Glenevin - Supervisors Quality Inspection

• Branch:

  Select

• Conducted On:

  Date

• Prepared By:

• Location:
  Address

• Gang Name:

• Job Ref:

• Is the job Complete or incomplete

  Select

Track Inspection:

• Required:

  Yes

  No

• Are cutbacks complete (150's FW / 250's CW):

  Yes

  No

  N/A

• Is there evidence of sand above and below the duct:

  Yes

  No

  N/A

• Is marker tape in position:

  Yes

  No

  N/A

• Is duct set at required depth:

  Yes

  No

  N/A

• Are Toby's level and in correct position with surround to LA spec:

  Yes

  No

  N/A

• Is the toby within 100mm of the boundary:

  Yes

  No

  N/A

• Is excavation back filled correctly:

  Yes

  No

  N/A

• Has the duct been roped:

  Yes

  No

  N/A

Chamber Construction:

• Required:

  Yes

  No

• Is the chamber depth as per Specification:

  Yes

  No

  N/A

• Is the sump fitted as per specification:

  Yes

  No

  N/A

• Has the furniture kits been added to specification:

  Yes

  No

  N/A

• Please add photos of the chamber that was inspected:

  Media

• Are ducts cut back and sealed:

  Yes

  No

  N/A

• Has frame and cover been set to specification:

  Yes

  No

  N/A

• Are end caps fitted:

  Yes

  No

  N/A

Cabinet Construction:

• Required:

  Yes

  No

• Is the Cabinet level and in the correct position:

  Yes

  No

  N/A

• Is the base concreted in and sitting a minimum of 100mm away from boundary:

  Yes

  No

  N/A

• Please add photos of the cabinet checked (internal and external):

  Media

• From top of concrete and tar is there a minimum of 70mm to top of root base:

  Yes

  No

  N/A

• Are end caps fitted:

  Yes

  No

  N/A

• Has the cabinet been stenciled on the right hand side:

  Yes

  No

  N/A

• Are ducts cut flush to concrete:

  Yes

  No

  N/A

• Are correct number of micro-ducts/spare and distribution present:

  Yes

  No

  N/A

• Has the reinstatement been done all the way around the cabinet:

  Yes

  No

  N/A

• Are all 10x bolts fitted and tightened:

  Yes

  No

  N/A

• Has gasket seal fitted:

  Yes

  No

  N/A

Clegg Test

• Required:

  Yes

  No

• Is your Clegg calibrated?

  Yes

  No

  N/A

• Clegg test is to be aborted until Clegg is calibrated.

• Type Of road?

• Depth of reinstatement?

• Width of track?

• Length of track?

• Any defects on the track? i.e 150s, 250s, interventions

  Yes

  No

  N/A

• Are steel plates being used?

  Yes

  No

  N/A

• Are oxford boards being used?

  Yes

  No

  N/A

• Clegg Result from position 1? Photo to be added.

  Pass

  Fail

  N/A

• Clegg Result from position 2? Photo to be added

  Pass

  Fail

  N/A

• Clegg Result from position 3? Photo to be added

  Pass

  Fail

  N/A

• Clegg Result from position 4? Photo to be added

  Pass

  Fail

  N/A

• Clegg Result from position 5? Photo to be added

  Pass

  Fail

  N/A

• C/W more than a road crossing add additional photos and test results here. Every 3m.

  Pass

  Fail

  N/A

CLEGG RESULT ON F/W

• Clegg result from position 1? Photo to be added

  Pass

  Fail

  N/A

ACTION REQUIRED

• Provide a response on how to rectify any failed tests?