2304 BASE A

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROCEDURAL CHECKLIST

• Inuse

  Yes

  No

  N/A

TEST RESULTS

• Attached to checklist

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by Contractor.

  Yes

  No

  N/A

NON_CONFORMANCE REPORT

• Submitted.

  Yes

  No

  N/A

NOMINATED MATERIAL Clause R40.5

• Nomination of materials form R40.5 submitted.

  Yes

  No

  N/A

• Nominated target grading received.

  Yes

  No

  N/A

• Test data to demonstrate compliance.

  Yes

  No

  N/A

• Representative samples received.

  Yes

  No

  N/A

• Evidence that materials G6 compliant.

  Yes

  No

  N/A

• %passing grading serve sizes.

  Yes

  No

  N/A

• CBR minimum 80 minus 19mm fraction.

  Yes

  No

  N/A

• Coarse wet/dry strength min 100kN

  Yes

  No

  N/A

• Coarse wet/dry variation max 35%.

  Yes

  No

  N/A

• Flakiness index max 35

  Yes

  No

  N/A

• In-situ distribution % passing grading limit.

  Yes

  No

  N/A

• Fine aggregate liquid limit maximum 25

  Yes

  No

  N/A

• Fine aggregate plastic index max. 4

  Yes

  No

  N/A

• Fines PI x% passing 0.425mm max 300

  Yes

  No

  N/A

• Hold point released for nomination

  Yes

  No

  N/A

• Hold point released change target grading.

  Yes

  No

  N/A

AUDIT SAMPLE Appendix A1

• %passing grading serve sizes

  Yes

  No

  N/A

• Grading ratio limits % passing.

  Yes

  No

  N/A

• CBR min 80 Base B minus 19mm fraction.

  Yes

  No

  N/A

• Coarse wet/dry strength min 100kN

  Yes

  No

  N/A

• Coarse wet/dry variation max 35%

  Yes

  No

  N/A

• Flakiness index maximum 35

  Yes

  No

  N/A

• In-situ distribution % passing grading limit

  Yes

  No

  N/A

• Fine aggregate liquid limit max. 27

  Yes

  No

  N/A

• Fine aggregate plastic index max. 6

  Yes

  No

  N/A

• Fines PI x % passing 0.425mm max. 350

  Yes

  No

  N/A

CONSTRUCTION Clause R40.7

• Underlying lot conforms

  Yes

  No

  N/A

• Material uncontaminated.

  Yes

  No

  N/A

• Layer maximum thickness 175

  Yes

  No

  N/A

• Density test results min 95%

  Yes

  No

  N/A

• Pavement width.

  Yes

  No

  N/A

• Uniformity and finish.

  Yes

  No

  N/A

• Moisture content prior to sealing < 70% OMC

  Yes

  No

  N/A

• Hold point released top of course.

  Yes

  No

  N/A

COMPLETED SURFACE Clause R40.8

• Level, grade, shape as designed.

  Yes

  No

  N/A

• Completed surface toleranced.

  Yes

  No

  N/A

• Tolerances satisfied.-5mm to + 10mm

  Yes

  No

  N/A

• Maximum 6mm gap under 1.2m straight edge.

  Yes

  No

  N/A

• Roughness survey refer to 40.8.3<br>

  Yes

  No

  N/A

• NON-CONFORMANCE

  Yes

  No

  N/A

• Identified by audit

  Yes

  No

  N/A

• Report requested.

  Yes

  No

  N/A

• Signature

  Sign