Clearvision Civil QA

• Site Address:

• Job Type

  VPL ROW

  UCG CLASS 1

  UCG MDU

  UCG SDU

• WORK ID:

• Site Address:

• Field Manager:

• Technicians

• Conducted on

  Date

• Prepared by

Outside Boundary:

• Trench in Soft Surface

  Pass

  Fail

  N/A

• Please Add Photos

  Media

• Notes:

• Trench in Hard Surface

  Pass

  Fail

  N/A

• Please Add Photos

  Media

• Notes:

• Have the Drop off's/IFDB/Hand Hole/Manhole been installed to Chorus Standard

  Pass

  Fail

  N/A

• Please Add Photos

  Media

• Notes:

Inside Boundary:

• Trench in Soft Surface

  Pass

  Fail

  N/A

• Please Add Photos

  Media

• Notes:

• Hard Surface Microslot Cut

  Pass

  Fail

  N/A

• Please Add photos

  Media

• Notes:

• Trench in Hard Surface

  Pass

  Fail

  N/A

• Please Add photos

  Media

• Notes:

• Surface Mount/Clipping

  Pass

  Fail

  N/A

• Please Add photos

  Media

• Notes:

• Are the Drop off's pegged/fastened/capped

  Pass

  Fail

  N/A

• Please Add photos

  Media

• Notes:

• Is the Pedestal/Gator/Manhole installed to Standard

  Pass

  Fail

  N/A

• Please Add photos

  Media

• Notes:

• Site Cleanliness:

  Pass

  Fail

• Please Add photos

  Media

• Notes:

• Does the Asbuild match the works undertaken

  Yes

  No

• Please upload Asbuild with Discepancy/s

  Media

• Notes:

Customer Service Experience

• Was the Customer happy with the completed works

  Yes

  No

  N/A

• Customer comments:

Audit Result:

• Does the Site Pass or Fail the QA

  Pass

  Fail

• Please select responsible parties

  Select Crew to Remediate works OSB Reinstatement to be completed

  • Crew to Remediate works
  • OSB Reinstatement to be completed

Inspected By:

• Signature:

  Sign