CONSTRUCTOR : __________________________________________________

OBIECTUL : __________________________________________________
BENEFICIAR : __________________________________________________
ADRESA : __________________________________________________

PROCES -VERBAL DE VERIFICARE AL ASPECTULUI BETONULUI DUPA

DECOFRARE SI POZITIONARE GOLURI TEHNOLOGICE SI DE INSTALATIE

NR…………./……………..

S-au verificat urmatoarele elemente de beton :

*)_________________________________________________________________________________
_____________________________________________________

Cuprinse intre axele___________________________turnate pe data ____________

Aspectul betoanelor dupa decofrare

Exista si pozitia golurilor verificate dupa plansele nr.

__________________________________________________________________________________
__________________________________________________________________________________

Se vor lua urmatoarele masuri la termenele inscrise mai jos :

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

INSTALATOR, BENEFICIAR, PROIECTANT, CONSTRUCTOR,

Numele si Prenumele
____________ ____________ _____________ __________
Semnatura
_____________ ___________ _____________ _____________

Remedierea defectelor constatate s-a facut pe baza solutiei date de

_____________________________________prin__________________________________________

Se confirma executarea corespunzatoare ( de calitate ) a remedierilor.

Data _______________

CONSTRUCTOR, BENEFICIAR,
Numele si _______________________ _____________________
Prenumele
Semnatura _______________________ ______________________

* ) Stalpi, diafragme, plansee, monolitizari etc.