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JSW Future Energy Ltd.

CONCRETE TRIAL MIX CHECKLIST Doc. No.: JSW-CV-QA-2022-06


Date: 01.09.2022 / Rev: 00

Project & Site Name


OEM & WTG Model
Foundation Type
Concrete Grade & Mix Design Lab

07 Days Cube Test Value of Mix Design


Date of Trial Mix

TRIAL MIX TEMPLATES


Sieve Analysis of Fine Aggregate

 Source of aggregate:
 Testing date:
 Total weight taken:

IS Sieve Weight Percent Cumulative % Cumulative % Grading Grading Grading


in MM retained retained retained Passing Zone I Zone II Zone III

10mm 100 100 100

4.75 90-100 90-100 90-100

2.36 60-95 75-100 85-100

1.18 30-70 55-90 75-100

600 mic. 15-34 35-59 60-79

300 mic. 5-20 8-30 12-40

150 mic. 0-10 0-10 0-10

Pan

Remarks:

Contractor Representative JSW Project Representative JSW Quality Representative OEM Representative
Name: Name: Name: Name:

Signature: Signature: Signature: Signature:


JSW Future Energy Ltd.
CONCRETE TRIAL MIX CHECKLIST Doc. No.: JSW-CV-QA-2022-06
Date: 01.09.2022 / Rev: 00

Sieve Analysis of Coarse Aggregate

 Source of aggregate:
 Size of aggregate:
 Testing date:
 Total weight taken:

IS Sieve Weight Percent Cumulative Cumulative IS:383


in MM retained retained % retained % Passing Single Graded
40 100

20 85-100

10 0-20

4.75 0-5

Remarks:

Contractor Representative JSW Project Representative JSW Quality Representative OEM Representative
Name: Name: Name: Name:

Signature: Signature: Signature: Signature:


JSW Future Energy Ltd.
CONCRETE TRIAL MIX CHECKLIST Doc. No.: JSW-CV-QA-2022-06
Date: 01.09.2022 / Rev: 00

Sieve Analysis of Coarse Aggregate

 Source of aggregate:
 Size of aggregate:
 Testing date:
 Total weight taken:

IS Sieve Weight Percent Cumulative Cumulative


IS 383
in MM retained retained % retained % Passing

16 100

12.5 100

10 85-100

4.75 0-45

2.36 0-10

Remarks:

Contractor Representative JSW Project Representative JSW Quality Representative OEM Representative
Name: Name: Name: Name:

Signature: Signature: Signature: Signature:


JSW Future Energy Ltd.
CONCRETE TRIAL MIX CHECKLIST Doc. No.: JSW-CV-QA-2022-06
Date: 01.09.2022 / Rev: 00

Combined Sieve Analysis of Coarse Aggregate

 Source of aggregate:
 Ratio of aggregates:
 Testing date:
 Total weight taken:

IS Sieve Weight Percent Cumulative Cumulative


IS 383
in MM retained retained % retained % Passing

40 100

20 95-100

12.5

10 25-55

4.75 0-10

2.36 0-10

Remarks:

Contractor Representative JSW Project Representative JSW Quality Representative OEM Representative
Name: Name: Name: Name:

Signature: Signature: Signature: Signature:


JSW Future Energy Ltd.
CONCRETE TRIAL MIX CHECKLIST Doc. No.: JSW-CV-QA-2022-06
Date: 01.09.2022 / Rev: 00

Trial Mix Number:

Date & Time:

Grade of Concrete:

Moisture Correction Checklist Filled (Doc No: JSW/PQA/CIVIL/F-03):

Silt Content Checklist Filled (Doc No: JSW/PQA/CIVIL/F-04):

Weight of Cement:

Weight of Coarse Aggregate (as per corrected combined ratio) 20mm:

Weight of Coarse Aggregate (as per corrected combined ratio) 10mm/12.5mm:

Weight of Fine Aggregate (as per corrected combined ratio):

Admixture Name:

Quantity of Admixture:

Water Content:

Temperature of Concrete:

Initial Slump:

Slump after 30 Minutes:

Slump after 01 Hour:

Slump after 01 Hour 30 Minutes:

Slump after 2 Hour:

If workability of concrete is achieved as per requirement, then we can cast the cube samples.

Number of Cubes Casted (Min. 06 sets):

Identification Matrix of Cubes:

NOTE: If individual sieve analysis result of aggregates is not achieved as per mix design then combined
ratio sieve analysis shall be done.

Contractor Representative JSW Project Representative JSW Quality Representative OEM Representative
Name: Name: Name: Name:

Signature: Signature: Signature: Signature:

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