Little Qualicum Bridge No. 0788

• Document No. 01-2014

• Quality Control on Bridge Shrouds

• Ministry of Transportation and Infrastructure.

• Conducted on

  Date

• Prepared by David Turenne

• Location
  Address

• Quality Control Inspectors, Todd Mcvey, Mike Lee or David Turenne

Safety Procedures

• Are safety procedures being followed (Observed)

  Yes

  No

  N/A

• Has an Hazard Assessment been done for this activity?

  Yes

  No

  N/A

• Has a Pre-Work Safety meeting been done on site

  Yes

  No

  N/A

• Are all recommended PPE being used for the activity?

  Yes

  No

  N/A

• Are all workers aware of known Hazards?

  Yes

  No

  N/A

Traffic Management

• Is Traffic Control required at this site?

  Yes

  No

  N/A

• Is the Traffic Management Plan being followed?

  Yes

  No

  N/A

• Is there a need to adjust the Traffic Plan in order to changing needs?

  Yes

  No

  N/A

Survey/Layout Conformance

• Is the Shroud in the right location

  Yes

  No

  N/A

• Does the shroud fit as per the Drawing 0788-102, 0788-103, 0788-104, 0788-105<br>

  Compliant

  Non-Compliant

  improvement Opportunity

  N/A

Material Conformance

• Are the Mill Certificates supplied with the Stainless Steel Shrouds?

  Yes

  No

  N/A

• Does the steel conform to the drawings? 3.5mm thick Grade 316 Stainless Steel Plate

  Yes

  No

  N/A

• Are the Bolts, washers and nuts Stainless steel as per the drawings?

  Yes

  No

  N/A

• Does the welder have CWB certification? (Photocopy or Photo)

  Yes

  No

  N/A

• Is the adhesive as per MOTI spec, Sika flex 221 or Non-sag Polyurethane or Equivalent?

  Yes

  No

  N/A

Shroud installation

• Has the area been cleaned prior to adhesive application?

  Yes

  No

  N/A

• Are the shroud pieces bolted as per drawings 0788-102, 0788-103, 0788-104, 0788-105

  Yes

  No

  N/A

• Are the Shrouds anchored to the Concrete as per the drawings?

  Yes

  No

  N/A

• Is the Evasote fit as per the drawings with attention to a good seal?

  Yes

  No

  N/A

• After installation, do the shrouds leak?

  Yes

  No

  N/A