Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG - NAPOLCOM Center, EDSA Corner Quezon Avenue, Quezon City
www.dilg.gov.phwww.dilg.gov.ph
MONITORING FORM DURING IMPLEMENTATION
(FOR WATER PROJECTS)
Project Name : ______________________________________________
______________________________________________
Project Location : ______________________________________________
Project Description : ______________________________________________
______________________________________________
______________________________________________
Type of Water Source: ______________________________________________
Total Pipe Length : ______________________________________________
No. of Beneficiaries : ______________________________________________
Total Project Cost : ______________________________________________
Project Duration : ______________________________________________
Start Date : ______________________________________________
Completion Date : ______________________________________________
Projected Accomplishment : ______ (%) (Base on the original implementation schedule)
Actual Accomplishment : ______ (%) (Base on SWA)
Variance : ______ (%)
REMARKS OR
INDICATOR YES NO
RECOMMENDATIONS
A. WORKMANSHIP
Item 100 - Clearing & Grubbing, Item 101
Removal of Structure and Obstruction
Set construction limits
Traffic Management (for pipe laying
along primary and secondary roads)
All surface objects and all trees,
stumps, roots and other protruding
obstructions, not designated to remain,
shall be cleared and/or grubbed,
including mowed as required, except as
provided
Conformance to proper disposal
SPL 1 - Development of Water Sources
Conformance with approved plans
and specifications.
Conformance with applicable local
and national codes and regulations.
Conformance to safety codes and
standards.
SPL 1.1 - Well development
Conformance to the approved
methodology and procedure for well
drilling.
Well log data is collected in every meter
of drilled depth
The sequence of installation of casing is
in accordance with approved well
design.
The well pipe is properly aligned and
plumbed.
The correct volume of gravel pack is
installed.
The grouting of granular bet well hole
and casing are conformance to the
approved technical specifications.
Concreting of apron is properly done &
in accordance with approved plans &
specifications.
Pumping facilities are installed.
Disinfecting of well conforms to the
approved procedure.
Conformance to proper disposal
SPL 1.2 - Spring with Intake Structure
Item 1.2.a Development of Spring
The site is free from weeds and all
undesirable vegetation.
Followed the approved methodology
/procedure for development of the
springs.
Underground rock formations of the eye
of the spring must not be disturbed, so
as to avert the deflection of the spring to
another direction.
A spring box is constructed around the
eye of the spring to protect the spring
water from contamination.
SPL 1.2.b Spring Box
Construction
Followed the approved methodology,
plans, and specifications for
construction of spring box.
Raised edge zocalo should be observe
in the perimeter of manhole and with
cover to prevent dirty water from
entering the box.
Outlet pipe extended inside the box with
drilled holes below and end of the outlet
pipe covered with a screen to prevent
stones, rubbish and frogs from blocking
the pipes and drained pipes located in
lower portion of spring box.
Overflow pipe should be provided with a
screen to prevent the entrance of
insects.
SPL 1.2.c Drainage and Protective
Structure
Conformed to the approved
methodology, plans and specifications.
Fence should be constructed within the
perimeter of the spring box to secure
the safety of the structure from stray
animal and people.
Manhole cover should be tightly fitted
and locked.
SPL 1.2.d. Testing and
Disinfection
Spring flow/discharge is conformance
with the approved design yields
capacity.
Conformance to the approved
procedure in disinfecting spring box.
SPL 2 - Construction of Water
System Reservoir
Conformance with approved plans
and specifications.
SPL2.1 Reinforced Concrete
Reservoir
SPL 2.1.a Foundation
SPL 2.1.a.1 Earthwork
The location of the reservoir marked as
specified in the approved plans.
Excavation depth conforms to the
approved design.
Reservoir subgrade is scarified at least
15 cm (6 in) and re-compacted to 95%
of maximum density.
SPL 2.1.a.2 Underdrains
Followed the approved drawings for the
underdrain trench width and depth.
The underdrain trench is water tight. All
joints and laps are sealed according to
the PVC sheet manufacturer’s
recommendations
Gravel size (G-1) is placed to a depth in
accordance to approved design and the
underdrain pipe is laid on this bedding.
The gravel is clean and must not
contain any material that could plug the
holes of the underdrain pipe.
SPL 2.1.a.3 Underslab
Excavation /
Backfill
Excavations should be neat and to the
correct width and depth as specified in
the approved design.
The under slab backfill has been placed
according to the specifications.
SPL 2.1.a.4 Drain rock
Followed the approved specifications for
drain rock
Compacted in accordance to approved
specifications.
SPL 2.1.b Floor Slab
SPL 2.1.b.1 Forms
The form material is smooth and oiled.
Form elevations and lines are aligned.
Floor slab forms is properly sealed to
avoid excessive water loss.
SPL2.1.b.2 Reinforcing
Steel
Fabrication of the reinforcing bars
conforms to the approved shop
drawings.
Rebars have passed the Tensile
Strength Test.
The reinforcing bar is the specified
grade for the structure and is in good
condition
Spacing, number of bars, & concrete
coverage comply with the approved
plan.
Reinforcing steel stored above the
surface of the ground using platform or
other supports.
Reinforcing steel properly placed,
spliced and fastened
SPL 2.1.b.3 Water stop
The water stop joint is joined in
accordance with the approved
methodology.
SPL 2.1.b.4 Placing Concrete
Slab sections are placed in accordance
with the designated size and placement
sequence shown in the approved
drawings.
SPL 2.1.b.5 Curing
Followed the approved curing
methodology and specifications.
SPL 2.1.c Walls and Columns
SPL 2.1.c.1 Forms
The form material is smooth and
oiled.
Form elevations and lines are aligned.
Formworks are properly braced and
supported, straight and do not have any
gaps for the wet concrete to flow out.
SPL 2.1.c.2 Reinforcing
Steel
Spacing, number of bars per panel, &
concrete coverage comply with the
approved plan.
Rebars have passed the Tensile
Strength Test.
SPL 2.1.c.3 Water stops
All water stops in the vertical joint is
held in place.
SPL 2.1.c.4 Placing
Concrete
Followed the approved methodology for
placing concrete.
Concrete in the wall is adequately
vibrated to ensure no leakage problems
in a water-retaining structure.
SPL 2.1.c.5 Removing
Forms
Followed the approved methodology for
removing forms.
Proper tools in removing forms were
used.
SPL 2.1.c.6 Repairs
If the concrete is to be repaired, the
specifications should be strictly followed
SPL 2.1.c.7 Curing
Followed the approved curing
methodology and specifications.
SPL 2.1.d Roof Slabs
SPL 2.1.d.1 Forms
Forms for roof slabs are made of
suitable material.
Maintenance and oiling of the forms are
completed prior to their installation.
Roof slab joints are water- tight.
SPL 2.1.d.2 Reinforcing Steel
Rebars for the roof installed in
accordance with approved
specifications.
Procedures in placing water stops,
placing the concrete in a checker-
board pattern, placing concrete
around the water stop, applying the
bond breaker, and the method of
cure and cleaning laitance from the
column construction joint followed
the approved design & specification.
SPL 2.1.d.3 Removing Forms
from Roof
Structures
Followed the approved methodology for
removing forms.
SPL 2.1.d.4 Curing
Followed the approved curing
methodology and specifications.
SPL 2.1.e Reservoir Appurtenances
SPL 2.1.e.1 Installation
The reservoir appurtenances is secured
in place with cement mortar and/or
asphaltic seal or as specified in the
approved specifications.
SPL 2.1.e.2 Sealing
Followed the approved methodology for
sealing the reservoir appurtenances.
SPL 2.2 Steel Reservoir
SPL 2.2.a Ground Level Steel
Reservoirs
In accordance with the approved plans
and specifications.
SPL 2.2.b Elevated Steel
Reservoirs
Concrete foundation, columns, and
bracings of the reservoir in accordance
with approved plans and specifications.
Assembling the reservoir body in
accordance with the specified type of
reservoir.
Applied waterproofing materials to make
the reservoir watertight conforms to
approved specifications.
Painting the steel surfaces with anti-rust
paints. The type of paint to be used
should not be toxic, nor should it impart
odor and taste to the water.
SPL 2.3 Waterproofing
SPL 2.3.a Admixtures,
Membranes,
Coatings
Followed the approved material
specification and procedures for
admixtures, membranes, & coatings.
For application details, refer to the
product-specific literature and
instructions supplied with the product.
SPL3 - Pipelines (Transmission /
Distribution Lines)
Conformance to the approved plans
and specifications.
Conformance to the applicable local
and national codes and regulations
Complied to safety codes and
standards
SPL 3.1 Earthwork
SPL 3.1.a Excavation
Conformance to the approved detailed
plans for correct field location.
Conformance to the trench and bedding
specifications, alignment and grade.
Excavation permits is secured from the
agencies that have jurisdiction over the
trench line.
The proper excavation method and
equipment conformance to the
approved technical specifications.
The excavation area is properly marked
with warning devices to protect the
safety of the construction crew and the
public.
SPL 3.1.b Backfill
Clean granular material such as sand
and gravel is generally recommended
for the first layer of backfill or in
accordance with approved technical
specifications.
Water is removed from the trench using
a pump or other means.
Backfill always follows pipe installation.
Followed the approved
methodology/procedure for backfill.
The backfill meet the compaction
requirements based on the approved
technical specifications.
SPL 3.1.c Compacting
Compacted in accordance with
approved specifications.
Followed the approved
methodology/procedure compaction.
SPL 3.2 Pipe Trenching
The trench is straight, with vertical sides
centered on the pipe centerline.
Trench excavation not extend too far
ahead of pipe laying for safety reasons.
Power saws is used if the trench is
below asphalt or concrete pavements to
ensure smooth edge cuts.
SPL 3.2.a Width and Depth
Followed the approved plans and
specifications for trench widths & depth.
The pipe ends is covered to prevent
contamination and entry of any object.
The trench bottom is uniform, free of
humps, abrupt change of direction, hard
objects, large stones, and tree roots.
The trench walls may have to be”
stepped” or “sloped” when the ground is
unstable.
The backfill is completely compacted
before vehicles are allowed to pass over
the line of pipe under shallow cover.
SPL 3.2.b Bedding
The trench bottom is properly leveled
and compacted so that the full length of
the pipe will have continuous, firm
support.
Bedding material is spread over the
trench bottom to the full width of the
trench.
Bedding material in accordance with
approved technical specification.
SPL 3.3 Pipe Laying
Followed the approved
methodology/procedure for pipe laying.
Entire length of the pipe sections are in
contact with the ground.
Pipe lengths is not deflected in the joints
to any degree than that recommended
by the manufacturer.
Works shall comply with the pertinent
provision of the Plumbing Code of the
City/Municipality, Code Sanitation of the
Phils. And National Plumbing Code of
the Phils.
SPL 3.4 Concreting Thrust Block
The installation of thrust blocks and
anchors should be based on the
approved plans, detailed design, and
locations.
The concrete is fill in completely around
the fitting.
The pipe or fitting is not encased, as
there should be allowance for slight
movement due to temperature changes
and pressure.
SPL 3.5 Pipes and Appurtenances
Pipes should be free from damage.
Any unsatisfactory sections should be
rejected.
The inside of each pipe length should
be clean. Any dirt, oil, grease, animals,
and other foreign matter should be
removed
All pipes should pass the Pipe Busting
Test.
SPL 3.5.a Pipe Handling
SPL 3.5.a.1 Inspection of
Delivered Pipe
Materials
Free from damage on the pipe
materials before or during unloading.
Conformity of all piping materials (e.g.,
pipes, rings, gaskets and fittings)
against a tally sheet for quantity and
correct sizes and class
SPL 3.5.a.2 Loading/Un-loading
Pipe materials is loaded/unloaded using
some form of mechanical lifting
equipment. Whatever method used
should prevent abuse and damage to
the pipe materials.
Pipes is unloaded as near as possible
to where they are to be used, so as to
avoid excessive handling.
Pipes not be dragged along the ground
or road.
SPL 3.5.a.3 Stacking/Storage
Pipes, fittings and gasket materials
should be stacked and stored in
accordance with the manufacturer’s
recommendations.
All pipes, fittings and gasket material
should be kept as clean as possible and
be protected from any contamination.
Pipe stockpiles should be built on a flat
base, above the ground to minimize
contamination.
The bottom layer should be supported
uniformly along the barrel of the pipes to
prevent bending.
When issuing pipes, fittings, adapters
and gaskets, the principle of “first in first
out” should be followed.
SPL 3.5.a.4 Stringing
Pipes is laid as near to the trench as
safely possible to avoid excess handling
Lifting equipment should be used to
lower larger pipes; for which a webbing
sling should be attached to the pipe
SPL 3.5.b Jointing Pipes
Followed the correct type of materials &
approved method for jointing pipes.
Jointing pipe during pipe installation is
done correctly to ensure a long
watertight service.
SPL 3.6 Fittings and Appurtenances
SPL 3.6.a Gate Valve & Valve Box
Conformance to the approved technical
specifications
SPL 3.6.b Blow-Off Hydrant
Assembly
Conformance to the approved technical
specifications
SPL 3.6.c Air Release Valve
Assembly
Conformance to the approved technical
specifications
SPL 3.6.d Tap stands /
Stub-outs
Conformance to the approved plans &
specifications.
SPL 3.6.e Water Meter
Conformance to the approved technical
specifications
SPL 4 – Pump House / Pumping Station
Conformance to the approved plans and
specifications.
Conformance to the applicable local and
national codes and regulations.
Conformance to safety codes and
standards.
SPL 4.1 Earthwork
SPL 4.1.a Excavation
The excavation line conforms to the
approved drawings and the base is a
stable ground.
The excavation area is properly
secured.
Availability of water pump on site, to
keep the excavated footing foundation
areas free of water and kept dry.
SPL 4.1.b Backfill
Fill materials is acceptable and well
graded, free form large lumps, woof or
other foreign materials, saturated clay or
organic material.
Fill materials are properly compacted in
accordance with approved
specifications.
Finished fill levels are in conformity with
the approved drawing.
SPL 4.2 Concrete Works
The cement used is new and dry. The
aggregate is clean and of correct size
as per the drawings and specifications.
Clean Water is used for concreting
works.
No through cracks
No honeycomb (no exposed
rebars/aggregates).
No sagging or bulging.
Conformance to required quality of
concrete mix.
Conformance to the required concrete
cover for rebars.
Conformance to the batching, mixing,
transporting and discharge time
requirements
Conformance to required dimensions,
lines, grades/elevation, and location.
Slump test conducted and passed the
allowable slump requirement.
SPL 4.3 Rebars
The reinforcing bar is the specified
grade for the structure and is in good
condition, i.e. free of loose or flaky rust,
mill scale, oil or any other substance
that might reduce or destroy its bond
with the concrete.
Materials have passed strength test.
Order list and bending diagram
approved by Engineer.
Reinforcing steel stored above the
surface of the ground using platform or
other supports.
Reinforcing steel properly placed,
spliced and fastened.
SPL 4.4 Formworks
Dimensions of the forms are as per the
drawings and are plumbed.
Correct setting out of lines and levels.
Dimensions of structure as per
approved plan.
Formwork sides and scaffolding are
adequately braced.
Formwork joints & seams tight against
grout leak and properly sealed.
Concrete cover spacer adequately
provided.
Correct plumbness, flatness, & spacing
of props.
Forms are properly coated with form oil.
Clean out for debris is provided.
SPL 4.5 Masonry
SPL 4.5.a Masonry Wall
Materials used are as per the drawings
and specification. The concrete blocks
are strong & clean and do not have
cracks.
Masonry blocks laid are plumbed, true
to line, with curses level, square corners
unless noted otherwise.
SPL 4.5.b Plastering
Conformance to designed mixture of
plastering materials.
Conformance to specified method of
application and thickness of plastering.
True to alignment.
Free from any form of damages e.g.
cracks, peeled-off plaster finish.
Conforms to specified method of
application.
Conforms to number of coats/layers
required.
Passed required leak test.
Conformance to the required materials
specifications as per plan.
SPL 4.5.c Water Proofing
Conforms to specified method of
application.
Conforms to number of coats/layers
required.
Passed required leak test.
Conformance to the required materials
specifications as per plan.
SPL 4.6 Roofing Works
Materials used conforms to the
drawings and specification and the
approved samples.
SPL 4.6.a Framing
All the roof members are set out as per
the dimensions.
The roof trusses are straight and coated
with metal paint (for steel trusses).
All the roof connections are strong and
constructed as per the dimension. There
is no movement in the joints.
SPL 4.6.a Sheeting
Metal roof sheets are straight and the
required quality with no dents.
The metal roof sheets are properly
connected to the purlins using screws
with rubber washers.
No leaks on roofing sheets.
Installation of flashing, gutters, ridge
rolls, downspouts, fascia boards, etc.
according to plans and free of damage
or dents.
SPL 4.7 Carpentry Works
SPL 4.7.a Ceiling
The ceiling sheets are flat and shows no
signs of damage.
The ceiling sheets is to be attached to
the joists as per drawings. The nails are
to be strong & new.
The cornices are straight without
damaged conforms to the drawings.
The ceiling cover strips are to be
straight and flat and as per the
drawings and specification.
Conformance to the required size,
spacing, slope, anchorage, etc.
Free from any form of damage
Conformance to the specified gauge,
length, etc.
Conformance to the specified
overlapping, sealing of joints,
fastening
Installation of flashing, gutters, ridge
rolls, downspouts, fascia boards etc.
according to plans, free of damage or
dents.
Non-occurrence of leaks
SPL 4.7.b Door
True to alignment, plumbness in
conformance to the approved/specified
tolerance.
Doors are well fitted to the door frames.
Door accessories installed according to
plans, e.g. lock sets, door closers,
hinges, door stoppers.
Free from any form of damages.
Doors conforms to specification
requirements e.g. panel door, flush door
polyvinyl, steel doors, etc.
SPL 4.7.c Window
True to alignment and elevation in
conformance to the approved/specified
tolerance
Windows are well fitted to the window
frames
Window accessories installed according
to plans, e.g. handles, seals, glazing for
glass window, etc.
Free from any form of damage
Window conforms to specification
requirements, e.g. sliding, jalousies
(glass & wooden) steel casement
windows
SPL 4.8 Electrical Works
SPL 4.8.a Powerlines
Materials must be approved as per
standards and specifications.
Installations must be as per approved
material submittals, approved drawings
and specifications
Splicing and connection provided with
adequate rubber and pvc tapes
SPL 4.8.b Controls
Switches, outlets and other lighting
fixtures must be free from damages and
are functional.
Electrical testing and commissioning
have been conducted and passed.
Installations must be as per approved
material submittals, approved drawings
and specifications.
SPL 4.9 Sanitary Works
The construction materials should
conform to the approved sampales,
drawings, and specification.
All fixtures are new and free from
damages
Drainage works are completed and
connected to the plumbing fixtures.
All sanitary fixtures were properly
tested, without leaks and operational.
SPL 4.10 Painting Works
The undercoat used on the walls and
ceilings and as specified in the drawings
and specifications.
The undercoat for the walls and ceilings
is allowed to properly dry prior to
painting the top coat.
The paint used for the walls and ceilings
is new and as specified in the drawings
and specifications.
SPL 5 – Pump and Motor Controls
Installation of Pumps shall be
supervised by the license Mechanical
Engineer.
The materials used is conforms to the
approved technical specifications.
In accordance with Philippine National
Standards (PNS), primary basis for
measurements, standards, and codes.
ISO and DIN or equivalent standards
can be adopted when these are
consistent with the PNS standards.
SPL 5.1 Booster Pump
All factory alignment should be field-
checked as the alignment may have
been disturbed in shipping
Foundation bolts is in good alignment
with holes in the base plate.
Any lateral shifting is prevented to
minimize vibration.
The pump and pipe should is forced
together, as any strain on the pump
should be avoided.
The pipe flanges is installed squarely
together before the bolts are tightened
The suction and discharge pipes, valves
and other required equipment is
properly supported and anchored
The system/equipment should be is
grounded.
SPL 5.2 Submersible Pump
The manufacturer’s detailed installation
instructions is followed.
The water indicator tubing is installed
with the pump.
The integrity of system/equipment
grounding is ensured.
SPL 6 – Treatment Facilities
The type or method of treating raw
water is in accordance with the
approved method, design, and
specification.
SPL 7 – Testing , Disinfection &
Commissioning
SPL 7.1 Pipeline Testing
Pipes installed pass the pressure and
leakage test as conformed with the
approved technical specifications/ per
LWUA standards.
SPL 7.2 Disinfection Of Pipelines
Disinfection of pipelines is completed
not more three (3) days before they are
placed into service. Methods for
disinfection conforms to the approved
safety codes for disinfection for water
pipelines.
SPL 7.2 Testing and Disinfection of
Reservoir and Piping
In accordance with approved
methodology/ procedure.
SPL 7.3 Disinfection of Wells and
Pumps
In accordance with approved
methodology/ procedure.
SPL 7.4 Bacteriological Testing
Passed the “Bacteriological Tests” as
prescribed by the “Philippines National
Standards for Drinking Water 2007
(PNSDW-2007)” or any superseding
standards more recently issued by the
Department of Health.
SPL 8 – Paints and Coatings
In accordance with approved general
guide to the various types of paints and
coatings used in small water systems
and the proper procedures in their
application.
B. MATERIALS
Materials complied and passed test
requirements with Philippine National
Standard (PNS)/Import Commodity
Certificate (ICC) and/or specified
type/class/brand
Materials are correctly stored and
handled to prevent damage,
deterioration and theft
Non-conforming materials are identified
and segregated against inadvertent use
Evidence is supplied to verify that
specified materials were used in the
project.
Materials records are clearly legible,
complete, traceable to project and
readily available
C. SAFETY AND HEALTH
Appropriate personal protective
equipment (e.g. helmets, safety shoes,
safety belt/lifeline, eye protection, ear
plug, dust mask, etc.) provided and
worn by all workers/staff.
Heavy equipment operated by
certified/qualified operators only.
Critical construction work done by
certified/qualified skilled workers only.
Heavy equipment are tested and
certified to be in good running condition.
Safety practices and procedures in
general construction observed and
implemented at construction site
(electrical, fire protection, lighting,
construction of safe walkways,
protection from falling materials,
shoring, scaffolding, etc.).
First aid cabinets are fully equipped and
readily available for treatment of
sicknesses and injuries.
SH signs are clearly visible to
construction staff, workers and public.
D. RESOURCES DEPLOYMENT
Pledged materials as per updated
PERT/CPM or program of work were
delivered at site on time.
Pledged equipment as per updated
PERT/CPM or program of work were
delivered at site on time.
Pledged manpower as per updated
PERT/CPM or program of work were
mobilized at site on time.
Presence of Materials Engineer
E. OTHER CONTRACT DOCUMENTS
Contract Plans available on site
Contractors Organizational Chart
available on site
Materials Log Book
Approved Variation Order (if any)
Approved Contract Time Extension (if
any)
Shop Drawings for VO (if any)
Site instructions
Approved work request
Minutes of the Meetings and Attendance
Sheet
F. TIME
On or ahead of schedule per approved
Bar chart & S-curve
Delayed physical accomplishment per
approved bar chart & s-curve
a. If delayed (5% or less) Cause of delay:
Delay Fault of:
Action Taken:
b. If delay (more than 5% - less than Cause of delay:
15%)
Delay Fault of:
Action Taken/Corrective
Measures:
c. If delay 15% or more Cause of delay:
Delay Fault of:
Recommended Actions:
List of documents to be to be secured during inspection/monitoring;
1. Contract documents
2. Correspondence
3. Approved construction plans
4. PERT/CPM, Bar Chart/S-Curve
5. Test result conducted (Materials/Concrete Sample/FDT,etc)
6. Updated Statement of Work Accomplishment (SWA)
7. Approved Variation Order/Time Extension/Suspension (if any)
Prepared By: Noted:
_______________________ ________________________
Monitoring Engineer Project Manager/PDMU Chief
