Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PROCEDURAL CHECKLIST
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In use
VERIFICATION CHECKLIST
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In use
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TEST RESULTS
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Attached to checklist
NON-CONFORMANCE
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Identified by Contractor
NON-CONFORMANCE REPORT
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Submitted
UNDERLYING LOT
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Conforms
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Foundation compacted as per table
COMPACTED LAYER METHOD Clause R 22.5.2(ii)
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Up compacted layer=<400mm
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Rock size in fill 2/3 layer depth.
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Approval to vary layer thickness.
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Density test results 95% >600mm below.
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Density test results 100% 200-600 mm below
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Compacted layer method spec used.
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Maximum compacted layer thickness.
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Minimum number of passes.
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Batter slope tolerances.
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Layer toleranced
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Tolerances met 0mm above to 60mm below
MECHANICAL INTERLOCK Clause R22.5.2(iii)
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Correct roller category
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Drum mass > 4.5t
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Maximum compacted layer thickness.
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Minimum number of passes.
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Proof rolling conforms.
CHANGE IN METHOD clause R22.5.2(iii)
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Stone binding placed
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Class of geotextile
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Geotextile overlap 500mm
SOUND MOUNDS Clause R 22.5.3
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Uncompacted layer =< 450mm
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Maximum Rock size <150mm
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Density test results
NON-CONFORMANCE
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Identified by audit.
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Report requested.