Site Mixing Inspection Checklist Form
Complete this checklist to verify on-site mixing operations and ensure compliance with quality standards.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
Are all materials (cement, aggregates, water) present and conforming to specifications?
*
Yes
No
Partially
Is the mixing equipment clean and in good working condition?
*
Yes
No
Requires Maintenance
Mix Proportion Verification
*
Cement measured accurately
Aggregates measured accurately
Water measured accurately
Admixtures measured accurately
Mixing Duration (minutes)
*
Was water added in accordance with specifications?
*
Yes
No
Not Applicable
Environmental Conditions at Time of Mixing
*
Please Select
Dry
Wet
Cold
Hot
Normal
Rate the overall quality of the mixing process
*
1
2
3
4
5
Additional Comments or Observations
Submit Inspection
Should be Empty: