02 - GJ Papakura Foundation Quality Assurance Check (Master)

• Job Number

• Client / Site

• Conducted on

  Date
• Site Address
  Address

• Checked By

• Signed By

  Sign

• GJ Job Number

Foundation Checklist Number 2

• Consent Number

• Site Conditions

  Sunny

  Raining

  Overcast

• LBP License Holder Name

• LBP Number

• Has Work Been Completed In Accordance With Approved Plans

  Yes

  No (Complete Section Below)

• Minor Variations (AC2131) Inspection May Proceed. Documentation Received

  Yes

  No

• Has Form AC2131 Been Completed

  Select Yes No (If No Inspection Has Failed)

  • Yes
  • No (If No Inspection Has Failed)

• Amendment: Inspection May Only Proceed if Building Work Does Not Affect This Inspection. Formal Amendment Required.

• CoW Required From Designer ?

  Yes

  No

  N/A

• Does The Amendment Affect This Inspection ?

  Yes

  No

• RoW Required From Contractor ?

  Yes

  No

  N/A

• If Yes Can Inspection Proceed ?

  Yes

  No

Inspection Results

• Pass Denotes This Inspection Is In Accordance With The Building Consent & Building Code. (Work Can Proceed.)

• Fail (Denotes This Inspection Is Not In Accordance With The Building Consent & Building Code. (Re-inspection Is Required.)

• IF The Inspection Fails, Please Issue a Site Instruction & Record Number

General

• Are Consented Plans Sighted ?

  Yes

  No

• All Previous Inspections Approved ?

  Yes

  No

• Any Other Site Issues (Comments)

• Is Inspection For Correct Consent ?

  Yes

  No

• Any Applicable Conditions/advise Notes ?

  Yes

  No

• Any Existing Damage To Footpath, Crossing, Berm ?

  Select Yes (Take Photos of Existing Damage) No

  • Yes (Take Photos of Existing Damage)
  • No

• Insert Photos Here.

  Media

Documentation

Producer Statement Required For:

• Geotechnical (PS4)

  Yes

  No

  N/A

• Drain Bridging / Piles (PS4)

  Yes

  No

  N/A

• Pile driving ( PS4)

  Yes

  No

  N/A

• Footings (PS4)

  Yes

  No

  N/A

• Retaining Walls (PS4)

  Yes

  No

  N/A

• Excavation Near Boundary (PS4)

  Yes

  No

  N/A

Surveyors Certificates Required For:

• Siting (Set Out)

  Yes

  No

  N/A

• Floor Level

  Yes

  No

  N/A

• Concrete Docket Required

  Yes

  No

  N/A

• Site Observations Required

  Yes

  No

  N/A

• Height In Relation To Boundary

  Yes

  No

  N/A

• DOSLI Or LINZ Datum

  Yes

  No

  N/A

• EPA Notification (Advice Notes)

  Yes

  No

  N/A

• Silt & Erosion Controls In Place

  Yes

  No

  N/A

• Please Insert Photos

  Media

• Consent Number

• Date:

• Documentation Comments

Foundations

• Siting (Boundaries). Checked

  Pass

  Fail

  N/A

• Datum Heights Checked

  Pass

  Fail

  N/A

• Underground Services (Existing)

  Pass

  Fail

  N/A

• Bridging Of Drains (As Per Spec Designs)

  Pass

  Fail

  N/A

• Bearing Capacity

  Pass

  Fail

  N/A

• Reinforcing Bars Tied & Supported

  Pass

  Fail

  N/A

• Anchor - Brace - Point Load Piles

  Pass

  Fail

  N/A

• Site Contours

  Pass

  Fail

  N/A

• Footprint Layout Checked

  Pass

  Fail

  N/A

• Underground Services (New)

  Pass

  Fail

  N/A

• Height Pegs Placed

  Pass

  Fail

  N/A

• DPM Lapped & Taped

  Pass

  Fail

  N/A

• Pile Treatment

  Pass

  Fail

  N/A

• Foundation Depth And Width (In mm)

• Pass

• Fail

• N/A

• Reinforcing Steel Clearance (In mm)

• Pass

• Fail

• N/A

• Starter Steel Reinforcing (Size / Spacing) (In mm)

• Pass

• Fail

• N/A

• Pile Hole Diameters and Depth (In mm)

• Pass

• Fail

• N/A

• Timber Pile / Pole Size (In mm)

• Pass

• Fail

• N/A