Title Page
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Conducted on
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Prepared by
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Client / Site
Daily Checklist (Prior to Works)
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Project :
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CS&A Job Number :
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Date :
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Time :
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Party Members :
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SWMS / JSA's APPLICABLE
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Construction Site & Worksite JSA's :
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Detail / Feature Survey JSA's :
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Hydrographic / River JSA's :
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Mining Survey JSA's :
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Pipeline Survey JSA's :
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Railway Survey JSA's :
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Road Survey JSA's :
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Subdivision Pegging JSA's :
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Survey at Heights JSA's :
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Underground Services JSA's :
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Watercourse Survey JSA's :
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INSTRUMENT CHECKS
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Instrument Identification Number :
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Total Station Calibration Current :
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Date of level collimnation (2 peg test) :
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Tribrach tests Current :
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Atmospheric conditions noted & entered :
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Hard hats :
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Protective boots :
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Safety glasses :
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First aid kit :
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Traffic signs & hi-vis cones :
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Vests / hi-vis :
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Flashing lights :
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Permits :
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Traffic management :
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Gloves and glove clips :
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Snake guards :
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Other Comments :
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SIGNATURES
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Party Leader :
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Party Member :
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Party Member :
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Brief description of work being undertaken (include relevant photos.)
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Site Photos
Quality
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CONSTRUCTION SETOUT QA
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Setout marks recorded :
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Setout marks checked :
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Sights recorded :
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Instrument lines measured :
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Traverse closure - angular :
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Traverse closure - distances :
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Surveyors Initials :
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CADASTRAL QA
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Traverse closure - angular :
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Traverse closure - distances :
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Offsets - to relevant occupation & reference marks :
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Occupation measured :
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Radiations - to relevant occupation & reference marks :
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Road widths :
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Control points placed :
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Control points located :
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Control points described :
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Datum points / old marks located :
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Datum points / old marks described :
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Marks placed located :
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Marks placed described :
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Encroachments recorded :
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Unmarked points noted :
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Party walls located :
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Boundaries defined by structures located :
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Surveyors Initials :
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DETAIL & LEVELS QA
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Features & buildings located :
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Features & buildings described :
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Features & buildings levelled :
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Floor levels :
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Level coverage adequate :
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Levels close :
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TBM's established :
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TBM's located :
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TBM's described :
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TBM's R.L. is noted :
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Services located :
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Services described :
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Services levelled :
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Natural features noted and located :
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Accretion / erosion :
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Evidence of old watercourses :
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Evidence of gullies :
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Obstructions :
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Evidence of excavation / filling :
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Structures :
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Vegetation :
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Embankments :
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Bridge detail :
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Compliance with VICROADS code :
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Instrument specifications :
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Maximum sighting distance maintained :
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Correct VICROADS codes used :
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Surveyors Initials :
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SUBDIVISIONS QA
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Initial peg :
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Peg during construction :
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Peg for services :
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Final re-peg :
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Latest digital file and version of plan in use :
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All pertinent points pegged or marked - lot corners :
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All pertinent points pegged or marked - tangent points :
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All pertinent points pegged or marked - bends :
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All pertinent points pegged or marked - line pegs :
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All pertinent points pegged or marked - curve pegs :
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All pertinent points pegged or marked - occupied points (fences etc.) :
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Control points stable :
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Control points damaged/replaced :
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New control points established :
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Pegs painted :
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Pegs numbered :
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Pegs replaced :
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Pegs staked :
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Pegs trenched :
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All amended position pegs removed :
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Other marks noted - chisel cuts :
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Other marks noted - spike :
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Other marks noted - nail :
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Other marks noted - paint mark :
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Other marks noted - other :
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PM's located and levelled :
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Chain check all boundaries :
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Record marks/pegs from independent point (data recorder) to verify in office :
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Points unable to be marked noted :
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Levels for DTM check :
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Levels for certified fill plan :
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Control plan updated :
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Computer file (P: drive) updated :
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Field file updated :
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Surveyors Initials :
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FLOOR AREAS QA
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Correct P.C.A. method used (eg. N.L.A. G.L.A.R. etc.) :
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Building description / address :
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Tenancy / level description :
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Measurements close :
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Dominant part of walls measured :
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Service areas measured / noted :
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Voids measured / noted :
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Doubtful areas measured :
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Client specific requirements :
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Balconies, terraces etc :
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Use of tenancy noted :
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Surveyors Initials :