Title Page

  • Client / Site

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • weather

Vic shaft 1

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

Duct Installation Checklist

  • Chainage

  • Drawings / cross sections on site.

  • Trench excavated to correct line / levels.

  • Trench base clean and free from debris / rocks

  • Ducts laid as per cross section.

  • Correct Separation Horizontal / Vertical.

  • GAP 10 (or PAP 7) Backfill to correct level.

  • Mag Slab and Warning tape installed.

  • Concrete capping done if cover less than specified.

  • Trench backfilled and compacted / tested.

  • Duct Cleaned / proved (pigged) as required.

  • Draw tape / rope installed.

  • Reinstatement of surfaces as per requirements.

  • Sign-off from Customer or Statutory Authority.

  • As built measurements / survey done and drawings submitted.

  • photos:

  • Notes

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

Vic shaft 2 (OMS)

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

Duct Installation Checklist

  • Chainage

  • Drawings / cross sections on site.

  • Trench excavation to correct line / levels.

  • Trench base clean and free from debris / rocks.

  • Ducts laid as per cross section.

  • Correct Separation Horizontal / Vertical.

  • GAP 10 (or PAP 7) Backfill to correct level.

  • Mag Slab and Warning tape installed.

  • Concrete capping done if cover less than specified.

  • Trench backfilled and compacted / tested.

  • Duct Cleaned / Proved (pigged) as required.

  • Draw tape / rope installed.

  • Reinstatement of surfaces as per requirements.

  • Sign-off from Customer or Statutory Authority.

  • As built measurements / survey done and drawings submitted.

  • notes:

  • photos:

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

Wellesley shaft

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

Duct Installation Checklist

  • Chainage

  • Drawings/cross section on site.

  • Trench excavated to correct line / levels.

  • Trench base clean and free from debris / rocks.

  • Ducts laid as per cross section.

  • Correct Separation Horizontal / Vertical.

  • GAP 10 (or PAP 7) Backfill to correct level.

  • Mag Slab and Warning tape installed.

  • Concrete capping done if cover less than specified.

  • Trench backfilled and compacted / tested.

  • Duct Cleaned / Proved (pigged) as required.

  • Draw tape / rope installed.

  • Reinstatement of surfaces as per requirements.

  • Sign-off from Customer or Statutory Authority.

  • As built measurements / survey done and drawings submitted.

  • photos:

  • Notes:

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

Swanson shaft 1

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

Duct Installation Checklist

  • Chainage

  • Drawings / cross sections on site.

  • Trench excavated to correct line / levels.

  • Trench base clean and free from debris / rocks.

  • Ducts laid as per cross section.

  • Correct Separation Horizontal / Vertical

  • GAP 10 (or PAP 7) Backfill to correct level.

  • Mag Slab and Warning tape installed.

  • Concrete capping done if cover less than specified.

  • Trench backfilled and compacted / tested.

  • Duct Cleaned / Proved (pigged) as required.

  • Draw tape / rope installed.

  • Reinstatement of surfaces as per requirements.

  • Sign-off from Customer or Statutory Authority.

  • As built measurements / survey done and drawings submitted.

  • Notes

  • photos:

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

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