B30 B RMS Surveillance Checklist ILC-MI-TP3-405-SC

• Inspection Title. EXCAVATION FOR BRIDGE SITES B30 b Ed 4 /Rev 0 B30b

• Project Name: Tabulam New Bridge.

• Location: BRUXNER HIGHWAY TABULAM

• Contractor

• Prepared by

• Conducted on

  Date

3 COFFERDAMS AND SHORING

• 

• Has the hold point been released for the Coffrdams / Shoring.

  Yes

  No

  N/A

• Do not incorporate material used in the construction of the cofferdam or shoring within the concrete of the finished structure, unless shown otherwise on the Drawings.

  Yes

  No

  N/A

• Remove any cofferdams and shoring, including temporary piles, to a minimum of 0.5 m below natural or finished surface, whichever is lower.

  Yes

  No

  N/A

4 EXCAVATION

• During excavation and backfilling, do not disturb any survey bench marks, survey or level peg, plug, pipe or marking.

  Yes

  No

  N/A

• If contaminated material is encountered during excavation, notify the Principal immediately and deal with the contaminated material in accordance with RMS R44.

  Yes

  No

  N/A

• Excavate for construction of structures to the depth and profile shown on the Drawings.

  Yes

  No

  N/A

• Avoid disturbing the material below the required excavation level shown on the Drawings.

  Yes

  No

  N/A

• Remove all loose material from within the excavation before placing concrete.

  Yes

  No

  N/A

• For foundations bearing on earth, backfill any over-excavation under the foundation member with Select Fill complying with Clause 6.2.2, or concrete of the same quality as the overlying concrete structure.

  Yes

  No

  N/A

• Prior to placing concrete for the mass concrete blinding layer, present the excavated foundation area for inspection by the Principal.

  Yes

  No

  N/A

• 

• Where further excavation is directed, the above Hold Point will again apply after the completion of the excavation to the new levels or new dimensions.

  Yes

  No

  N/A

5 MASS CONCRETE BLINDING LAYER

• Do not place concrete in the presence of surface or seepage water.

  Yes

  No

  N/A

• The concrete for the blinding layer must be of the same quality as that of the overlying concrete structure, unless shown otherwise on the Drawings.

  Yes

  No

  N/A

• Allowed to harden sufficiently before any subsequent operation over it can take place, to avoid damage to the layer.

  Yes

  No

  N/A

G22 SAFETY

• "Permit to Excavate" where applicable onsite before any work has commenced.

  Yes

  No

  N/A

• Have operators demonstrated their competence to operate the plant/equipment to the satisfaction of the contractor. <br>

  Yes

  No

  N/A

• Has a SWMS been developed.

  Yes

  No

  N/A

• Has a certified rigger checked that the structural members are secure before the load is released.

  Yes

  No

  N/A

• Is each and every item of plant being used for its designated and intended purposes.

  Yes

  No

  N/A

• Have the attachments for plant and processes been approved and used in accordance with their design and purposes.

  Yes

  No

  N/A

• Is the correct PPE being worn

  Yes

  No

  N/A

• Are all accesses safe and sign posted.

  Yes

  No

  N/A

• Were any unsafe practices observed. <br>

  Yes

  No

  N/A

• Good safe practices observed.

  Yes

  No

  N/A

G36 ENVIRONMENTAL

• Are Erosion and Sediment controls measures being installed and maintained.

  Yes

  No

  N/A

• Have nearby/adjacent waterways been protected from potential concrete, grout and curing compound spills

  Yes

  No

  N/A

• Has a concrete washout area been defined and used.

  Yes

  No

  N/A

• Have any environmental incidents or potential incidents been observed.

  Yes

  No

  N/A

• Good environmental procedures observed.

  Yes

  No

  N/A

• Is the activity compliant.

  Yes

  No

  N/A

• Surveillance Officer

  Sign

• NCPN or memo number.

  Yes

  No

  N/A

• Follow up action

  Yes

  No

  N/A

• Product Non Conformance

  Yes

  No

  N/A

• System Non Conformance

  Yes

  No

  N/A

• Contractor generated NCR

  Yes

  No

  N/A

• Contractor generated a CAR

  Yes

  No

  N/A

Matters arising

• NCPN no

• Contractors NCR no

• CAR no

• Closed out.

• RMS representative's name

  Sign