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
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
CONCRETE MATERIALS clause R36.2.1
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Aggregate gradings
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Minimum cement content
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Shrinkage test results
PAVEMENT
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Base material conforms
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Sub-base materials conform.
FOUNDATION PREPARATION new pavement clause R 36.3.2
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Build up base where depth >160mm
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Reduce sub-base where base < 160mm
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Extend 150 behind kerb
FOUNDATION existing pavement clause R 36.3.1
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Remove 500mm existing
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Slope excavation 45degrees
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Extend 150mm behind kerb
CONSTRUCTION clause R36.4
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Extrusion machine
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Levels, line, location.
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Construction joints at 3m intervals
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Premoulded filler 15mm wide fitted.
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Expansion joints each side of pits
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Finish acceptable
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Kerb cured and protected.
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Slump result nominal 60mm
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Concrete strength result
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NON-CONFORMANCE identified by audit
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Report requested.
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Signature