QUALITY FIELD INSPECTION CHECKLIST - CIVIL

• Inspection Date :

  Date

• Inspection By (Full Name) :

• Document Number :

• FSAM / FDA Code :

• Inspection / Job I.D. :

• Staff / Sub-Contractor Name :

• Project Number (VPL use only) :

• Field Manager Responsible :

• Location
  Address

• 1. OH&S Risks identified and addressed.<br>

  Yes

  No

  N/A

• 2. Environmental Risks Identified.

  Yes

  No

  N/A

• 3. Emergency contacts known.

  Yes

  No

  N/A

• 4. Dial Before You Dig (DYBD) Plans on site.

  Yes

  No

  N/A

• 5. Employees inducted & competent (VPL ID).

  Yes

  No

  N/A

• 6. Dedicated waste / disposal area allocated.

  Yes

  No

  N/A

• 7. Environmental controls have been forwarded to the field.

  Yes

  No

  N/A

• 8. Guards / Barriers / Signs positioned in correct locations.

  Yes

  No

  N/A

• 9. Traffic / Pedestrian Management in place.

  Yes

  No

  N/A

• 10. Traffic Management Plan completed.

  Yes

  No

  N/A

• 11. Temporary reinstatement completed.<br>

  Yes

  No

  N/A

• 12. Removal of Guards / Barriers / Signs.

  Yes

  No

  N/A

• 13. JSA & SWMS completed.<br>

  Yes

  No

  N/A

• 14. Practical Completion documents complete and accurate.

  Yes

  No

  N/A

3.1 Pipe / Conduit Installation.

• 1. Correct or approved alignment including route markers, achieved and installed to specifications and as per Construction Design.<br>

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 2. Correct or approved depth of conduit to achieved and to specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 3. Correct or approved separation from existing services achieved.<br>

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 4. Correct conduit size and type installed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 5. No more than two 90 degree sweeping bends installed within the run.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 6. Bedding and support of conduits achieved.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 7. Draw rope installed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 8. Pipe/Conduit entry into pit, placement and sealing to specifications (min 50mm from bottom of pit).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 9. Conduit Plugs installed in empty conduits, split plugs, TDUX installed where required.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 10. Where multiple conduits enter a pit, min 25mm separation is required between each conduit.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 11. Bore log maintained and available.

  Yes

  No

  N/A

• 12. Reducer / Joiner / Spigot / Pipe Bush installed, where required for pit entry.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 13. Pipe / Conduit attached to the pole as per specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 14. Protective Guard fitted to the pole as per specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 15. Site left safe.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 16. Reinstatement to the appropriate standards and rubbish removed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 17. Warning signs fitted where required.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 18. Checked with "As Built" Data/Design (Pit location, item description captured correctly, GPS, etc.)

  Yes

  No

  N/A

• 19. Installation meets all other design documentation, specifications and approved variations.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 20. Breakout pipe sections are labelled.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 21. Marker Posts Installed where required.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 22. Correct marking displayed on marker post.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

3.2 Pits Installation (PIT).

• 1. Correct materials used for pit foundation.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 2. Pit/Manhole installed conforms to slope and ground level.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 3. Correct depth, alignment and separation from other services.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 4. Correct size pit installed as per design.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 5. Pit Gasket fitted, where required (P Type Pits).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 6. Pit not in driveways or hazardous areas.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 7. Pit correct distance from roadways and corners.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 8. Pit not contorted due to over compaction.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 9. Bedding, backfill and compaction to specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 10. Centre bar, Cross bars and spacers fitted where required.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 11. Pipe entry and PVC bush positioned and fitted to standard.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 12. Through conduits aligned within the pit.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 13. Correct Pit Lid used with correct Brand with Weight Stamped.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 14. Cuts and holes sealed with approved repair kit - hole saw guide utilised & hole diameter not excessive.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 15. Pit raised as per specifications (risers sealed with plastic wrap/concrete) Screw spacing correct; correct type or angle of screws.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 16. Pit fitted over existing plant as per specification.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 17. Breakout pit entry sealed and labelled.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 18. Site left safe.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 19. Warnings signs fitted where required.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 20. Checked with "As Built" Data/Design (Pit location, item description captured correctly, GPS, etc.)

  Yes

  No

  N/A

• 21. Installation meets all other design documentation, specifications and approved variations.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 22. Joint enclosure mounting bracket and MPT mounting bracket installed to specification (Best work practice to bolt during pit install).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 23. Reinstatement to the appropriate standards and rubbish removed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 24. Pits installed in trafficable areas comply to load class B.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 25. Distances not exceeded between pits/manholes.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 26. Concrete surround fitted as per specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 27. Collar rendered within concrete pits.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 28. Pipe entry and PVC Bush positioned and fitted to specification, min 50mm from bottom of pit, pipes/conduits flush with pit wall, no side entry to pits. (If side entry, defect is major).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 29. Where multiple conduits enter a pit, 25 mm minimum separation is required between each conduit.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 30. Pipe/Conduit length within the pit/manhole as per specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 31. Pipe/Conduit depth within the pit/manhole as per specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 32. Size of pit suitable for connected conduits/cable size/device placement.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 33. Conduit that are road crossing or direction change conduits, are placed roadside in the trench and at pit entry.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 34. Cable Bearers fitted as per specification.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

3.3 FDH Plinth.

• 1. Conforms to design location (local codes and permits).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 2. Isolation gasket utilised (Front of cabinet alignment).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 3. Cable entry conduit positioned correctly in pad, not impeding HSD and HSL cables, conduit installed 15 to 35mm above concrete slab.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 4. Cable entry conduit correct type/size (100mm).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 5. Concrete plinth meets design specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 17. Site left safe.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 18. Reinstatement to the appropriate standards and rubbish removed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 19. Checked with "As Built" Data/Design (Pit location, item description captured correctly, GPS, etc.)

  Yes

  No

  N/A

• 22. Installation meets all other design documentation, specifications and approved variations.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 27. 50mm of compacted crushed rock installed prior to pouring of concrete base.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 28. Concrete plinth installed level and perpendicular.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 29. Anchor assembly kit installed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 30. Min SL72 reinforcing mesh installed centrally within the concrete pad.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 31. FDH Plinth not located within an EPR zone.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 32. The concrete mix is 25mpa or better.

  Yes

  No

  N/A