Title Page

  • Job Number

  • Client / Site

  • Conducted on

  • Site Address
  • Checked By

  • Signed By

  • GJ Job Number

Foundation Checklist Number 2

  • Consent Number

  • Site Conditions

  • LBP License Holder Name

  • LBP Number

  • Has Work Been Completed In Accordance With Approved Plans

  • Minor Variations (AC2131) Inspection May Proceed. Documentation Received

  • Has Form AC2131 Been Completed

  • Amendment: Inspection May Only Proceed if Building Work Does Not Affect This Inspection. Formal Amendment Required.

  • CoW Required From Designer ?

  • Does The Amendment Affect This Inspection ?

  • RoW Required From Contractor ?

  • If Yes Can Inspection Proceed ?

Inspection Results

  • Pass Denotes This Inspection Is In Accordance With The Building Consent & Building Code. (Work Can Proceed.)

  • Fail (Denotes This Inspection Is Not In Accordance With The Building Consent & Building Code. (Re-inspection Is Required.)

  • IF The Inspection Fails, Please Issue a Site Instruction & Record Number

General

  • Are Consented Plans Sighted ?

  • All Previous Inspections Approved ?

  • Any Other Site Issues (Comments)

  • Is Inspection For Correct Consent ?

  • Any Applicable Conditions/advise Notes ?

  • Any Existing Damage To Footpath, Crossing, Berm ?

  • Insert Photos Here.

Documentation

Producer Statement Required For:

  • Geotechnical (PS4)

  • Drain Bridging / Piles (PS4)

  • Pile driving ( PS4)

  • Footings (PS4)

  • Retaining Walls (PS4)

  • Excavation Near Boundary (PS4)

Surveyors Certificates Required For:

  • Siting (Set Out)

  • Floor Level

  • Concrete Docket Required

  • Site Observations Required

  • Height In Relation To Boundary

  • DOSLI Or LINZ Datum

  • EPA Notification (Advice Notes)

  • Silt & Erosion Controls In Place

  • Please Insert Photos

  • Consent Number

  • Date:

  • Documentation Comments

Foundations

  • Siting (Boundaries). Checked

  • Datum Heights Checked

  • Underground Services (Existing)

  • Bridging Of Drains (As Per Spec Designs)

  • Bearing Capacity

  • Reinforcing Bars Tied & Supported

  • Anchor - Brace - Point Load Piles

  • Site Contours

  • Footprint Layout Checked

  • Underground Services (New)

  • Height Pegs Placed

  • DPM Lapped & Taped

  • Pile Treatment

  • Foundation Depth And Width (In mm)

  • Pass

  • Fail

  • N/A

  • Reinforcing Steel Clearance (In mm)

  • Pass

  • Fail

  • N/A

  • Starter Steel Reinforcing (Size / Spacing) (In mm)

  • Pass

  • Fail

  • N/A

  • Pile Hole Diameters and Depth (In mm)

  • Pass

  • Fail

  • N/A

  • Timber Pile / Pole Size (In mm)

  • Pass

  • Fail

  • N/A

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.