CHECKLIST FOR ANTI TERMITE TREATMENT

Project Tetra Pak India Pvt. Ltd.- New Building

Client Tetra Pak India Pvt. Ltd.

Document No
PMC CBRE South Asia Pvt. Ltd Date

Vendor Bhate& Raje Const. Company Pvt. Ltd. Structural Member

Package

Description of Work Anti-Termite Treatment Quantity

Dwg.Ref.No Inspection Request
Rev

Level Inspected by By Time

Location
Grid

Sr.No ITEM DESCRIPTION Yes No NA Remarks

1 Check for the latest and approved revision of drawing.

2 Check for the approved manufacturer/supplier of ATT chemical.

3 Check for the quality of chemical for ATT (commonly used "CHLORO PYROPHOUS"). Whether valid test report of
chemical for ATT available either from MTC or external approved lab. As per specifications.
4 Check whether the surface to receive anti-termite treatment is free from moisture / puddle of water before applications.

5 Check for the mixing of ATT chemical in a required dilution with water as per specifications.

6 Check for the rate of application of diluted chemical by approved methodology & as per specifications.

7 Check that the treated surfaces are not disturbed for a specified time period as per specifications.

8 Check that the treated surface is released for further activities e.g. P.C.C., filling, etc.

9 Check for necessary safety precautions implemented during treatment as per approved methodology &/or
specifications.
10 Certify that the ANTI TERMITE TREATMENT carried out is satisfying the requirements of approved drawings &/or
specifications.
11 Attach key plan or sketches if necessary.

Post Application:

12 Check for Safe disposal of the anti-termite chemical containers.

Observations if any :

Above Observations attended to and completed YES NO NA

Note: The quantity mentioned above is approximate measure and can not be considered for any billing purpose. Only JMS to be considered for billing else GFC
drawings are to be referred for quantity

The above works have been completed and accepted

BRCCPL BRCCPL
CBRE Representative Client Representative
Representative QA/QC

Signature

Name

Date

Time