Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PROCEDURAL CHECKLIST

  • In use

VERIFICATION CHECKLIST

  • In use

TEST RESULTS

  • Attached to checklist

NON-CONFORMANCE

  • Identified by contractor

NON-CONFORMANCE

  • Submitted

UNDERLYING LOT

  • Conforms

AUDIT SAMPLE ANALYSIS

  • Soaked CBR

  • Grading system.

CONSTRUCTION

  • Layer thickness

  • Density test results

  • Sub grade finish uniform appearance

  • No pounding of water finished surface

  • Sub grade zone width meets design

  • Sub grade tolerance 0mm above, 60mm below

NON-CONFORMANCE

  • Identified by audit

  • Report requested.

  • Signature

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