Title Page

  • Conducted on

  • Prepared by

  • Client / Site

Daily Checklist (Prior to Works)

  • Project :

  • CS&A Job Number :

  • Date :

  • Time :

  • Party Members :

  • SWMS / JSA's APPLICABLE

  • Construction Site & Worksite JSA's :

  • Detail / Feature Survey JSA's :

  • Hydrographic / River JSA's :

  • Mining Survey JSA's :

  • Pipeline Survey JSA's :

  • Railway Survey JSA's :

  • Road Survey JSA's :

  • Subdivision Pegging JSA's :

  • Survey at Heights JSA's :

  • Underground Services JSA's :

  • Watercourse Survey JSA's :

  • INSTRUMENT CHECKS

  • Instrument Identification Number :

  • Total Station Calibration Current :

  • Date of level collimnation (2 peg test) :

  • Tribrach tests Current :

  • Atmospheric conditions noted & entered :

  • Hard hats :

  • Protective boots :

  • Safety glasses :

  • First aid kit :

  • Traffic signs & hi-vis cones :

  • Vests / hi-vis :

  • Flashing lights :

  • Permits :

  • Traffic management :

  • Gloves and glove clips :

  • Snake guards :

  • Other Comments :

  • SIGNATURES

  • Party Leader :

  • Party Member :

  • Party Member :

  • Brief description of work being undertaken (include relevant photos.)

  • Site Photos

Quality

  • CONSTRUCTION SETOUT QA

  • Setout marks recorded :

  • Setout marks checked :

  • Sights recorded :

  • Instrument lines measured :

  • Traverse closure - angular :

  • Traverse closure - distances :

  • Surveyors Initials :

  • CADASTRAL QA

  • Traverse closure - angular :

  • Traverse closure - distances :

  • Offsets - to relevant occupation & reference marks :

  • Occupation measured :

  • Radiations - to relevant occupation & reference marks :

  • Road widths :

  • Control points placed :

  • Control points located :

  • Control points described :

  • Datum points / old marks located :

  • Datum points / old marks described :

  • Marks placed located :

  • Marks placed described :

  • Encroachments recorded :

  • Unmarked points noted :

  • Party walls located :

  • Boundaries defined by structures located :

  • Surveyors Initials :

  • DETAIL & LEVELS QA

  • Features & buildings located :

  • Features & buildings described :

  • Features & buildings levelled :

  • Floor levels :

  • Level coverage adequate :

  • Levels close :

  • TBM's established :

  • TBM's located :

  • TBM's described :

  • TBM's R.L. is noted :

  • Services located :

  • Services described :

  • Services levelled :

  • Natural features noted and located :

  • Accretion / erosion :

  • Evidence of old watercourses :

  • Evidence of gullies :

  • Obstructions :

  • Evidence of excavation / filling :

  • Structures :

  • Vegetation :

  • Embankments :

  • Bridge detail :

  • Compliance with VICROADS code :

  • Instrument specifications :

  • Maximum sighting distance maintained :

  • Correct VICROADS codes used :

  • Surveyors Initials :

  • SUBDIVISIONS QA

  • Initial peg :

  • Peg during construction :

  • Peg for services :

  • Final re-peg :

  • Latest digital file and version of plan in use :

  • All pertinent points pegged or marked - lot corners :

  • All pertinent points pegged or marked - tangent points :

  • All pertinent points pegged or marked - bends :

  • All pertinent points pegged or marked - line pegs :

  • All pertinent points pegged or marked - curve pegs :

  • All pertinent points pegged or marked - occupied points (fences etc.) :

  • Control points stable :

  • Control points damaged/replaced :

  • New control points established :

  • Pegs painted :

  • Pegs numbered :

  • Pegs replaced :

  • Pegs staked :

  • Pegs trenched :

  • All amended position pegs removed :

  • Other marks noted - chisel cuts :

  • Other marks noted - spike :

  • Other marks noted - nail :

  • Other marks noted - paint mark :

  • Other marks noted - other :

  • PM's located and levelled :

  • Chain check all boundaries :

  • Record marks/pegs from independent point (data recorder) to verify in office :

  • Points unable to be marked noted :

  • Levels for DTM check :

  • Levels for certified fill plan :

  • Control plan updated :

  • Computer file (P: drive) updated :

  • Field file updated :

  • Surveyors Initials :

  • FLOOR AREAS QA

  • Correct P.C.A. method used (eg. N.L.A. G.L.A.R. etc.) :

  • Building description / address :

  • Tenancy / level description :

  • Measurements close :

  • Dominant part of walls measured :

  • Service areas measured / noted :

  • Voids measured / noted :

  • Doubtful areas measured :

  • Client specific requirements :

  • Balconies, terraces etc :

  • Use of tenancy noted :

  • Surveyors Initials :

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.