Information

  • Document No.

Surveillance description

  • D&C Contractor: Thiess

  • Date and time

  • Location (latitude/longitude) or chainage
  • Lot number

  • Activity Description

  • Specification

  • General Specifications

  • Roadworks Specifications

  • Bridgeworks Specifications

  • Quality Specifications

  • Deed clause (if applicable)

  • SWTC clause (if applicable)

  • Persons/parties present

Surveillance report

Checklist

  • Activity conforming with CMS

  • Activity conforming with ITP

  • Checklists being filled out appropriately

  • Hold point released

  • Hold/Witness Point

  • Test results reviewed

  • Survey results reviewed

  • Environmental controls operating

  • Safety measures being implemented

  • Traffic management being implemented

  • Does JSEA need to be modified

  • Please provide details

Inspection Report

  • Inspection details:

  • Photographic details: (or separately attached)

  • Samples / evidence collected

Action and Close Out

Action

  • Activity inspected complies with Deed

  • Activity to be re-inspected

  • Has company / contractor submitted NCR

  • PV non-conformance notice to be issued

  • NCN No.

  • Action required:

  • Action by:

  • Date

Close out

  • Comments

  • Closed out by:

  • Closed out Date:

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