Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Job Number

  • Principal Customer

  • Permission to Lay

Crew Information

  • Customer

  • Other

  • Shift

  • Crew

  • Spotter

  • Floatmove

  • Bobcat Profiler

  • Emulsion litres

  • Equipment

  • Personnel

  • Other staff

  • Start

  • Break

  • Finish

  • Hours

  • Temperature

  • Ambient

  • Pavement prior to placing

  • Pavement prior to Traffic

  • Laying Checklist

  • Prestart meeting completed and risks reviewed/monitored

  • Base is free of loose and deleterious material

  • Have all joints been prepared accordingly

  • Tack coat

  • Are dips being carried out to monitor depth of Asphalt

  • Mix cooled below 120deg Celsius in front of screed

  • Delivered mix is uniform in appearance

  • Surface finish free of Puddles, Low Areas and Surface defects

  • Comments

  • Edges ramped and made safe

  • Aftercare signage erected

  • Dockets given to

  • Is the site clean

  • Testing required (compaction/production)

  • Pre construction photo

  • Completed photo

  • General comments (special delays, material quality, client delays, waste etc)

  • Add media

  • Asphalt laying specifics

  • Type

  • Surface finish height

  • Area sqm

  • Thickness (mm)

  • Theoretical usage (tons)

  • Actual usage (tons)

  • Waste (tons)

  • Foreman

  • Add signature

  • Client

  • Add signature

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.