Title Page

  • Site conducted

  • Document No.

  • Conducted on

  • Audit Title

  • Location

  • Prepared by

Pre-Rectification Checklist

Geo-tech engineering:

  • Geo-tech engineer organised to test quality of rock before rectification of failed anchors takes place.

  • Attach geo-tech inspection report:

  • Date of inspection

Structural Engineer:

  • Attached anchor design from either structural engineer or subcontractor

Surveyor:

  • Attach photos of surveyor marks and drawing provided:

  • Surveyor to mark our location of anchors

Anchor Works

ADD ANCHOR NAME

  • Confirm anchor drilling inclination angle

  • Confirm anchor type

  • Anchor RL

  • Core Hole through rock drilled, sleeved and grouted within 24 hours of starting task. Add date of drilling and date of sleeving/grouting

  • Design length (m)

  • Bond Length (m)

  • Free length (m)

  • Depth of core hole measured from top of slab. (m)

  • Estimate of volume of grout used to fill hole (m3)

  • Anchors achieve final lockout loads required.

  • Description of final anchor status: 1. Anchor stressing hold time and percentage (if available) 2. Final lock off load (kN)

  • Photograph: 1. Core Hole (if required) 2. As-built

  • Subcontractor Representative Signature - All works have been correctly installed in accordance with design documentation and Australian Standards

  • Subcontractor ITP

  • Foreman Signature - All works have been correctly installed in accordance with design documentation and Australian Standards

Completion & Review

As-Built Location provided by Surveyor:

  • Add as-built if required

Final Sign Off:

  • ITP Complete - Foreman Signature - All works have been correctly installed in accordance with design documentation and Australian Standards

  • ITP Review - Project Manager Signature - All works have been correctly installed in accordance with design documentation and Australian Standards

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.