Concrete Alberta

Driveway

All fields marked with * are mandatory.

Your Name *

Email *

Enter the email you want the completed checklist to be sent to

Date *

Concrete Contractor *

Homebuilder *

Concrete Pour Location Address *

Is the Foreperson a Certified ACI Advanced Concrete Flatwork Finisher / Concrete Flatwork Associate / Red Seal Journeyman Concrete Finisher? *

Yes

Are the Crew Certified ACI Advanced Concrete Flatwork Finishers / Concrete Flatwork Associates? *

Yes

Concrete Supplier *

Concrete Supplier Contact Name *

Concrete Supplier Contact Phone Number *

Concrete Supplier Dispatch Phone Number *

Is the Concrete Supplied From a Certified Plant?

Yes

Site Preparation, Specified Products and Finish, Tools, Curing, Protection

Success equals the right products, tools, experience, and a well thought out contingency plan.

Site Preparation

All organic material removed/positive drainage slope set? *

Yes

Appropriate granular material supplied and compacted to optimum moisture and density base moistened before placing? *

Concrete Subgrades and Subbases Tutorial

Yes

Forms oiled, staked and set to ensure uniform slab depth and isolation joint material applied to existing concrete? *

Yes

All ground and formwork thawed, free of ice, snow, water? *

Yes

Rebar tied and chaired and joint layout marked on forms? *

Longest side of any panel no more than 1.5 Times the shortest and tooled 1/4 slab depth

Yes

Stonework/Siding/Windows/Doors/Vehicles masked from exposure to airborne finishing aids/curing compounds? *

Yes

Pictures of Site Preparation *

Please include one photo taken from the foot of the driveway toward the garage showing all aspects of what’s been checked in this section and if possible the house number usually visible at this stage. And another photo showing masking provisions of windows, siding and any adjacent vehicles.

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Specified Products and Finish

Mix *

Concrete Alberta recommends DURA-MIX® - The DURA-MIX® name is a registered trademark and CAN ONLY be labeled and supplied as such by Concrete Alberta Members who follow the DURA-MIX® formula in preparing a batch of concrete.

Slump (mm) *

Air (%) *

Concrete Tested By *

Broom Finish? *

Yes

Broom Fibre Type

Exposed Aggregate Finish? *

Yes

Exposed Aggregate Finish Mock-Up Approved By

Stamped Finish? *

Yes

Stamped Finish Mock-Up Approved By

Finishing and Protection Products

Evaporation Retarder / Fogging Provisions? *

Yes

Storm Tarps? *

Yes

Exposed Aggregate Retarder?

Yes

Concrete Stamp Release? *

Yes

Pictures of Finishing and Protection Products *

Please include one photo of the pick-up parked in front of the same house as the previous photo with the pail of Evaporation Retarder and sprayer, storm tarps, all of the placing and finishing tools intended to be used and even the pail of curing compound and another sprayer.

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Tools

Was accelerator admixture used? *

Yes

At what point were the tools used, before the bleed water has removed, or after? *

Before

After

Curing and Protection

Water / Burlap / Poly? *

Yes

If yes, number of days:

Tarps / Blankets? *

Yes

If yes, number of days:

Insulated? *

Yes

If yes, number of days:

Curing Compound? *

Yes

If yes, brand:

Cure and Seal? *

Yes

If yes, brand:

Sealer? *

Yes

If yes, brand:

If yes, date sealer applied:

Personal Protective Equipment

Select All the Personal Protective Equipment Used: *

Safety Footwear

High Visibility Clothing

Fall Protection

Safety Eyewear

Hard Hat

Hearing Protection

Gloves

Respiratory Protection

Extra Clothing

Environment

Windy? *

Yes

Rain / Thunderstorms Forecasted? *

Yes

Temperature Expected to Fall Below 5C Within Next 24 Hours? *

Yes

Pictures of Environment Confirmation *

Please include one photo of of the weather radar application forecast supporting responses to this section as well as to the Risk Management Assessment section that follows.

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Risks and Controls

Rate each risk low, medium or high and identify if control measures were implemented.

Plastic Shrinkage

Level of Plastic Shrinkage Risk: *

Low

Medium

High

Control: Evaporation Retarder? *

Yes

Rain / Thunderstorms in Forecast

Level of Rain / Thunderstorms Risk: *

Low

Medium

High

Control: Weather Forecast / Weather Radar Application Consulted / Tarps? *

Yes

Curling

Level of Curling Risk: *

Low

Medium

High

Control: Evaporation Retarder? *

Yes

Random Cracking

Level of Random Cracking Risk: *

Low

Medium

High

Control: Proper Joint Spacing / Tool Depth? *

Yes

Control: Isolation Materials in Place? *

Yes

Mortar Flaking

Level of Mortar Flaking Risk: *

Low

Medium

High

Control: Curing / Sealing Plan? *

Yes

Scaling / Pealing

Level of Scaling / Pealing Risk: *

Low

Medium

High

Control: Use Magnesium Floats, Not Steel? *

Yes

Slab Heaving

Level of Slab Heaving Risk: *

Low

Medium

High

Control: Slope and Drainage? *

Yes

Slab Sinking

Level of Slab Sinking Risk: *

Low

Medium

High

Control: Subgrade Compacted to Optimum Moisture and Density? *

Yes

Later Surface Issues

Level of Later Surface Issues Risk: *

Low

Medium

High

Control: Sealing Planned? *

Yes

Other

Other Risk

Other Controls

S.T.A.R.T.

STOP, Step Back and Observe

Do you understand the scope of work? *

Yes

THINK Through the Task

Do you know how you're going to do the task? *

Yes

Do you have the appropriate tools? *

Yes

ASSESS How Things Might Go Differently

Have you assessed what can go wrong? *

Yes

Have you assessed and minimized the risks? *

Yes

REVIEW and Document Findings

Have you addressed all the risks and controls on this checklist? *

Yes

TALK it Through and Complete the Task

Have you discussed the risks and controls with everyone who might be affected by this task? *

Yes

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