Floor:
Location: ------------------------------
Document Referred: Contract document, drawings & inspections
Manholes and Various Purpose Chamber works Inspection Make a (√)
C NC NA
 Location of work with reference to plan

 Nature of cover surface finish (Paved or non paved)

 Measure of chamber top edge finish with paving nature

 Material type to be erected (Brick, stone, concrete etc..)

 Approved sample of manhole cover /Step iron/Ladder

 Completion of conduit line to be joined (Polythene sheeting at contracts)

 Proposed connection detail to pipes if lining is not completed

 Availability of material components of chamber

 Approval of foundation bedding depth (Site of pit, stratum nature, stability state)

 Quality of fine aggregate, coarse aggregate, water

 Laboratory result of brick, HCB etc..

 Erected chamber wall thickness

 Adopted size of HCB, brick layer

 Accomplishment of proper footing work

 Mortar mix ratio of masonry/class of concrete

 Delivered, quality of prefabricated concrete pipe with design requirement (class of pipe)

 Checking size of opening during erection

 Necessity of ladders safety cage with respect to depth of chamber

 Type of step iron/ladders adopted

 Spacing of ladder/location with access suitability

 Internal surface plastering/pointing

 Formation of benching/Shape, slope, material/

 Nature of benching (Free from solid matter loading)

 Checking of leakage of manhole (Filling of chamber with reasonable depth of water and observing loss)

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 54
Check list for
Manholes & Chamber ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Curing duration of erected surfaces

Additional Remarks: ________________________________________________________________________

_________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Site work. The take-off sheet of this activity shall immediately
be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 55
Check list for
Plumbing & Sanitary
Page 1 of 2
Support ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Bill of quantity, specifications, & drawings___

Plumbing and Sanitary site work Inspection

Pipe support saddles, anchors and thrust blocks;
Make a (√)
C NC NA
7
 Qualification of Mason/Carpenter
 Location of structure/chain ages
 Designed material of block (Masonry, concrete, brick etc..)
 Checking fulfilment of qualities
a. Stone masonry checklist
b. Concrete work checklist
c. Foundation excavation checklist
d. Borrowed fill checklist
 Presence of designed embedment
a. (Steel rod, Metal stripes)
b. Length of section
c. Protective corrosion measure
d. Method of tieing to pipes

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 55
Check list for
Plumbing & Sanitary ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

 Setting out of designed block

a. Section size below invert
b. Project of edges form C/C of pipe
c. Section size above pipe top
d. Horizontal angle of blocks
e. Vertical angle of blocks (Valley angle)

Additional Remarks: ________________________________________________________________________

_________________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed plumbing work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 56
Check list for
Plumbing & Sanitary
Page 1 of 2
External ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Bill of quantity, specifications, & drawings___

Plumbing and sanitary work installation

External site work pipe laying surface/line (other work or waste water) (14)

Make a (√)
C NC NA

 Qualification of Plumber

 Location of line from references (Base line, block building, chain age etc..)

 Material approval slip number

 Checking physical properties of approved sample with deliveries

 Alignment of trench with reference to drawing/other utilities

 Cross connection of others

 Checking setting out of line

 Depth of excavation

 Width of excavation

 Angle of alignment

 Slope of cut trench

 Surface nature of designed cut depth

 Bedding type material availability/Quality

 Space between barrel of pipe and cut trench

 Nature of surrounding of pipe

 Presence of stone in bedding

 Presence of pipe damaging solvent

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 56
Check list for
Plumbing & Sanitary ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2
External

Make a (√)
C NC NA

 Presence of uniform bearing contact length

 Depressions at pipe joints of bedding

 Type of pipe flow nature (Pressure, non-pressure)

 Starting point of pipe laying (Lower end, Uphill)

 Availability and quality of designed back fill material

 Estimated quantity

Additional Remarks: ________________________________________________________________________

_________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed plumbing work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 57
Check list for
Excavation of site ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1
work
CHECK LIST FOR Compound Road
Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Excavation to sub-grade level (16) Make a (√)
C NC NA

 Actual Reading level and contour

 Nature of surface soil
 Cut & fill section themplates at every fixed station
 Method of clearing & location of disposal
 Availability of excavation and disposing equipment
 Finished level of Road versus floor finish level of building,
 Invert level of electrical, sanitary & water supply lines at
crossings of roads
 Depth & slope of ditch along road versus final draining point
of storm water
 Smooth Connection with parking level & Ramps
 Compliance with Maximum allowable slope
 Compliance with Minimum horizontal & longitude slopes
 Investigation of physical obstruction /surface & sub-surface/
 Specified depth of excavation
 Limit of excavation.
 Vertical and horizontal alignment of centerline and curves.
 Methodology of treating marshy and unstable area.
 Readiness of sub base material.
Additional Remarks
For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Excavation to sub grade
level.
For the consultant For The Contractor
Name Name

Signature Signature

Date Date
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 58
Check list for
Compound road
Page 1 of 1
ditch or concrete ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR Compound Road
Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Bill of quantity, drawings & specifications.
Construction Of ditches Concrete (16)
Make a (√)
C NC NA

 Cut & shaped to the sections & profiles shown on drawing

 Consider connection with the ditches coming from blocks
 Check the flow of water until the final draining point
 Compliance for the position of drain channels with
the actual condition on the site.
 Bedding of channels
- Compacted layer of fine aggregate
 Required test result for pipes.
 Proper connection of Joints for half concrete pipe.
 Pavement level around the building
 Horizontal level around the building
 Availability of material for the ditch
 Test for ditch material
 Decision for provision of cover at crossing
Additional Remarks

For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Construction of Ditch.

For the consultant For The Contractor

Name Name

Signature Signature

Date Date
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 59
Check list for
Compound road ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1
sub base coarse

CHECK LIST FOR Compound Road

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Construction Of Sub Base Coarse (16) Make a (√)
C NC NA

 Cleanliness of sub grade surface from all foreign material

 Treatment of voids formed due to removal of temporary
/permanent/ structures if there is any
 Ensuring the sub grade surface is free from topsoil, grass or other
foreign material.
 Ensure the earth works are not damaged by weather or traffic and
in the event of such damage action taken to repair and restore the
works to the original condition
 Suitability of the sub grade material and materials incorporated
in embankments (i.e. attaining the minimum CBR– requirement
5-10 after 4-days soak)
 Test result & approval of sub grade material if it is borrowed;
 Proper compaction of imported sub-grade materials/ field compaction
test result/
 Compliance of constructed earth work with the drawing, specification
or with the engineers instruction for Slope, Level, Depth and Width
 Correction of any excavation made beyond the specified slope, level,
depth or width.
 Availability of equipments necessary for conveying & distributing
water; spreading & compaction of sub-base material.
 Availability of Tested & approved material suitable for the construction
of sub base material /gradation, Maximum size of aggregate, plasticity
index liquid limit, group index &CBR/
 Approved methodology for constructing sub base coarse.

Additional Remarks
For the above items are fulfilled /not fulfilled , the
Contractor is hereby allowed /refused to proceed the
Construction of sub base coarse.
For the consultant For The Contractor
Name Name
Signature Signature
Date Date
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 60
Check list for
Compound road
Page 1 of 1
base coarse ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR Compound Road

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Construction Of Base Coarse (16) Make a (√)

C NC NA

 Construction of sub base course to the required level, slope, grade

and tolerance.
 Correction of potholes, loose material, corrugations, depression &
other defects on the sub base course.
 Cross falls & cambers of sub base to be as per the drawing
 Field compaction and other test results.
 Availability of tested & approved materials for base course.
 Avoiding segregation of crushed aggregates
-Piling height of crushed aggregates
-Moisture content of crushed aggregates
 Approved methodology for the construction of base coarse.

Additional Remarks

For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Construction of base
coarse.

For the consultant For The Contractor

Name Name

Signature Signature

Date Date

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory
 Checklist & Milestone Approval

Format no 61
Check list for
Compound road ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1
Wearing coarse

CHECK LIST FOR Compound Road

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Construction Of Gravel Wearing Course (16) Make a (√)
C NC NA

 Construction of base course to the required level, slope, grade

and tolerance.
 Correction of potholes, loose material, corrugations, depression
& other defects on the base course.
 Cross falls & cambers of base coarse to be as per the drawing
 Field compaction and other test results.
 If the base coarse is stone hard core compliance with the
requirements of hard core.

 Availability of tested & approved materials for gravel wearing coarse.

 Avoiding segregation of crushed aggregates
-Piling height of crushed aggregates
-Moisture content of crushed aggregates
 Compliance for thickness of gravel layer with maximum allowable limit.
 Approved methodology for the construction of gravel wearing coarse.
Additional Remarks

For the above items are fulfilled /not fulfilled , the Contractor is hereby
allowed /refused to proceed the Construction of gravel
wearing coarse.

For the consultant For The Contractor

Name Name

Signature Signature

Date Date

Construction of - Farm Implement Flexible Shop Factory

 C=conformed Checklist & Milestone Approval
NC= not conformed NA= not applicable

Format no 62
Check list for Surface
dressing work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Inspection for road surface dressing work (16) Make a (√)
C NC NA
 Area to be covered with dressing in comparison to drawing and quantity /
Layer of dressing.

 Readiness of base course to accept first treatment.

 Test result for underneath sub base and sub grade materials

 Test result of base course / Compaction state of base course appearance.

 Test result of chipping materials

 Blinding nature of base course (extent of void)

 Availability of sufficient type of designed bitumen.

 Surface nature of base course

a. Presence pf dust, grass etc.

b. Drying state of surface

 Certificate for required test result of bitumen binder.

 Method of provision of bitumen coat / Bitumen distributor / out put

temperature at discharge

 Chippings designed size in various layers

 Designed rate bitumen application / various layers

 Designed weight of chippings per unit area / various layer

 Checking the discharge rate of sprayer/ spraying temperature

( Use of rigid or flexible pan )

 Availability of chips spreader / Mechanical spreader.

 Availability of pneumatic tired/ steel wheeled roller.

 Time allowed for compaction of single layer application.

 Time gap between spraying and start of chippings

 Time gap between spraying and start rolling

 Allowed traffic speed for held of chippings

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 62
Check list for Surface
dressing work ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks: _______________________________________________________________________

________________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed External site work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 63
Check list for
Asphalt concrete ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Inspection For Asphalt Concrete Work (16) Make a (√)
C NC NA

 Identification of designed area with drawing/quantity.

 Availability of functional weighting plant.
 Standard laboratory test result for designed hot mix.
 Distance between plant and placing site
 Designed /Agreed temperature of mix at plant and placing
 Test result of Ingredients

 Availability of mix aggregates /filler

 Means of transportation / sustainability

 Readiness of base course to priming / Tack coating

 Selected / Designed type of priming / Tack coat material

 Type of designed hot mix bitumen / Availability

 Availability of machineries for mix spreading

( Paver Rollers, power brooms, Bitumen spreader etc…)

 Application rate of priming / Tack coat

 Duration between priming to asphalt concreting

 Average thickness of asphalt concrete

 Size of camber /means to adjust camber shape

 Timing between plant discharge to end of rolling

 Temperature of Asphalt concrete at end of proposed start of levelling course.

Additional Remarks
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting work. The take-off sheet of this activity shall
immediately be signed upon completion.
For the Consultant For the Contractor
Name: Name:
Signature: Signature:
Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 64
Check list for
Walk way /pavement ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 1

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Bill of quantity, drawings & specifications.
Walk way/ Pavement (112411/251) Make a (√)
C NC NA
 Sufficiency of no of reading on the existing ground
 Backfilling materials test requisition
 Mix proportion of concrete
 Reading on cut ground at same points
 Pre-backfilling surface ground rolling/ramming
 Quality of Rolling equipment
 No of layers
 Formwork quality & size
 Sufficiency of bracing
 Methodology of concrete placing
 Time of cast (for pre cast)
 Joint treatment

Additional Remarks ________________

__________________________________________________________________________________
For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Pavement Construction work. The take-off sheet of this activity
shall immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 65
Check list for
Wooden Partition ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2
CHECK LIST FOR WORK PERMIT
Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Wooden Partition Inspection (07) Make a (√)
C NC NA

 Qualification of Joiner.
 Submission of shop drawing.
 Comparison of quantities /Dwg.
 Identification of lines of erection.
 Dryness of timber.
 Laboratory test result of timber.
 Surface to support partition.
 Firmness of embeded steel sections.
 Material approval slip number.
 Material type.

a, Frame work.
b, Wall cladding

 Partition type.

a, Common partition /non load bearing.

b, Trussed partition /load bearing.

 Sizes and positioning of members.

a, Sill element.
b, Head member.
c, Nogging piece.
d, Stud member.
e, Door head.
f, Puncheon section
g, door posts.
h, Bed plates.
i, Steel straps

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 65
Check list for
Wooden partition ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

j, Brace /Struts.
k Inter ties.
l, Bolts.

 Spacing of verticals /Studs.

 Spacing of noggings.

 Support detail of ceiling.

 Wall cladding correction.

a, Plumbing state.

b, Level state

c, End connection

 Size of nails /Screws.

 Estimate of Quantities.

Additional Remarks _________________

___________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Carpentry & related works work. The take-off sheet of this
activity shall immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 66
Check list for
Repainting of wooden ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Repainting of wood work Inspection (12)

Make a (√)
C NC NA
 Qualification of painter.
 Area to be repainted against quantity.
 Application of Detergent soap.
 Usage of pumice stone /for rubbing.
 Presence of blister /rubbed down.
 Filling of holes /putty provision.
 Product data of paint.
 Material approval slip.
 Comparison of data’s with approvals.
 Colour of selected paint.
 Coats of designed paint
 Quality of tools.
 Dryness of surface.
 Smooth /clean nature of surface.
 Correction of knottings.
a, Ordinary knotting.
b, Lime knotting.
c, Paint knotting.
 Time gap between successive paints.
 Protection of painted surface from immediate adverse effects.
 Estimate of quantities.

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 66
Check list for
Repainting of wooden ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Additional Remarks _________________

___________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting works work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:
C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 67
Check list for
Repainting of plastered
Page 1 of 1
wall ANRS Road & Building Design and Construction
Supervision Works Enterprise
CHECK LIST FOR WORK PERMIT
Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:
Repainting of plastered wall and steel work Inspection (12) Make a (√)
C NC NA
 Qualification of painter.
 Area to be repainted against quantity.
 Material approval slip /Date.
 Product data of paint.
 Comparison of submitted data with approval.
 Removal of old paint.

a, Burning of surfaces /Blow lamp /scrapping.

b, Paint solvent application /soap and lime mix.
c, Application of stipso /Applying and water washing.

 Cleaness of surfaces (Free from scale, rust etc.)

 Quality of tools.
 Dryness of surface.
 Application duration of successive coats.
 Protection of painted surface from immediate damage.
Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Painting works work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 68
Check list for
Sanitary fixtures ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred: Bill of quantity, specifications, & drawings___

Plumbing and Sanitary work Inspection (14) Make a

(√)
Sanitary Fixtures C NC NA

 Presentation of Methodology
 Qualification of Plumber
 Location of fixture
 Positioning of fixture
 Material approval slip number (Date)
 Checking physical properties of sample with deliveries
a. Colour
b. Shape
c. Flusher accessories
d. Shape of discharge outlet
e. Lid cover
f. Solidness of full set
g. Position of outlet of siphons
 Fitting compliance with product data
 Material quality for fixing
 Dimensional measurement for fixing
a. Horizontal
b. Vertical
c. With reference to floor/ceiling
 Water tightness at joints
 Confirmation of stability of positioned item


Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 68
Check list for
Sanitary fixtures
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Additional Remarks ________________

__________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Sanitary works work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 69
Check list for
Electro mechanics ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 1 of 2

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Electro Mechanical and Plumbing Works (14 & 15) Make a (√)
C NC NA

 Submission of shop drawing

 Presentation of methodology
 Qualification of Professional/plumber
 Capacity of item (Discharge, Cutter rating, Voltage, Head etc..)
 Suitability for intended fluid type
 Location of item
 Positioning of item
 Applicability of product data with given design
 Raw material approval slip number/date
 Partial assembled model sample approval slip number /date
 Approval of joint components
 Approval of hanger and their accessories
 Method of site formation
a. Cutting
b. Folding
c. Soldering
d. Brazing
e. Welding
f. Bondage
g. Bending
h. Shape precision checking

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 69
Check list for
Electro mechanics ANRS Road & Building Design and Construction
Supervision Works Enterprise Page 2 of 2

Make a (√)
C NC NA

 Stream lining nature of assembly

 Tightness for intended type of flow
 Preservation of industrial coating
 Evenness of finished product shape

Additional Remarks

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed Electro mechanical work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval
Format no 70
Check list for
Night work
Page 1 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

CHECK LIST FOR WORK PERMIT

Project:
Employer: Block/Bill:
Contractor: Axes:
Consultant: Floor:
Location:
Document Referred:

Night Work Permit Make a (√)

C NC NA
 Urgency of the intended work
 Declaration of proposed work
 Permission form area concerned authorities
 Sufficiency of volume of raw materials
 Ahead night time light sufficiency of lighting
 Availability and sufficiency of lighting
o Around raw materials source
o Around machineries location
o Around storage area
o Access to site clinic
o Access to temporary erected facilities
(Lavatory, potable water etc..)
o Around actual work area
 Safety condition of site
o Availability of Ambulance/ allocated vehicle
o Treatment facilities/capable personnel
o Transportation facility to workmen
o Security condition for labour safety
o Safe access to work place
o Stability of erected labour access
(Ascending, descending etc..)
 Fulfilment of inspection checklist format
 Additional remarks

Construction of - Farm Implement Flexible Shop Factory

 Checklist & Milestone Approval

Format no 70
Check list for
Night work
Page 2 of 2
ANRS Road & Building Design and Construction
Supervision Works Enterprise

Additional Remarks _______________________

____________________________________________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby
allowed /refused to proceed night works work. The take-off sheet of this activity shall
immediately be signed upon completion.

For the Consultant For the Contractor

Name: Name:

Signature: Signature:

Date: Date:

C=conformed NC= not conformed NA= not applicable

Construction of - Farm Implement Flexible Shop Factory