Title Page
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Job Number
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Conducted on
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Prepared by
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Location
Report
Job Info
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Client
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Permission to Lay (client signature needed)
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Crew
- Asphalt Paving Crew
- Asphalt Patching Crew
- Civil/Prep Crew
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Crew Members
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Shift
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Weather Conditions ( Eg: Rainy 18 degrees C)
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Pavement Sub Grade Temperature ( Use Temp Gun)
Site Pre-Checklist
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Prestart meeting completed and risks reviewed/monitored
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Base is free of loose material/spoil
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Have laying levels been established? (Attach string report/ depth mark out in photos)
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Bobcat profiler used
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Have all joints been prepared accordingly ? ( Eg: Is there jackhammering, profiling or saw cutting needed for any finished edges)
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Tack coat
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Do all crew members on site have appropriate PPE? (Eg: Hard hats, Safety boots, High Vis, Long sleeves, Long pants)
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Asphalt Completion - Checklist
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Has the job been completed?
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Surface finish height
- Wearing Course - Matched all finished edges
- Base Course - Below required finished levels
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Edges ramped and made safe? (Only applies to base layer)
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Aftercare signage needed?
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Dockets given to
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Is the site clean? ( Eg: All asphalt debris has been swept from all kerb areas, tie in points, loading areas, underneath asphalt carrying plant?)
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Site Info
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Crew Start Time (On-site)
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Break
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Crew Finish Time (On-site)
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Equipment Used (Eg: Cat Paver AP600, Hamm Steel Drum HD14 etc.)
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Bobcat Profiler Cutting Time
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General Comments (Special delays, Material quality, Client delays, Waste etc)
Photos
Pre Photos
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Please enter Job Pre Completion Photos:
Post Photos
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Please enter Job Post Completion Photos:
Asphalt Docket Photos
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Please enter the Docket Photos
String Report/ Level Photos
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Add media
ITP Form
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Area (sqm)
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Thickness (mm)
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Theoretical Usage (tons)
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Asphalt Actual Usage (Tons)
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Wastage (Tons)
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Tack Coat Usage (Approximate Litres)
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Traffic Management Setup
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Have photos been attached for pre- digout/ post asphalt?
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Have depth photos been attached?
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Temperature of asphalt to be requested at plant and recorded on asphalt dockets
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Sub-Grade surface tack coated?
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Have dip tests been carried out to monitor depth of Asphalt?
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Is the new asphalt surface finish free of puddles, low areas and defects? ( Eg: Have bony areas been addressed with fines?)
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Has emulsion and grit/crack sealing been used to seal edges of the asphalt patch?
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New finished surface is level with existing road surface, and will not hold water
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Line Markings/ Stick and stomp temp line marking completed and safe for road users?
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Asphalt cured for reopening?
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Delivered mix is uniform in appearance
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Site Backrolled and Clean
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Remove Signage and Deactivate MOA
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