Earthwork Inspection Checklist.

• Document No.

• AREA:

• Entity or Contractor:

  Select Site Mgt BGC BMD Redpath Hutchinson - Redpath Hutchinson - Anglo Maintech McNab Tamroc Arrow Other

  • Site Mgt
  • BGC
  • BMD
  • Redpath
  • Hutchinson - Redpath
  • Hutchinson - Anglo
  • Maintech
  • McNab
  • Tamroc
  • Arrow
  • Other

• Conducted on

  Date

• Prepared by

• Location
  Address

• Weather

DETAILS OF INSPECTION

• Road conditions:

  Yes

  No

  N/A

• Road Width:

  Yes

  No

  N/A

• Dump Berm Height:

  Yes

  No

  N/A

• Berm heights acceptable (1/2 size large tyre):

  Yes

  No

  N/A

• Excavation area (enough space):

  Yes

  No

  N/A

• Dump area: (enough space):

  Yes

  No

  N/A

• Delineators (every 50m):

  Yes

  No

  N/A

• Signage's (Call up sign, Keep left, Stop, etc):

  Yes

  No

  N/A

• Cycle time:

  Yes

  No

  N/A

• Haul Distance:

• Further actions required:

Equipment Operating

• Excavator

• Dozer:

• Rear Dump Truck or Moxy:

• LV's

• Grader

• Water-cart:

• Scraper:

• Compactor:

• Roller

• Crane:

• Other:

Equipment NOT operating:

• Excavator

• Dozer:

• Rear Dump Truck or Moxy:

• LV's

• Grader

• Water-cart:

• Scraper:

• Compactor:

• Roller

• Crane:

• Other:

INSPECTION SIGN OFF:

• Add photo if required:

  Media

• MSA Inspector:

  Sign

• Contractor if applicable:

  Sign