Title Page
-
Site Work Order Number
-
Site Name
-
Date and Time
-
Location
-
Chainage From
-
Chainage To
-
Lot Number
-
Define Lot Size / Area (Length x Width = Area)
-
Has the Area been physically marked out on the ground?
-
Photo of area marked prior to starting
-
Are there any trees or vegetation to be removed?
-
Has the vegetation been physically marked out prior to removal?
-
Photo of Trees marked for removal
-
Has any topsoil been stripped and carefully removed without contaminating surrounding areas with weeds?
-
Has the stripped area been Proof Rolled with a loaded Water Cart prior to any placement and what was the result?
-
Description, Treatment and comments on failed or non proof rolled area(s). Including treatment type and chainages
-
Has all fill been compacted in a maximum of 150mm Layers?
-
Has the completed Length and Width been checked against design?
-
Which Compaction Method was used?
-
Photo of test result
-
Enter description or comments on proof roll or other outcome. Were digouts or any additional work required?
-
NEMA Authorised Signature confirming the above is true and correct
-
Client / Superintendent / Other Signature agreeing the above is true and correct
