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沟槽开挖尺寸trench excavationsize纵向涵安装longitudinal culvert installation K______ +______ —K______+______施工时间:construction time检验时间:inspection timeNO:
检测结果inspection results 合格 qualified 不合格 unqualifiedM7.5浆砌片石基础foundation of M7.5 合格 qualified 不合格 unqualifiedmortar rubblemasonry涵管安放culvert laying 合格 qualified 不合格 unqualified管节接头处理 合格 qualified 不合格 unqualifiedpipe joint treatmentC15混凝土模板安装C15 concreteformworkinstallation 合格 qualified 不合格 unqualified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: