1 -Pre-Construction

1.1 - Approval of Construction Documents

Please Identify if the following Documents are in place and sighted.

Safe Work Method Statement (SWMS)

Traffic Management Plan (TMP)

Traffic Control Plan (TCP)

Erosion & Sediment Control Plan (ESCP)

Safe Operating Procedures (SOP)

Chemical Safety Data Sheet (SDS)

Pre-start and Toolbox blank pro-formas

LCC ITP

1.2 - Setting out earthworks limits as per the design drawings.
Confirm that the survey stations are set up on-site and sufficient data is shown to enable construction and completion of works as executed in drawings.
Photograph (or attach) survey report

Comments

1.3 -Approval of waste classification and location of stockpiles & waste sites.

Any material requiring offsite disposal will require waste classification assessment in accordance with Department of Environment and Climate Change Waste

Overburden Material stockpiled at:

Waste Material stockpiled at:

Photograph (or attach) receipts
Signed By

Comments

1.4 Approved fill materials

Fill material must comply with specifications in the drawings

Clays of high plasticity or high in-situ moisture content are not to be used as fill

Imported fill shall comprise well graded granular material with a plasticity index <15% and a CBR >15% unless otherwise approved by the nominated geotechnical engineer.

HOLD POINT (R44.- Cl 6.1.2)

The “hold point” refers to putting a hold on construction activities until an inspection is passed. Verification of conformity of stockpiled Selected Material. (R44. Cl 6.1.2) is RELEASED.

Hold point released by:
Date
Photograph (or attach) material laboratory report/ results

Comments

1.5 - Services identified- marked out- & piloted/ confirmed.

Services location shall be undertaken and any relevant authorities should be contacted for possible relocation or tagging.

Current DBYD documentation Sighted

DO NOT PROCEED WITH WORKS UNTIL REMEDIED.

png-wrong-cross-png-small-medium-large-600.png

All services identified and protected on works /areas.

DO NOT PROCEED WITH WORKS UNTIL REMEDIED.

png-wrong-cross-png-small-medium-large-600.png
Signature

Comments

2 -Pavement Preparation

2.1 Sub-grade Layer Checklist

Is this lot capturing a sub-grade layer?

Is the depth of the existing pavement layer as required as per the design/specification?

Is the sub-grade layer as specified?

Are levels as required by design?

Comments

Witness Point (R44. Cl 7.6.1)

Surface proof rolled with fully laden water cart or 15-18T roller.

Witness Point Signed off by:
Date

Is the Sub-grade approved for next layer to commence?

Comments

LCC ITP

2.2 Sub-base Layer Checklist

Is this lot capturing a sub-base layer?

Is the depth of the existing pavement layer as required as per the design/specification?

Are surface levels as required by drawings?

Is the Sub-base layer homogeneous?

Witness Point (R44. Cl 7.6.1)

Surface proof rolled with fully laden water cart or 15-18T roller.

Witness Point Signed off by:

Comments

Was the layer no greater than 150 mm post compaction?

Pavement layers, DGB and DGS, must achieve a minimum of 100% Standard Compaction (desirable 102%). Pavement gravels should be placed, compacted and maintained at 60% - 90% OMC. "Density testing shall be undertaken by a NATA accredited testing authority. Any material that does not meet the minimum density requirements shall be rework and retested.

Please confirm conformity of the Lot- achieved if the lower limit of the characteristic value of relative compaction is not less 100% (RMS. T111 & T120).

Photograph (or attach) compaction report/ results.
Signature

Comments

Is the Sub-base approved for next layer to commence?

LCC ITP

2.3 - Base Layer Checklist

Is this lot capturing a base layer?

Is the depth of the existing pavement layer as required as per the design/specification?

Are surface levels as required by drawings?

Is the base layer homogeneous?

Witness Point (R44. Cl 7.6.1)

Surface proof rolled with fully laden water cart or 15-18T roller.

Witness Point Signed off by:

Comments

Was the layer no greater than 150 mm post compaction?

Pavement layers, DGB and DGS, must achieve a minimum of 100% Standard Compaction (desirable 102%). Pavement gravels should be placed, compacted and maintained at 60% - 90% OMC. "Density testing shall be undertaken by a NATA accredited testing authority. Any material that does not meet the minimum density requirements shall be rework and retested.

Please confirm conformity of the Lot- achieved if the lower limit of the characteristic value of relative compaction is not less 100% (RMS. T111 & T120)

Photograph (or attach) compaction report/ results.
Signature

Comments

Is the Sub-base approved for next layer to commence?

Witness Point (R44. Cl 7.6.2)

Ball penetration test (RMS. T271) to be undertaken prior to sealing.- Average result to be less than 3mm.

Does the ball penetration test conform?

Witness point released by:

Comments

LCC ITP

3.1 -Seal Design

Has the seal design been submitted prior to sealing for verification?

3.2 - Primer Seal

Is this lot capturing a primer seal layer?

Where final sealing cannot be undertaken within a few days of completion of the base course, a primer seal should be used to protect the pavement and maintain equilibrium moisture content

Comments

Signature
Two coat seal.

Is this lot capturing a two coat seal layer?

Where a two coat seal is adopted, sealing should be avoided during winter months or at times when pavement temperatures of less than 15 degrees are likely.

Comments

Signature
Final sweep & aftercare signage

Ensure final sweep has been undertaken & appropriate aftercare signage is in place per TCP.

Signature

Comments

LCC ITP

LOT CLOSURE

This lot is compliant with design specifications and relevant standards.

Signature