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 REPORT

  • Submitted

GROUND SURVEY

  • Completed

  • Clear of underground services.

EMBANKMENT FOUNDATION R 22.5.1

  • Stripping depth

  • Foundation acceptable

  • Post survey completed

  • Number of passes for compaction.

DRAINAGE BLANKET Clause R 22.3.3

  • Location as specified.

  • Geotextile overlap 500mm each join.

  • Sand layer 200mm thick

  • Layer fully wrapped

  • Material clean and free draining

  • Connection to sub-soil drainage.

NON-CONFORMANCE

  • Identified by audit.

  • Report requested.

  • Signature

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