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SPECIAL INSPECTION REPORT – APPLICABLE DOCUMENTS AND BUILDING CODE SECTIONS

WSP – 228 EAST 45TH​​ STREET – NEW YORK​​ NY 10017 TEL: 212-687-9888 FAX: 646 487-5577

SPECIAL INSPECTION AGENCY #001848

IAS ACCREDITATION # S1A-262-NY

PROJECT: project2

WSP PROJECT #: wps_number

DATE: date

TIME OF ARRIVAL: arrival

TIME OF DEPARTURE: departure

PAGE ​​ 1 ​​​​ OF ​​ 1

 

DESCRIPTION OF SPECIAL INSPECTION WORK AND LOCATION:

description

SPECIAL INSPECTION FOR THE WORK ABOVE WAS COMPLETED AND APPROVED:apYESapNO*apN/A *EXPLAIN ON NEXT PAGE AND RECORD ON NCR LOG

MEASURING TAPE​​ ID#: MTICALIBRATION DUE DATE: CDD

THERMOMETER ID#: TIDCALIBRATION DUE DATE: DD

WEATHER: weather

REINFORCING MATERIAL:

EMBEDDED ITEMS:

AIR TEMPERATURE: airtemp

RISTEEL GRADE

DETAILS OF PLACED PLATES

WIND: wind

RIOTHER

ANCHORAGE SYSTEM (SIZE/LENGTH/SHAPE)

HUMIDITY: humidity

RIEPOXY-COATED REBAR

INSERTS FOR LINTEL ANGLES

FOUNDATION:

RIWIRE MESH

CONCRETE PLACEMENT:

FOOTING​​ STRAPS​​ BUTTRESS

RINONE

CONCRETE SPECIFIED STRENGTH

SLAB ON​​ GRADE​​ WALL

ITEMS INSPECTED:

COLD JOINTS APPROPRIATELY PLACED

OTHER

SIZEDOWELS

REINF. CAGE STABLE

SUB-GRADE APPROVED BY

SPACINGFORM CLEARANCE

BUCKETPUMP PLACEMENT

GEOTECHNICAL ENGINEER

TIESCHAIR HEIGHTS

CONVEYER BELT

SUB-SLAB​​ TREATMENT IN PLACE

LAP SPLICES

CONCRETE VIBRATED PROPERLY

SUPERSTRUCTURE:FLOOR:

PREPARATORY WORK:

CURING TECHNIQUES AND PROTECTION:

SLAB​​ BEAMS​​ COLUMNS

FORMS CLEAN OF DEBRIS

HOT/COLD WEATHER CONDITIONS

SHEARWALLS​​ STAIRS

FORM​​ GEOMETRIES

OTHER

PLACEMENT OF FUTURE OPENINGS

OVERALL REINF. CAGES STABLE

FORMS OILED PRIOR TO REBAR

DOWELS INTO MASONRY WALLS

POST-TENSIONING:

DOWELS BELOW IN REINF. CAGE

 ​​​​ YES​​ N/A

SEE LAST PAGE FOR DETAILS ON APPLICABLE​​ DOCUMENTS AND CODE SECTIONS

REFERENCE DRAWINGS(S) OR SKETCH(S):

REVISION/ISSUE DATE:

 

DESCRIPTION OF SPECIAL INSPECTION WORK AND LOCATION:

 

 

I CERTIFY, TO THE BEST OF MY KNOWLEDGE, THAT ALL SPECIAL INSPECTION WORK/TESTS DESCRIBED ABOVE WERE DONE IN ACCORDANCE WITH THE CONTRACT DOCUMENT AND ARE CONSISTENT WITH INSPECTION PROCEDURES.

SIGNED:​​ 

DATE:​​ sdate

CONCUR:

DATE:

PRINT NAME:

PRINT NAME:

LICENSE TYPE &

NUMBER:

IMPORTANT NOTICE:​​ THIS SPECIAL INSPECTION REPORT IS INTENDED ONLY FOR THE USE OF THE PERSON OR ORGANIZATION TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS​​ PRIVILEGED, CONFIDENTIAL AND EXCEPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF YOU HAVE RECEIVED THIS REPORT IN

ERRORS, KINDLY NOTIFY THE SENDER IMMEADIATELY BY EMAIL OR TELEPHONE. ANY CHANGE IN STATUS (REPAIR AND/OR MODIFICATION) AFTER THE COMPLETION OF THE​​ INSPECTION WILL VOID THIS REPORT.

 

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