CDOT Form 281 "Concrete Batched and Placed" - Colorado

What Is CDOT Form 281?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2014;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of CDOT Form 281 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download CDOT Form 281 "Concrete Batched and Placed" - Colorado

955 times
Rate (4.5 / 5) 48 votes
COLORADO DEPARTMENT OF TRANSPORTATION
CONCRETE BATCHED
AND PLACED
Proj. location
Contractor
Cu. Yds.
Supplier
Class
.
Truck #
Design #
Design weights and total batch weights (adjusted for moisture)
Cement
Fly ash
Fine
Medium
Coarse
Water
Air E.A.
Admixture
type
type
type
type
1 CU. YD.
Design Wt.
lb
lb
lb
lb
lb
gal
oz
oz
Total adjusted
batch Wt.
lb
lb
lb
lb
lb
gal
oz
oz
Moisture in coarse agg.
Moisture in medium agg.
Moisture in fine agg.
%
%
%
Time charged
Discharged
Truck water meter reading at plant
time
Field mixing
Batch water
Mixing revolutions on job
In agg.
gals.
Gallons of water added
At plant
gals.
Cubic yds. in truck
Total batch
gals.
Max allowed
Equivalent batch gallons
per batch.
gals.
Batch cu. yds.
Total allowed
gals.
Equivalent batch gals. =
X gals. water added
cu. yds. in Truck
Water permitted: __________________ X ____________________ X
.12 = ____________________gals.
(Batch Wt.
(Maximum water
(Maximum allowed
Cement - lbs.)
Cement ratio)
per batch)
% total air
Slump
Mix temperature
Cyl. set #
When
taken
Yield
RPM range
RPM used
(Nomograph)
Portion
1. Placed at
2. Air temp maximum
Weather
Minimum
Lines 1 & 2 represent ticket #
Thru
Remarks
Job inspector
CDOT Form #281
4/14
.
COLORADO DEPARTMENT OF TRANSPORTATION
CONCRETE BATCHED
AND PLACED
Proj. location
Contractor
Cu. Yds.
Supplier
Class
.
Truck #
Design #
Design weights and total batch weights (adjusted for moisture)
Cement
Fly ash
Fine
Medium
Coarse
Water
Air E.A.
Admixture
type
type
type
type
1 CU. YD.
Design Wt.
lb
lb
lb
lb
lb
gal
oz
oz
Total adjusted
batch Wt.
lb
lb
lb
lb
lb
gal
oz
oz
Moisture in coarse agg.
Moisture in medium agg.
Moisture in fine agg.
%
%
%
Time charged
Discharged
Truck water meter reading at plant
time
Field mixing
Batch water
Mixing revolutions on job
In agg.
gals.
Gallons of water added
At plant
gals.
Cubic yds. in truck
Total batch
gals.
Max allowed
Equivalent batch gallons
per batch.
gals.
Batch cu. yds.
Total allowed
gals.
Equivalent batch gals. =
X gals. water added
cu. yds. in Truck
Water permitted: __________________ X ____________________ X
.12 = ____________________gals.
(Batch Wt.
(Maximum water
(Maximum allowed
Cement - lbs.)
Cement ratio)
per batch)
% total air
Slump
Mix temperature
Cyl. set #
When
taken
Yield
RPM range
RPM used
(Nomograph)
Portion
1. Placed at
2. Air temp maximum
Weather
Minimum
Lines 1 & 2 represent ticket #
Thru
Remarks
Job inspector
CDOT Form #281
4/14
.