| Casing Information (if applicable) |
Graphic Drilled Shaft Profile |
Time Information |
| ID (in)/(mm) |
|
Type |
|
Date Opened |
|
| OD (in)/(mm) |
|
Top Elev. |
|
Date Cased |
|
| Length (ft)/(m) |
|
Bot. Elev. |
|
Date Poured |
|
| Depth (ft)/(m) |
Time |
Elevation (ft)/(m) |
Soil Description & Notes |
| in |
out |
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|
Elevations (ft)/(m) |
| Reference Elev. |
|
| Ground Surface Elev. |
|
| Water Table Elev. |
|
| Cutoff Elev. |
|
| Tip Elev. |
|
| Dimensions |
| Soil Auger Dia. |
|
| Rock Socket Dia. |
|
| Rock Socket Length |
|
| Overburd. Shaft Dia. |
|
| Overburd.Shaft Lgth. |
|
| Constrd. Shaft Lgth. |
|
| Drilling Mud |
| Type |
|
| Test Results |
|
| Meet Specs. |
Yes No |
| Concrete Volume |
| Theoretical (cy)/(m3) |
|
| Actual (cy)/(m3) |
|
| Ratio (A/T) |
|
| Legend |
(Indicate the following in the graphic drilled shaft profile) |
| TOC |
Top of Casing |
| TOG |
Top of Ground |
| TOS |
Top of Shaft |
| TOR |
Top of Rock |
| BOC |
Bottom of Casing |
| BOS |
Bottom of Shaft |
| Soil/Rock Types |
| ______________ |
|
| ______________ |
|
| ______________ |
|
| ______________ |
|
| ______________ |
|
 |
Water Table |
| Rebar Cage Checklist |
| Proper # Vert. Bars |
Yes No |
| Proper # Horz. Bars |
Yes No |
| Side Standoffs |
Yes No |
| Epoxy Condition |
Yes No |
| Ties & Connections |
Yes No |
| Clean Out |
| Bottom Cleanout Method |
| |
| Time and Date of Final Cleanout |
| |
| Shaft Bottom Check |
| Inspection Type |
| Visual |
 |
| Sounding |
 |
| Time Started |
|
| Time Finished |
|
Record below depths to the bottom of finished shaft at 5 points along the shaft perimeter. |
| North is at |
: |
| 1. |
 |
| 2. |
| 3. |
| 4. |
| 5. |
| Avg. Shaft Bottom Elev. |
|
| Est. Shaft Diameter |
|
| Comments |
| |
| Approved |
Verbal |
Given to |
|
Time |
|
Yes No |
Written |
By |
|
Date |
|