Title Page
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Site conducted
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Document No.
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Conducted on
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Audit Title
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Location
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Prepared by
Pre-Rectification Checklist
Geo-tech engineering:
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Geo-tech engineer organised to test quality of rock before rectification of failed anchors takes place.
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Attach geo-tech inspection report:
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Date of inspection
Structural Engineer:
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Attached anchor design from either structural engineer or subcontractor
Surveyor:
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Attach photos of surveyor marks and drawing provided:
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Surveyor to mark our location of anchors
Anchor Works
ADD ANCHOR NAME
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Confirm anchor drilling inclination angle
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Confirm anchor type
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Anchor RL
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Core Hole through rock drilled, sleeved and grouted within 24 hours of starting task. Add date of drilling and date of sleeving/grouting
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Design length (m)
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Bond Length (m)
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Free length (m)
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Depth of core hole measured from top of slab. (m)
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Estimate of volume of grout used to fill hole (m3)
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Anchors achieve final lockout loads required.
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Description of final anchor status: 1. Anchor stressing hold time and percentage (if available) 2. Final lock off load (kN)
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Photograph: 1. Core Hole (if required) 2. As-built
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Subcontractor Representative Signature - All works have been correctly installed in accordance with design documentation and Australian Standards
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Subcontractor ITP
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Foreman Signature - All works have been correctly installed in accordance with design documentation and Australian Standards
Completion & Review
As-Built Location provided by Surveyor:
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Add as-built if required
Final Sign Off:
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ITP Complete - Foreman Signature - All works have been correctly installed in accordance with design documentation and Australian Standards
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ITP Review - Project Manager Signature - All works have been correctly installed in accordance with design documentation and Australian Standards