Form kendali mutu untuk pelaksanaan rekonstruksi perkerasan beton jalan. Checklist ini mencakup mobilisasi alat, penutupan lajur dan perambuan, kesiapan APD dan tenaga kerja, rencana rekayasa lalu lintas dan antisipasi hujan. Rincian pekerjaan meliputi pembobokan beton, pengelolaan puing dan lokasi pembuangan, pengujian dan pemadatan subgrade (CBR/DCP, sand cone), pemasangan subdrain sesuai desain, hingga penghamparan dan pemadatan lapis pondasi agregat (Base A/Base B) berikut metode penggilasan dan kontrol ketebalan serta hasil uji kepadatan.
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