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Run: Module Setting and Placement Record

Use this Module Setting and Placement Record to document prefabricated module set, survey verification, level and plumb checks, anchorage, interfaces, and cl...

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Inspection Details and Scope

Project, module, and location identified critical (required)

Record the project name, module ID, set location, and work area.

Inspection date and time recorded critical (required)

Document when the module setting and placement inspection was performed.

Responsible contractor and inspector identified critical (required)

Identify the installing contractor, competent person, and inspector.

Applicable drawings, lift plan, and installation procedure available critical (required)

Yes No N/A

Pre-Set Site and Foundation Readiness

Foundation, supports, or bearing surfaces verified ready for set critical (required)

Confirm the receiving surface is complete, clean, and capable of supporting the module.

Yes No N/A

Survey control points and benchmarks verified critical (required)

Confirm control points, benchmarks, and reference elevations are established and protected.

Yes No N/A

Obstructions, debris, and trip hazards cleared from set area critical (required)

Verify the module landing area is clear and safe for placement.

Yes No N/A

Weather and site conditions acceptable for placement critical (required)

Document wind, precipitation, visibility, and ground conditions affecting safe placement.

Survey, Elevation, and Level Verification

Module elevation matches design target critical (required)

Record measured elevation variance from design or benchmark.

Note (optional)

Module level verified along primary axis critical (required)

Record out-of-level condition along the primary axis.

Note (optional)

Module level verified along secondary axis critical (required)

Record out-of-level condition along the secondary axis.

Note (optional)

Plumb, alignment, and orientation within tolerance critical (required)

Verify module is plumb, aligned to grid, and oriented correctly relative to the set-out lines.

Yes No N/A

Connections, Anchorage, and Interface Checks

Anchorage or tie-down connections installed and secured critical (required)

Confirm all required anchors, bolts, welds, or tie-downs are installed per specification.

Yes No N/A

Mechanical, structural, and utility interfaces connected correctly critical (required)

Verify interface connections are complete and properly engaged.

Yes No N/A

Connection torque or fastening verification recorded critical (required)

Record measured torque or fastening value where applicable.

Note (optional)

Temporary supports, rigging, and lifting gear removed or released critical (required)

Confirm the module is stable and no temporary lifting equipment remains attached.

Yes No N/A

Tolerance, Quality, and Safety Verification

Specified dimensional tolerances met critical (required)

Confirm the installed module meets project tolerance requirements for position, elevation, and alignment.

Yes No N/A

Visible damage, distortion, or coating defects observed

Document any damage, deformation, or finish defects noted after placement.

Note (optional)

Work area controlled and safe for next trade critical (required)

Verify housekeeping, barricades, and access control are appropriate before turnover.

Yes No N/A

Deficiencies, Corrective Actions, and Sign-Off

Deficiencies or non-conformances documented

Select all deficiencies identified during inspection.

Note (optional)

Corrective actions assigned

Describe corrective actions, responsible party, and target completion date.

Inspector signature critical (required)

Inspector attestation that the record is complete and accurate.

Supervisor or owner representative approval

Approval sign-off for acceptance or conditional acceptance of the module set.

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