Main Roads Pre Seal Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

  Mark Semple

  Shannon Barradeen
• Location
  Address

• Personnel

PROCEDURAL CHECKLIST

• Has pre start been held

  Yes

  No

  N/A

• Are all personal signed on to SWMS

  Yes

  No

  N/A

Verification Checklist (Material Section)

• Correct Agregate delivered

  Yes

  No

  N/A

• Correct bitumen onsite

  Yes

  No

  N/A

Verification Checklist (Construction Section)

• Proposed Lot achieved hold point clearance

  Yes

  No

  N/A

• Hinge point distance achieved

  Yes

  No

  N/A

• No Laminated edges present

  Yes

  No

  N/A

• Crossfall achieved within 3%

  Yes

  No

  N/A

Verification Checklist ( Traffic Control)

• Has signed copy been sighted

  Yes

  No

  N/A

• Is correct TGS being used for site

  Yes

  No

  N/A

• Is their sufficient TC personal to carry out proposed setup

  Yes

  No

  N/A

• Is all required signage onsite

  Yes

  No

  N/A

• Is site setup being conducted safely

  Yes

  No

  N/A

• Does your duty of care require this site to be shut down

  Yes

  No

  N/A

• Shut down site and report to Project Management

Notes and Comments

• Any Notes and Comments

TEST RESULTS

• Any Compaction results required

  Yes

  No

  N/A

• Attached results

  Media

NON-CONFORMANCE

• Identified by Contractor.

  Yes

  No

  N/A

• Non conformity

• Photos of non conforming item

  Media

• Submitted

  Yes

  No

  N/A

PRELIMINARIES

• Services location complete

  Yes

  No

  N/A

• Underlying lot conforms

  Yes

  No

  N/A

• Surface approved

  Yes

  No

  N/A

• Design calcs & target applications submitted.

  Yes

  No

  N/A

• Evidence dry back moisture < 85%

  Yes

  No

  N/A

• Traffic management - staging of works.

  Yes

  No

  N/A

• Seal design received 10 days prior.

  Yes

  No

  N/A

• Nominated aggregates approved

  Yes

  No

  N/A

• Hold point prior to sealing released.

  Yes

  No

  N/A

• Contractor using compliant bituminous materials.

  Yes

  No

  N/A

ANALYSIS OF AUDIT SAMPLES

• Sealing aggregate gradings witnessed

  Yes

  No

  N/A

• Sealing aggregate pre-coated.

  Water wash

  Diesel coated

  Pre Coat

• Sealing aggregate shape requirements

  Yes

  No

  N/A

• Aggregate durability and resistance to stripping.

  Yes

  No

  N/A

• Sealing aggregate free of adhered dust.

  Yes

  No

  N/A

• Bitumen class 170 residual.

  Yes

  No

  N/A

• Bitumen density > 1kg/l @ 15deg. C

  Yes

  No

  N/A

• Bitumen viscosity

  Yes

  No

  N/A

• Adhesion agent > 0.5% volume

  Yes

  No

  N/A

• Proposed 1st coat rate

• Proposed 2nd coat rate

APPLICATION PROCESS

• Plant onsite

  Select Light Vehicle Light Truck Emulsion Tanker Spray Truck Spreader Truck 1 Spreader Truck 2 Flat drum Multi Combination Roller Multi Roller Flat Drum Roller Tractor Broom Water Cart

  • Light Vehicle
  • Light Truck
  • Emulsion Tanker
  • Spray Truck
  • Spreader Truck 1
  • Spreader Truck 2
  • Flat drum Multi Combination Roller
  • Multi Roller
  • Flat Drum Roller
  • Tractor Broom
  • Water Cart

• Traffic control and warning signs.

  Yes

  No

  N/A

• Stop Slow Bats

  Yes

  No

  N/A

• Follow Me Vehicle

  Yes

  No

  N/A

• Temporary pavement markers.

  Yes

  No

  N/A

• Swept surface.

  Yes

  No

  N/A

• Minor surface defects repaired prior to seal.

  Yes

  No

  N/A

• Concrete & adjacent infrastructure protected.

  Yes

  No

  N/A

• Primer and bitumen temperature

  Yes

  No

  N/A

• Application temperature

  Yes

  No

  N/A

• Spraying technique

  Yes

  No

  N/A

• Aggregate pre-coated free of water/ dust.

  Yes

  No

  N/A

• Rolling methods

  Select Multi Multi flat combo Flat Drum

  • Multi
  • Multi flat combo
  • Flat Drum

• Embedment of aggregate

  Yes

  No

  N/A

• Seal width

• Weather conditions

  Select Sunny Overcast Windy Light Rain Heavy Rain Hot Cold

  • Sunny
  • Overcast
  • Windy
  • Light Rain
  • Heavy Rain
  • Hot
  • Cold

• Wind drift concerns addressed.

  Yes

  No

  N/A

• Daily spraying sheets received.

  Yes

  No

  N/A

• Application rates achieved

  Yes

  No

  N/A

• Loose aggregate removed after sealing.

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by audit

  Yes

  No

  N/A

• Report requested

  Yes

  No

  N/A

Signed off

• Signature

  Sign