Title Page

  • Site Work Order Number

  • Site Name

  • Date and Time

  • Location
  • Chainage From

  • Chainage To

  • Lot Number

  • CONFIRM LOCATION: Has the Location and direction been physically marked out on the ground?

  • Photo of Location marked out

  • MATERIALS: Has bedding material docket been inspected or approved by Supervisor? (Class 3, Class 2, Sand)

  • Photo of Delivery Docket (Not Mandatory)

  • EXCAVATION: Trench width is 0.5 to 1 times with Trench Height. Benching required for anything over 1.5m depth.

  • Photo of trench

  • BEDDING: Check bedding is compacted until refusal and is a minimum depth of 100mm

  • Photo of depth check

  • INSTALLING CULVERTS: Are culverts haunched (Allowing for collar) and on the correct level?

  • INSTALLING CULVERTS: Are Flush Joint pipes or boxed culverts butted and mortared / Rubber Ring pipes joined with ring in clean condition?

  • INSTALLING CULVERTS: What is the % grade of the culvert?

  • BACKFILLING: Was the trench backfilled?

  • Which compaction Method was used?

  • Photo of Compacted Trench

  • INLET AND OUTLET: Are they free flowing with no obstructions?

  • Photo of Inlet / Outlet

  • Authorised Signature confirming the above is true and correct

  • Client / Superintendent / Witness / Other Signature agreeing the above is true and correct

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