2304 MISCELLANEOUS DRAINAGE STRUCTURES

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROCEDURE 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 REPORT

• Submitted

  Yes

  No

  N/A

FOUNDATION Clause R 32.16.1

• Suitable

  Yes

  No

  N/A

• Additional excavation approved

  Yes

  No

  N/A

REPLACEMENT BACKFILLING

• Material conforms to specification

  Yes

  No

  N/A

• Layer thickness <200mm

  Yes

  No

  N/A

• Compaction 95% standard

  Yes

  No

  N/A

FORMWORK

• Condition

  Yes

  No

  N/A

• Fillets fixed at exposed edges

  Yes

  No

  N/A

• Pour area cleaned out

  Yes

  No

  N/A

• Dimensions

  Yes

  No

  N/A

REINFORCEMENT

• Bar diameter

  Yes

  No

  N/A

• Number of bars

  Yes

  No

  N/A

• Bar chairs suitable

  Yes

  No

  N/A

• Mesh type

  Yes

  No

  N/A

• Reinforcement condition

  Yes

  No

  N/A

• Cover

  Yes

  No

  N/A

CONCRETE

• Placement method

  Yes

  No

  N/A

• Compaction

  Yes

  No

  N/A

• Finish

  Yes

  No

  N/A

• Curing method

  Yes

  No

  N/A

• Stripping time

  Yes

  No

  N/A

• Exposed faces bag washed

  Yes

  No

  N/A

• Pipe rendered

  Yes

  No

  N/A

• Slump results

  Yes

  No

  N/A

• Concrete strength result at 28 days

  Yes

  No

  N/A

• Pipe surround grouted within headwall

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by audit

  Yes

  No

  N/A

• Report requested.

  Yes

  No

  N/A

• Signature

  Sign