UNITATEA ______________________________________________________________________________

SANTIER ____________________________________ PUNCT DE LUCRU ____________________________

OBIECTUL_______________________________________________________________________________
TRONSONUL_____________________ TRAVEEA ____________________ NIVELUL__________________

PROCES-VERBAL DE VERIFICARE A ASPECTULUI BETONULUI DUP DECOFRARE I

POZIIONARE GOLURI TEHNOLOGICE I DE INSTALAIE
Nr._____ Data_____________

S-au verificat urmtoarele elemente de beton:

__________________________________________________________________________________________
__________________________________________________________________________________________

Cuprins ntre orele ______________________ turnat pe data____________________________

Aspectul betoanelor dup decofrare:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

Existena i poziia golurilor verificate dup planele nr. ________________________________

Se vor lua urmtoarele msuri la termenele nscrise mai jos
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________

Numele

Prenumele

Semntura

CONSTRUCTOR: _________ ____________

___________________________

_____________

BENEFICIAR:

_________ ____________

___________________________

_____________

INSTALATOR:

_________ ____________

___________________________

_____________

Remedierea defectelor constatate s-a fcut pe baza soluiei date de:

_________ __________________ ______________________________________________________________
prin _______________________________________________________________________________________
Se confirm executarea corespunztoare (de calitate) a remedierilor.
Data ______________

Numele

Prenumele

Semntura

CONSTRUCTOR: _________ ____________

___________________________

_____________

BENEFICIAR

___________________________

_____________

_________ ____________