Title Page
-
Site conducted
-
Project / Client:
-
Site:
-
Checklist no.
-
Inspection by:
-
Date/Time
-
Section
- Lake
- River
- Wetlands
- Cascades
- Tip Area
- Helipad Field
- Stables Fields
- G3 South
- G3 North
- Marquee Field
- EWC1
- EWC2
- Service Yard
- North Bank
- Main House Curtilage
- Walled Garden
- Road 1
- Road 2
- Road 3
- Road 4
- Road 5
- Road 6
- Road 7 A
- Road 7 B
-
Element of Works:
- Land Drainage
- Storm Drainage
- Foul Drainage
- Irrigation
- Water Transfer
- Services/Ducting
-
Show Plan of Works
-
INSPECTION STAGE
1: Setting out for Excavation
-
Setting out checked
-
Checked by:
2: Trench Formation/Stability
-
Check trench formation/stability
- Good
- Fair
- Poor
- N/A
-
Comments and action required:
-
Checked by
-
Signed
-
Date.
3: Pipe Bedding Depth & Type
-
Confirm Specification
- 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:
-
Is Geotextile as specified
-
Checked by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date
4: Line & Level of Pipe
-
Are Line and level correct
-
Checked by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date:
-
Have adjustments had to be made due to obstructions or site features
-
What has caused change to line or level
- 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:
-
Test:
-
Checked by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date:
6: Backfill & Compaction
-
Are suitable materials used
-
Checked by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date:
-
What action is required
- Remove and Replace
- Monitor for improvement
7: Marker Blocks, Tapes and Location Posts
-
Are specified markers in position
-
Checked by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date:
8: Final Inspection & Testing
-
Final Inspection & Testing Completed
-
Inspection Type (To be established from Specification)
-
Undertaken by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date:
9: As-Built Plans
-
Survey taken
-
As Built Plan for section checked
Final Pipework Section Approval MJA
-
All works to section completed to design & specification
-
Comments
-
Completed by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
-
Signed:
-
Date:
Final Sign Approval by Main Contractor
-
All works completed to design & specification
-
Comments:
-
Completed by:
-
Signed:
-
Date:
