2 Form02
2
1 2 Grade of Concrete : M15 / M20 / M 25 / M30 / M35 (As per IS 456:2005, Table No.2) 3 4 Very High /High / Medium / Low / Very low Sec.7.1.2 100 150 25-75 Sec/7.1.1 of 456-2005 75-100 of 456-2005 Slump (mm) Vee bee factor Compacting factor 5 Type of Exposure Very severe / Severe / Moderate / Mild / Extreme 6 Degree of quality control Very Good / Good / Fair 7 Max kg/m3 7A Min kg/m3 8 Mode of mixing concrete Hand / Machine 9 Mode of Compaction Manual / Vibrator 10 Additional information 11 M.S.A.(Maximum Size of Aggregate) - 10mm / 20mm / 40 mm 12 Type of concrete RCC / PCC 13 Admixtures to be used or not : Yes / No 14 Dosage of Admixture recommended 15 Type of Mix design required : Design Mix Concrete / Nominal Mix Concrete 16 Any special requirement : 1 Cement a. Type of cement OPC / PPC / OTHER W M Y b. Name of factory c. Stock of cement d. Grade of cement e. Date of receipt of cement consignment e. Storage condition of cement 2 Fine Aggregate (FA) a. Source b. Permissible gradation as per specification GERI (A) Field Data : (B) Materials Name of work W/C Ratio Data Required for Testing on Design of Concrete Mix Characteristic strength Degree of Workability Kg/cm 2 OR N/mm 2 Slump (mm) Limits of cement level as per IS 456:2000 Reaffirmed 2005
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Transcript of 2 Form02
1
2 Grade of Concrete : M15 / M20 / M 25 / M30 / M35 (As per IS 456:2005, Table No.2)
3
4 Very High /High / Medium / Low / Very low
Sec.7.1.2 100 150 25-75 Sec/7.1.1
of 456-2005 75-100 of 456-2005
Slump (mm)
Vee bee factor
Compacting factor
5 Type of Exposure Very severe / Severe / Moderate / Mild / Extreme
6 Degree of quality control Very Good / Good / Fair
7Max kg/m3
7A Min kg/m3
8 Mode of mixing concrete Hand / Machine
9 Mode of Compaction Manual / Vibrator
10 Additional information
11 M.S.A.(Maximum Size of Aggregate) - 10mm / 20mm / 40 mm
12 Type of concrete RCC / PCC
13 Admixtures to be used or not : Yes / No
14 Dosage of Admixture recommended
15 Type of Mix design required : Design Mix Concrete / Nominal Mix Concrete
16 Any special requirement :
1 Cementa. Type of cement OPC / PPC / OTHER W M Yb. Name of factory
c. Stock of cementd. Grade of cemente. Date of receipt of cement consignment
e. Storage condition of cement
2 Fine Aggregate (FA)
a. Source
b. Permissible gradation as per specification
GERI
(A) Field Data :
(B) Materials
Name of work
W/C Ratio
Data Required for Testing on Design of Concrete Mix
Characteristic strength
Degree of Workability
Kg/cm2 OR N/mm
2
Slump (mm)
Limits of cement level as per IS
456:2000 Reaffirmed 2005
c.
d.
3 3 Coarse Aggregate : (CA)
a. Type of CA
b. Type of rock
c. Source of quarry in details(Give Address)
d. Gradation (As per 383 1970 Reaffirmed 2007and IS:456-1978 Reaffirmed 2005
IS Sieve Permissible Percentage Passing
80 to 40mm 40 to 20mm 20 to 10mm 10 to 4.75mm
4 4 Water
a. Source River Well
Village Dist.
b.
Fine Aggregate
Coarse Aggregate
80 to 40mm
40 to 20 mm
20 to 10 mm
10 to 4.75 mm
5 Sampling done by
Date of sampling
10
8
5
50 Liters per design
10
8
Cement 3
7
10
7
Water Sample in
plastic Container
3
50 Liters per design
5
10
Required quantity in full bag
cement per designQuantity Supplied per designMaterial
Fineness modulus (Permissible as per
specification)
Permissible limits of Silt content as per
specification
Quantity of each material required and to
be supplied
