Civils Area A Handover Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LOC Bases

• Flat LOC Bases

LOC

• LOC ID:

• Longitudinal setting out correct?

  Yes

  No

  N/A

• Lateral offset from track correct?

  Yes

  No

  N/A

• Correct number of bases?

  Yes

  No

  N/A

• Bitumen coating adequate?

  Yes

  No

  N/A

• Bases level?

  Yes

  No

  N/A

• Guard Rail installed?

  Yes

  No

  N/A

• Terram laid?

  Yes

  No

  N/A

• Shingle correct depth?

  Yes

  No

  N/A

• Route connection installed?

  Yes

  No

  N/A

• Earth pot installed?

  Yes

  No

  N/A

• Earth braid present?

  Yes

  No

  N/A

• Comments:

• Condition photo

  Media

• Retained LOC (cutting)

LOC

• LOC ID:

• Longitudinal setting out correct?

  Yes

  No

  N/A

• Lateral offset from track correct?

  Yes

  No

  N/A

• Lateral offset from track correct?

  Yes

  No

  N/A

• Correct number of bases?

  Yes

  No

  N/A

• Bitumen coating adequate?

  Yes

  No

  N/A

• Bases level?

  Yes

  No

  N/A

• Guard Rail installed?

  Yes

  No

  N/A

• Terram laid?

  Yes

  No

  N/A

• Shingle correct depth?

  Yes

  No

  N/A

• Route connection installed?

  Yes

  No

  N/A

• Earth pot installed?

  Yes

  No

  N/A

• Earth braid present?

  Yes

  No

  N/A

• Retained height acceptable?

  Yes

  No

  N/A

• Section used

  T pile

  CHS

• Handrail Installed?

  Yes

  No

  N/A

• Comments:

• Condition photo

  Media

• Retained LOC (embankment)

LOC

• LOC ID:

• Longitudinal setting out correct?

  Yes

  No

  N/A

• Lateral offset from track correct?

  Yes

  No

  N/A

• Lateral offset from track correct?

  Yes

  No

  N/A

• Correct number of bases?

  Yes

  No

  N/A

• Bitumen coating adequate?

  Yes

  No

  N/A

• Bases level?

  Yes

  No

  N/A

• Guard Rail installed?

  Yes

  No

  N/A

• Terram laid?

  Yes

  No

  N/A

• Shingle correct depth?

  Yes

  No

  N/A

• Route connection installed?

  Yes

  No

  N/A

• Earth pot installed?

  Yes

  No

  N/A

• Earth braid present?

  Yes

  No

  N/A

• Retained height acceptable?

  Yes

  No

  N/A

• Section used

  T pile

  CHS

• Handrail Installed?

  Yes

  No

  N/A

• Comments:

• Condition photo

  Media