2304 SUB-BASE 2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROCEDURAL CHECKLIST

• Inuse

  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

NOMINATED MATERIAL Clause R40.5

• Nomination of materials form R40.5 submitted.

  Yes

  No

  N/A

• Nominated target grading received.

  Yes

  No

  N/A

• Test data to demonstrate compliance.

  Yes

  No

  N/A

• Representative samples received.

  Yes

  No

  N/A

• %passing grading serve sizes.

  Yes

  No

  N/A

• CBR minimum 15 minus 19mm fraction.

  Yes

  No

  N/A

• Fine aggregate liquid limit maximum 40

  Yes

  No

  N/A

• Fine aggregate plastic index max. 20.

  Yes

  No

  N/A

• Fines PI x% passing 0.425mm max 450

  Yes

  No

  N/A

• Hold point released for nomination

  Yes

  No

  N/A

• Hold point released change target grading.

  Yes

  No

  N/A

AUDIT SAMPLE Appendix A4

• %passing grading serve sizes

  Yes

  No

  N/A

• Grading ratio limits % passing.

  Yes

  No

  N/A

• CBR min 15 minus 19mm fraction.

  Yes

  No

  N/A

• Fine aggregate liquid limit max. 45

  Yes

  No

  N/A

• Fine aggregate plastic index max. 25.

  Yes

  No

  N/A

• Fines PI x % passing 0.425mm max. 600

  Yes

  No

  N/A

CONSTRUCTION Clause R40.7

• Underlying lot conforms

  Yes

  No

  N/A

• Material uncontaminated.

  Yes

  No

  N/A

• Layer maximum thickness 250mm

  Yes

  No

  N/A

• Density test results min 95%

  Yes

  No

  N/A

• Pavement width.

  Yes

  No

  N/A

• Uniformity and finish.

  Yes

  No

  N/A

• Hold point released top of course.

  Yes

  No

  N/A

COMPLETED SURFACE Clause R40.8

• Level, grade, shape as designed.

  Yes

  No

  N/A

• Completed surface toleranced.

  Yes

  No

  N/A

• Tolerances satisfied.-40mm to +20mm

  Yes

  No

  N/A

• NON-CONFORMANCE

  Yes

  No

  N/A

• Identified by audit

  Yes

  No

  N/A

• Report requested.

  Yes

  No

  N/A

• Signature

  Sign