2304 Embankment Sub-grade

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROCEDURAL CHECKLIST

• In use

  Yes

  No

  N/A

VERIFICATION CHECKLIST

• In use

  Yes

  No

  N/A

TEST RESULTS

• Attached to checklist

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by contractor

  Yes

  No

  N/A

NON-CONFORMANCE

• Submitted

  Yes

  No

  N/A

UNDERLYING LOT

• Conforms

  Yes

  No

  N/A

AUDIT SAMPLE ANALYSIS

• Soaked CBR

  Yes

  No

  N/A

• Grading system.

  Yes

  No

  N/A

CONSTRUCTION

• Layer thickness

  Yes

  No

  N/A

• Density test results

  Yes

  No

  N/A

• Sub grade finish uniform appearance

  Yes

  No

  N/A

• No pounding of water finished surface

  Yes

  No

  N/A

• Sub grade zone width meets design

  Yes

  No

  N/A

• Sub grade tolerance 0mm above, 60mm below

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by audit

  Yes

  No

  N/A

• Report requested.

  Yes

  No

  N/A

• Signature

  Sign