Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PROCEDURAL CHECKLIST

  • In use

VERIFICATION CHECKLIST

  • In use

NON-CONFORMANCE

  • Identified by Contractor

NON-CONFORMANCE REPORT

  • Submitted

UNDERLYING LOT

  • Conforms.

ANALYSIS OF AUDIT SAMPLE

  • Soaked CBR

  • Gradings

LABORATORY CBR Clause R 23.3

  • Laboratory assessments soaked CBR

  • 70% mass passing 19mm sieve

  • Assigned values comply with table R 23.1

  • Testing frequency one per 1000m2

INSITU FIELD CBR Clause R 23.3.3

  • Project specific CBR requirement

  • Penetrometer cone at least 6mm diameter

  • Adjustments CBR complies with table R23.2

  • Testing frequency one per 200m2

CONSTRUCTION Clauses R 23.5, R 23.6

  • No sub grade zone in Rock excavation.

  • In-situ material unsuitable and removed.

  • Sub-grade replacement density 100%

  • Sub-grade zone depth 200mm

  • Acceptable INSITU covered immediately.

  • Sub-grade finish uniform appearance

  • No pounding of water finished surface

  • Sub-grade zone width meets design.

  • Sub-grade tolerance 0mm above 60mm below.

  • Sub-grade zone batters.

NON-CONFORMANCE

  • Identified by audit

  • Report requested

  • Signature

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