Title Page

  • Contractor Name

  • Project Name

  • Project No.

  • Shift

  • Weather

  • Date

  • Prepared by

  • Location

Contractor's Equipment On-Site

    Equipment
  • Description or Type

  • Size or Capacity

  • Hours

  • Worked

  • Standby

  • Down

  • Remarks

Contractor's Work Force

    Work Force
  • Classification/Duties

Limit of Work and Material Placement

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  • Bid Item No.

  • Description

  • Source (Limits)

  • From

  • To

  • Placement (Limits)

  • From

  • To

  • Approx. Quantity

  • Work Completed & Accepted

  • NARRATIVE (Include report of day's operations, contractor's production rates and efficiency, unusual conditions or problems encountered, orders given and received, discussions with contractor, etc.)

Photos

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  • Description

Completion

  • Inspector (Name and Signature)

  • Fish Passage Specifics

  • Preconstruction
  • Utility locates have been done

  • 3rd party utility has been done

  • Inventory owner supplied and signed over to contractor

  • Monuments located and a plan to replace disturbed monuments made

  • Review dewatering and diversion plan with contractor and ADF&G

  • Ensure that contractor has adequate pump capacity, discharge hose, correct fuel types for pumps, extra suction hose gaskets, and backup stream diversion materials

  • Confirm that the fish resource permit has been obtained and review plan for relocating fish with ADF&G

  • Confirm that the contractor has obtained traffic control permit if required

  • Confirm source and vegetative mat

  • Confirm and review aggregate material sources and gradations

  • Confirm culvert alignment is staked as according to plans

  • During Construction
  • Review erosion and pollution control plan and confirm SWPP if >1 acre

  • Check grade elevation and slope of excavation prior to setting culvert

  • Check top of culvert placed at correct elevation and correct slope per drawings prior to filling with substrate

  • Prior to placement in culvert, inspect streambed infill materials at quarry or stockpile; check against design gradation, ensure that there’s enough fines to seal streambed during wash-in procedure

  • Check stream material is sufficiently sealed and water pools on surface prior to re-diverting the creek back into the culvert

  • Check that substrate has been sprayed down and discharge is clean and clear

  • Walk thru culvert and check substrate is firm (similar to the natural streambed)

  • Discuss plan to remove diversion

  • Discuss revegetation plan and revise where necessary; save undisturbed banks if possible

  • Check channel thalweg and bank elevations at culvert inlet and outlet

  • Check channel tie in location and elevation upstream and downstream

  • For culverts with streambanks constructed inside of the culvert, check that the banks are extended outside of the culvert 2xD100 minimum and tied into natural banks.

  • Check channel planform matches drawings

  • Check bankfull channel width and depth matches drawings

  • Check low flow channel width and depth matches drawings

  • Check channel dimensions upstream and downstream from culvert

  • Check rootwads or toewood constructed per plans or revise as necessary to adapt to site conditions. Check elevation of rootwads – centerline of bole at OHW or top of bole at bankfull

  • After Construction
  • Check embed depth of willow cuttings (min 2/3 in dirt) and trim as needed

  • Check live vegmat placed as noted on drawings

  • Check disturbed areas without vegmat have topsoil and been seeded

  • Check revegetation matches plans and discuss required watering going forward

  • Check volume of flow in culvert matches flow upstream (not losing water in the substrate)

  • Check rip rap collar placed as noted on plans.

  • Check rip rap in the collar has been filled with fines

  • Verify compaction methods are adequate and meet specs during backfill of the road prism.

  • Check minimum cover provided over culvert

  • Check roadway width and surface material

  • Check roadway grade if necessary

  • Check for correct installation of post-construction erosion and sediment controls.

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