Click here to enter a date.

Project info

Project ID	Structure ID(s)
Contract ID
Highway
Description
County

Introductions / pour day contacts

Name	Phone	Attended Mtg
Project Leader
Lead Inspector
Contractor
QC Testing
Concrete Supplier
WisDOT Materials
Contractor Materials
Independent Assurance
Additional Meeting Attendees

QMP Plan

Submitted	Click here to enter a date.	Accepted QMP Plan Distributed to	QC Tester
Reviewed	Click here to enter a date.	QV Tester
Accepted	Click here to enter a date.

Concrete Mixtures AND MATERIALS

Concrete Plant Name/Location	Inspection Performed Click here to enter a date.
Back up Plant Name / Location	Inspection Performed Click here to enter a date.
Material Type	Producer/Location	Sample Needed	Test #
Cement	Select
Fly Ash	Select
Slag	Select
Water	Select
Fine Agg	Select
Coarse Agg	Select
Coarse Agg	Select
REMINDER: Batch tickets required with each load. (SS 501.3.5.4(2))

Construction Schedule

Start date	Click here to enter a date.	Number of trucks /rate of delivery (501.3.5.2)
Estimated Completion for substructure work	Click here to enter a date.
Proposed Schedule

Temperature Control Plan

Hot Weather concreting (ss 501.3.8.2)

Temp Control Plan	Actions to Control Concrete Temperature	Yes	No	Remarks
Submitted	Click here to enter a date.	Cool Aggregate
Accepted	Click here to enter a date.	Cold Batch Water
Pour Time
Others (list)

If ICE is to be added, ALL OTHER METHODS MUST BE USED FIRST.

Timeframe for Ordering and Adding Ice
Ice Compensation Expectations [Per Section 501.3.8.2.1(1)]

Cold Weather Protection (SS 502.3.9)

Yes	No	Remarks
Heat Forms
Heat Batch Water
Heat Aggregate
Temp Probe Frequency
Others (list)

Curing Process

Cure Type/Brand
Strength Verification	Maturity	Cylinders	Time	Other (list)

Curing needs and timelines to be followed when stripping forms:

SS 502.3.8.2.1(2) General Curing Requirement

SS 502.3.9.5 (1): Cessation of Heating or Cold Weather Protection

Emergency cover material

Placement

Truck Information	No. of Trucks	Rate of Delivery	Load Size
Truck Access
Placement Method	Bucket	Pump	Conveyor	Other (list)
If pump, air loss <1%	(502.3.5.1(11))
Truck Washout

Sampling and testing

Testing Location	QC Tester/s:
Cylinder Storage Location	QV Tester/s:
Tester Access	REMINDER: Sample at point of placement, between 10% to 90%.

Communication reminders

Test results
Delivery method
Frequency

Random Numbers computed on amount placed

QC Plan actions to be followed for failing tests

QV & QC are required to inform each other of failing results immediately

Nonconforming material to be discarded

Nonconforming material left in place to be quantified and agreed to with the engineer

Inspection Reminders

Surveyed by contractor and checked separately by inspectors

Bar steel checked for size, spacing, tying, clearances, and cleanliness

Forms checked and found clean, oiled, and locked

Bracing checked & secured

24-hr contact for curing issues
Name
Phone

Other Issues or Concerns