MRA - Earthwork Inspection Checklist.

• Conducted on

  Date

• Prepared by

• AREA:

• Contractor:

  Select TMM HSE

  • TMM
  • HSE
• Location
  Address

• Weather

DETAILS OF INSPECTION

• Road conditions:

  OK

  Not Ok

  N/A

• Road Width:

  3.5 x Largest HV width

  Not 3.5 x Largest HV Width

  N/A

• Dump Berm Height:

  1.8m

  Not 1.8m

  N/A

• Berm with drop off:

  2m+

  Not 2m+

  N/A

• Excavation area (enough space):

  OK

  Not Ok

  N/A

• Dump area: (enough space):

  OK

  Not Ok

  N/A

• Delineators (every 50m):

  OK

  Not Ok

  N/A

• Signage's (Call up sign, Keep left, Stop, etc):

  OK

  Not Ok

  N/A

• Cycle time:

  OK

  Not Ok

  N/A

• Elevation:

• Haul Distance:

• Further actions required:

INSPECTION SIGN OFF:

• Add photo if required:

  Media

• BMC Inspector:

  Sign

• Contractor Inspector:

  Sign

• SAFETY

• Prestart :

• Take 5 :

• JSA's :

• Other :

Equipment Operating :

• Excavator

• Dozer:

• Rear Dump Truck:

• LV's

• Grader

• Water-cart:

• Other:

Equipment NOT operating :

• Excavator

• Dozer:

• Rear Dump Truck:

• LV's

• Grader

• Water-cart:

• Other: