Title Page
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Site Name/Contract No.
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Manual Site input
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Location
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Date and Time Starting on site
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Prepared by
Daily Observations
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Are you using a hard copy Diary? Provide a photo record of entry.
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Provide a Detailed Observation of the works being undertaken and their Chainages.
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Add photos of work being conducted.
Forecast Temperature
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Weather Conditions
- Fine
- Overcast
- Overnight Rain
- Raining
- Possible Shower
- Windy
- Total Fire Ban
- Hot Conditions
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Provide a description if inclement conditions effected the works Program.
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Record of overnight and daily rainfall.(mm)
Site Records
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Personnel on site
- No Personnel On-site
- Surveillance Manager
- Project Manager/Engineer
- Construction Supervisor
- Leading Hand
- Road Workers
- Plant Operator
- Truck Driver
- Drainage Crew
- Traffic Controller
- TMA Driver
- Barrier Crew
- Concreting Crew
- Sub Contractors Onsite
- Service Locator
- NDD Crew
- Tree Trimming Crew
- Stabilising Crew
- Sealing Crew
- Asphalting Crew
- Geotech
- Surveyor
- Line marking Crew
- Line Marking Crew
- Saw Cutter
- DDH Drilling Crew
- Temporary Barrier Crew
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If there are more than 1 of each please provide details and total number of Personnel on-site or a photo of the sign in register.
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Plant on site
- No Plant On-Site
- TMA
- Traffic Ute
- Pod Truck
- Excavator
- Tipper
- Grader
- Watercart
- Pad Foot Roller
- Smooth Drum Roller
- Multi Wheel Roller
- Backhoe
- SkidSteer
- Paver
- Profiler
- Sweeper
- Spray Seal Truck
- Spreader Truck
- Post Rammer
- EWP
- Stabilise Mixer
- Stabilizer Tanker
- Crane/Franna
- NDD Truck
- DDH Driller/ Core Drill
- Wood Chipper
- Flocon
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Are there any Issues or Risks with the works being undertaken?
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Provide details the Issue or Risk
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Contractors Representative Signature
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Have Any Incidents Or Near Misses Occured
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Have you completed an Incident Report on the SafeT system?
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Incident No.
Pavement Observations
Pavement Layers
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Pavement Layer Observed
- Sub Grade
- Type A
- Class 3
- Class 2
- Class 1
- Cement Treated Crushed Rock
- Final inspection for Seal
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Is the presented surface ready for seal or asphalt
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Provide Details of ball penetration test and photos of presented surface
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Contractors Representative Signature
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Detail the failure
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Contractors Representative Signature
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Have Any Proof Rolls Been Conducted?
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Provide notes of observations include chainages.
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Has the Proof Roll passed?
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Details of NCR.
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Contractors Representatives Signature.
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Contractors Representatives Signature.
Material Records
- MATERIALS DELIVERED
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Material Type
- Type A
- Type B
- Class 1
- Class 2
- Class 3
- Class 4
- Asphalt
- CTR
- Concrete
- Bitumen and Seal Material
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Concrete Testing Results.
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Details of test failure.
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Estimated Daily Quantity (cubic meters)
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Is Surface free from loose material?
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Detail dry back moisture.
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Provide Details
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Results of Ball penetration Test
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Provide Details
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Primer/Bitumen Temperature
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Surface Temperature
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Provide Chainages of todays works
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Are forward moving Spreaders being used?
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Stop works and notify the contractor of the Issue.
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Provide photos of works.
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Material Unit
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Estimated Daily Quantity
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Estimated Daily Quantity
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Material Unit
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Estimated Daily Quantity
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Estimated Daily Quantity
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Estimated Daily Quantity (tonnes)
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Estimated Daily Quantity (tonnes)
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Estimated Daily Quantity (tonnes)
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Estimated Daily Quantity (tonnes)
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Estimated Daily Quantity (tonnes)
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Estimated Daily Quantity (tonnes)
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Provide Photo of delivery Docket
Environmental Controls
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Are Environmental controls as per EMP/CHMP?
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Is there a need to complete an Environment and Cultural Heritage Audit
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Detail the actions taken.
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Attach photos of Environmental of Cultural Controls.
Variations
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Have Any Variations Been Agreed To?
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Details of the Variation.
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Contractors Representative Signature
Comments Regarding Days Works
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Are there any Day works agree to?
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Add any comments in regards to day-works being undertaken and add photos include receipt of dayworks record
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Contractors Representative Signature.
Site Conversations
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Are There Any Other Items That are Not Previously Mentioned That Need Recording?<br>If So Please List Below (IE: Conversations, Observations etc)
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Details of conversation.
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Is there an action Required?
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Receivers Signature
Record Keeping
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Have any ITP'S been signed off?
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ITP document no.
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Add photos and/or notes
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Have Any Works Memos Been Given?
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Works Memo Number.
Traffic Management
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Has the MOA been sighted and has it been Activated?
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Stop works and inform the Project manager and Contractor
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Is the Traffic setup as per the TGS
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Are the changes documented?
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Detail the instructions issued in regards to Traffic Management
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Provide photo of documented changes.
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Provide photos and/or notes on the observed setup.
Time Started Onsite/ Time Finished Onsite
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Time Finished Onsite
