道路工程质量检验单

道路工程质量检验单（编号C-1）道路工程现场质量检验单目录1、道路工程质量检验单使用说明2、土方路基现场质量检验报告单·······································c-1-13、石方路基现场质量检验报告单·······································c-1-24、砂垫层现场质量检验报告单·········································c-1-35、袋装砂井、塑料排水板现场质量检验报告单···························c-1-46、碎石桩（砂桩）现场质量检验报告单·································c-1-57、粉喷桩现场质量检验报告单·········································c-1-68、加筋工程土工合成材料现场质量检验报告单···························c-1-79、隔离工程土工合成材料现场质量检验报告单···························c-1-810、过滤排水工程土工合成材料现场质量检验报告单······················c-1-911、防裂工程土工合成材料现场质量检验报告单··························c-1-1012、管节预制现场质量检验报告单······································c-1-1113、管道基础及管节安装现场质量检验报告单····························c-1-1214、检查（雨水）井砌筑现场质量检验报告单····························c-1-1315、浆砌排水沟现场质量检验报告单····································c-1-1416、盲沟现场质量检验报告单··········································c-1-1517、砌体挡土墙现场质量检验报告单····································c-1-1618、锚喷防护现场质量检验报告单······································c-1-1719、锥、护坡现场质量检验报告单······································c-1-1820、浆砌砌体现场质量检验报告单······································c-1-1921、水泥混凝土面层现场质量检验报告单································c-1-2022、沥青混凝土面层和沥青碎（砾）石面层现场质量检验报告单············c-1-2123、水泥稳定粒料基层及底基层现场质量检验报告单······················c-1-2224、石灰土基层和底基层现场质量检验报告单····························c-1-2325、石灰稳定粒料基层和底基层现场质量检验报告单······················c-1-2426、石灰、粉煤灰土基层和底基层现场质量检验报告单····················c-1-2527、石灰、粉煤灰稳定粒料基层和底基层现场质量检验报告单··············c-1-2628、级配碎（砾）石基层和底基层现场质量检验报告单····················c-1-2729、路缘石铺设现场质量检验报告单····································c-1-2830、路肩现场质量检验报告单··········································c-1-2931、涵洞总体现场质量检验报告单······································c-1-3032、涵台现场质量检验报告单··········································c-1-3133、管座及涵管安装现场质量检验报告单································c-1-3234、盖板制作现场质量检验报告单······································c-1-3335、盖板安装现场质量检验报告单······································c-1-3436、箱涵浇筑现场质量检验报告单······································c-1-3537、倒虹吸竖井砌筑现场质量检验报告单································c-1-3638、一字墙和八字墙现场质量检验报告单································c-1-3739、结构物基底现场质量检验报告单····································c-1-3840、结构物回填工程现场质量检验报告单································c-1-3941、分项工程现场检测记录表··········································c-1-4042、沥青下封层现场质量检验报告单····································c-1-4143、横向塑料排水管现场质量检验报告单································c-1-4244、手摆片石现场质量检验报告单······································c-1-4345、山场碎石（土）路基现场质量检查记录表····························c-1-4446、水泥混凝土路面模板现场质量检查记录表····························c-1-4547、水泥混凝土路面钢筋现场质量检查记录表····························c-1-4648、混凝土挡土墙现场质量检验报告单··································c-1-4749、清淤回填确认书················································c-1-48道路工程现场质量检验单使用说明1、本表为路基、路面、涵洞及附属工程现场质量检验报告单，是将分项工程检验结果汇于本表内，由承包人和总监办填写。“规定值或允许偏差”应填写与现行有效的《公路工程质量检验评定标准》相一致的数值。“检验结果”应填写是否合格或合格率。“检验频率”应填写规定的最低试验检测频率。2、结论一栏由监理工程师填写，根据现场监理情况和检测结果，对质量作出结论：合格、不合格、改正后再检测，并另附抽检记录表及试验报告单，盖上“监理抽检”红色印油章。3、检测报告附在现场质量检验报告单后面。自检报告在前，抽检报告在后。4、一般项目试验检测记录可采用C-1-40表，较复杂的项目试验检测记录则另采用有关专用试验检测报告表。5、施工过程中原始记录表可采用各施工单位经常使用的记录表，其格式应能明确反映施工有关操作的全过程和真实记录，并经总监办同意认可。本《基本表格》不再统一施工原始记录的表式。6、施工时间与检测时间写开始时间。连云港工程项目承包单位：合同号：监理单位：编号：土方路基现场质量检验报告单C－1－1工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1△压实度（%）零填及挖方（m）0～0.30～0.8填方（m）0～0.80.8～1.51.52△弯沉（0.01mm）3纵断高程（mm）4中线偏位（mm）5宽度（mm）6平整度（mm）7横坡（%）8边坡结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位：合同号：监理单位：编号：石方路基现场质量检验报告单C－1－2工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1压实度（%）2纵断高程（mm）3中线偏位（mm）4宽度（mm）5平整度（mm）6横坡（%）7边坡坡度平顺度结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位：合同号：监理单位：编号：砂垫层现场质量检验报告单C－1－3工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1砂垫层厚度（mm）2砂垫层宽度（mm）3反滤层设置（mm）4压实度（%）结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位：合同号：监理单位：编号：袋装砂井、塑料排水板现场质量检验报告单C－1－4工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1井（板）间距（mm）2△井（板）长度（mm）3竖直度（%）4砂井直径（mm）5灌砂量（%）结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位：合同号：监理单位：编号：碎石桩(砂桩)现场质量检验报告单C－1－5工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1桩距（mm）2桩径（mm）3△桩长（m）4竖直度（%）5灌石（砂）量（m3）结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位中建八局基础设施建设有限公司合同号S226LQ1监理单位盐城市交通工程咨询监理有限责任公司编号粉喷桩现场质量检验报告单C－1－6工程名称226省道烧香河大桥及引道工程项目施工时间2010.4.11自检时间2010.4.12桩号及部位K4+900-K4+962.26粉喷桩监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1桩距（mm）±5cm2合格2桩径（mm）≥50cm2合格3△桩长（mm）≥10m5合格4竖直度（%）1.5%5合格5单桩喷粉量（kg）65kg/m5合格6强度（kpa）结论：监理工程师：年月日承包人：年月日连云港226省道烧香河大桥及引道工程项目承包单位中建八局基础设施建设有限公司合同号S226LQ1监理单位盐城市交通工程咨询监理有限责任公司编号粉喷桩现场质量检验报告单C－1－6工程名称226省道烧香河大桥及引道工程项目施工时间2010.4.11自检时间2010.4.12桩号及部位K4+900-K4+962.26粉喷桩监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1桩距（mm）±5cm4合格2桩径（mm）≥50cm4合格3△桩长（mm）≥10m10合格4竖直度（%）1.5%10合格5单桩喷粉量（kg）70kg/m10合格6强度（kpa）结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位：合同号：监理单位：编号：加筋工程土工合成材料现场质量检验报告单C－1－7工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1下承层平整度、拱度（mm）2搭接宽度（mm）3△搭接缝错开距离（m）4锚固长度（mm）结论：监理工程师：年月日承包人：年月日连云港工程项目承包单位：合同号：监理单位：编号：隔离工程土工合成材料现场质量检验报告单C－1－8工程名称施工时间自检时间桩号及部位监理抽检时间项次检验项目规定值或允许偏差施工单位自检监理单位抽检频率结果频率结果1下承层平整度、拱度（mm）2搭接宽度（mm）3搭接缝错开距离（mm）4搭接处透水点结论：监理工程师：年月日承包人：年月