M J ABBOTT LTD Pipe QA Inspection Checklist

• Site conducted

  Select

• Client/Project:

  Select

• Checklist no.

• Inspection by:

  Select

• Date/Time

  Date

• Location of site:

  Select

• Section

  Select Lake Wetlands Cascades Tip Area Helipad Field Stables Fields G3 South G3 North EWC1 EWC2 Service Yard Marquee Field Road 1 Road 2 Road 3 Road 4 Road 5 Road 6 Road 7 River

  • Lake
  • Wetlands
  • Cascades
  • Tip Area
  • Helipad Field
  • Stables Fields
  • G3 South
  • G3 North
  • EWC1
  • EWC2
  • Service Yard
  • Marquee Field
  • Road 1
  • Road 2
  • Road 3
  • Road 4
  • Road 5
  • Road 6
  • Road 7
  • River

• Element of Works:

  Select Land Drainage Storm Drainage Foul Drainage Irrigation Water Transfer Services

  • Land Drainage
  • Storm Drainage
  • Foul Drainage
  • Irrigation
  • Water Transfer
  • Services

• Show Plan of Works

  Media

• INSPECTION STAGE

1: Setting out for Excavation

• Setting out checked

  Yes

  No

  N/A

• Checked by:

  Select

• Signed:

  Sign

• Date:

  Date

2: Trench Formation/Stability

• Check trench formation/stability

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Comments and action required:

• Checked by

  Select Barry Pace Colin Henley Graham Humphries Jamie Ormerod Jim Price Rob Van Vuuren Jack OLeary Tom Van Vuuren

  • Barry Pace
  • Colin Henley
  • Graham Humphries
  • Jamie Ormerod
  • Jim Price
  • Rob Van Vuuren
  • Jack OLeary
  • Tom Van Vuuren

• Signed:

  Sign

• Date:

  Date

3: Pipe Bedding Depth & Type

• Confirm Specification

  Select Bed & Surround Gravel to Surface Gravel to 150mm of Surface Gravel to 200mm of Surface Gravel to 300mm of Surface As Dug Sand Selected Excavated Material

  • Bed & Surround
  • Gravel to Surface
  • Gravel to 150mm of Surface
  • Gravel to 200mm of Surface
  • Gravel to 300mm of Surface
  • As Dug Sand
  • Selected Excavated Material

• Gravel Size:

  Select 2-6mm 4-10mm 10-20mm 20mm> Type B 20-40mm Type 1 Concrete As Dug Sand Selected Subsoil Leca Lightweight Gravel

  • 2-6mm
  • 4-10mm
  • 10-20mm
  • 20mm>
  • Type B 20-40mm
  • Type 1
  • Concrete
  • As Dug Sand
  • Selected Subsoil
  • Leca Lightweight Gravel

• Specified Material to Surface

  Topsoil

  Sport Sand

  Drainage Sand

  Rootzone

  0-4mm Sharp Sand

• Is Geotextile as specified

  Yes

  No

  N/A

• Checked by:

  Select Barry Pace Colin Henley Graham Humphries Jamie Ormerod Jim Price Rob Van Vuuren Jack OLeary Tom Van Vuuren

  • Barry Pace
  • Colin Henley
  • Graham Humphries
  • Jamie Ormerod
  • Jim Price
  • Rob Van Vuuren
  • Jack OLeary
  • Tom Van Vuuren

• Signed:

  Sign

• Date

  Date

4: Line & Level of Pipe

• Are Line and level correct

  Yes

  No

  N/A

• Checked by:

  Select

• Signed:

  Sign

• Date:

  Date

• Have adjustments had to be made due to obstructions or site features

  Yes

  No

  N/A

• What has caused change to line or level

  Select Main Site Feature - Road/Wall/Building Levels do not work Inverts not achievable Services in way Tree or Landscape Buried Obstruction Ground Conditions

  • Main Site Feature - Road/Wall/Building
  • Levels do not work
  • Inverts not achievable
  • Services in way
  • Tree or Landscape
  • Buried Obstruction
  • Ground Conditions

5: Testing

• Is testing required, if so type:

  N/A

  Mandrel

  Air Test

  Water Test

• Test:

  Pass

  Fail

  N/A

• Checked by:

  Select

• Signed:

  Sign

• Date:

  Date

6: Backfill & Compaction

• Are suitable materials used

  Yes

  No

  N/A

• Checked by:

  Select

• Signed:

  Sign

• Date:

  Date

• What action is required

  Select Remove and Replace Monitor for improvement

  • Remove and Replace
  • Monitor for improvement

7: Marker Blocks, Tapes and Location Posts

• Are specified markers in position

  Yes

  No

  N/A

• Checked by:

  Select

• Signed:

  Sign

• Date:

  Date

8: Final Inspection & Testing

• Final Inspection & Testing Completed

  Yes

  No

  N/A

• Inspection Type (To be established from Specification)

  Visual Check

  Level Check

  Water or Air Test

  Camera Inspection

• Undertaken by:

  Select

• Signed:

  Sign

• Date:

  Date

9: As-Built Plans

• Survey taken

  Yes

  No

  N/A

• As Built Plan for section checked

  Yes

  No

  N/A

Final Pipework Section Approval MJA

• All works to section completed to design & specification

  Yes

  No

  N/A

• Comments

• Completed by:

  Select

• Signed:

  Sign

• Date:

  Date

Final Sign Approval by Main Contractor

• All works completed to design & specification

• Comments:

• Completed by:

• Signed:

  Sign

• Date:

  Date