Brickwork Repair Sign off Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Drawing No

• Materials used

• Spec or ITP Reference

• Area relating to inspection

  Media

Inspection check list

• Has area to been repaired identfied by others

  Yes

  No

  N/A

• Is repair to Brickwork

  Yes

  No

  N/A

• Is repair to Blockwork

  Yes

  No

  N/A

• Is repair to an existing hole

  Yes

  No

  N/A

Brick/Blockwork

• Has brick/blockwork been toothed out back to solid brick/blockwork.

  Good

  Fair

  Poor

  N/A

• Have damaged bricks/blocks been replaced/repaired to match existing

• Does the area around the repair required re-pointing

  Yes

  No

  N/A

• Have bed and perp joints been raked out to depth specified

  Yes

  No

  N/A

• Before infilling has area been dampened to avoid rapid drying

  Yes

  No

  N/A

• Has mortar been compacted into the joints

  Yes

  No

  N/A

• Has top joint where infill mets existing has top joint been pack correctly.

  Yes

  No

  N/A

Repair

• Is repair in line with existing brick/blockwork

  Good

  Fair

  Poor

  N/A

• Are bed and perp joints consistent with area being repaired

  Good

  Fair

  Poor

  N/A

• Is repair bonded

  Good

  Fair

  Poor

  N/A

• Have ties been used.

  Good

  Fair

  Poor

  N/A

• Are ties L shape

  Good

  Fair

  Poor

  N/A

• Have cavity ties been used

  Good

  Fair

  Poor

  N/A

This inspection sheet confirms that the item or area detailed above and on all related inspection sheets is 100% completed in line with the current specification, drawings, pre agreed sample panels and ITP's although still remaining Harlequin Brickworks responsibility until practical completion has been achieved.

• Signed on behalf of Harlequin Brickwork

  Sign

• Signed on behalf of Main Contractor

  Sign