Brisbane City Council - DA Engineering " Road Construction Compliance Audit"

• Document No.

• Audit Title

• Site Address

• Conducted on

  Date

• Prepared by

• Location
  Address

Consultant's Company Details

• Company Name

• Consultant's Name

• Phone

• Email

• Consultant's Signature

  Sign

Council Inspector's Details

• Council Inspector's Name

• Council Inspector's Signature

  Sign

Inspection Details

• Inspection Type

  Subgrade

  Preseal

• Load Test

  Fully Loaded Single Axle

  Double Axle

  Other

Inspection Results

Road 1

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 2

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 3

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 4

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 5

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 6

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 7

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Road 8

• Deflection Observed?

  Yes

  No

  N/A

• Dimension Satisfactory?

  Yes

  No

  N/A

Summary

• Final Result

  Pass

  Fail

• Reinspection Required?

  Yes

  No

  N/A