XXX公路修复、升级工程
Road Rehabilitation/Upgrading Project from xxx to xxxx
(检查记录表)Record Form of Inspection
承包商:XXX(集团)有限公司
Contractor: XXX Engineering (Group) Company
监理单位:XXX工程监理有限责任公司
Supervising Unit: XXXX Construction Supervising & Consultation Co., Ltd
工程部位project section:工程地点及桩号project location andpile point检查项目inspection item老桥拼接existing bridge joint K______ +______ —K______+______施工时间:construction time检验时间:inspection timeNO:
检测结果inspection results与老桥拼接处凿除removing of the joint 合格 qualified 不合格 unqualifiedconnecting withexisting bridge植筋embedded rebar 合格 qualified 不合格 unqualified清理、凿毛 合格 qualified 不合格 unqualifiedcleaning and scabbing承包商自检意见review of contractor self-inspection: 签字signature: 日期date:现场监理意见review of site supervisor: 可以Yes 不可以 No 签字signature: 日期date: