R44 2.3 RMS Surveillance Checklist R44 Topsoil Strip. ILC-MI-TP3-405-SC-R44 TOPSOIL.

• Audit Title. R44 - Earthworks - Topsoil strip. (Ed5 Rev 0) .

• Project Name: Tabulam New Bridge.

• Location: BRUXNER HIGHWAY TABULAM

• Contractor

• Prepared by

• Conducted on

  Date

Cl 2.3 TOPSOIL

• Cl 2.3.1 Has clearing and grubbing been completed in the area.

  Yes

  No

  N/A

• Cl 2.3.1 Are erosion and sediment controls in place prior to commencing removal of topsoil?

  Yes

  No

  N/A

• Cl 1.7 Has the required action been taken to minimise the generation of excessive dust.

  Yes

  No

  N/A

• Cl 1.7 Have precautionary activities (such as sealing off) been implemented to minimise ingress of into the earthworks material.

  Yes

  No

  N/A

• Cl 2.3.1 Has the topsoil been left in place where bridging layers are to be used.

  Yes

  No

  N/A

• Cl 2.3.2 Has a joint survey been carried out of the existing surface level at each stockpile site to latter determine the volume of topsoil placed.

  Yes

  No

  N/A

• Are the topsoil stockpiles <br>In an approved location.

  Yes

  No

  N/A

• Are the topsoil stockpiles :<br>Free of subsoil and other excavated material.

  Yes

  No

  N/A

• Are the stockpiles :<br>Height not exceeding 2 metres

  Yes

  No

  N/A

• Are the stockpiles :<br>Batters been track rolled or stabilised

  Yes

  No

  N/A

• Are the stockpiles : <br>Been seeded within 7 days of completion of 500m2 of exposed batter face

  Yes

  No

  N/A

• Are the stockpiles :<br>Batter not exceeding 2H:1V

  Yes

  No

  N/A

• Ci 2.3.3

  

• Has the Principal inspected the surface and released the hold point.

  Yes

  No

  N/A

G22 SAFETY

• Have operators demonstrated their competence to operate the plant/equipment to the satisfaction of the contractor. <br>

  Yes

  No

  N/A

• Has a SWMS been developed.

  Yes

  No

  N/A

• Is each and every item of plant being used for its designated and intended purposes.

  Yes

  No

  N/A

• Have the attachments for plant and processes been approved and used in accordance with their design and purposes.

  Yes

  No

  N/A

• Is the correct PPE being worn

  Yes

  No

  N/A

• Were any unsafe practices observed. <br>

  Yes

  No

  N/A

• Good safe practices observed.

  Yes

  No

  N/A

G36 ENVIRONMENTAL

• R44 Cl 1.7 Were erosion and sediment controls in place prior to the removal of any topsoil.

  Yes

  No

  N/A

• Has mud been prevented from being deposited on roadways.

  Yes

  No

  N/A

• Are Erosion and Sediment controls measures being maintained.

  Yes

  No

  N/A

• Have any environmental incidents or potential incidents been observed.

  Yes

  No

  N/A

• Good environmental procedures observed.

  Yes

  No

  N/A

• Is the activity compliant.

  Yes

  No

  N/A

• Surveillance Officer

  Sign

• NCPN or memo number.

  Yes

  No

  N/A

• Follow up action

  Yes

  No

  N/A

• Product Non Conformance

  Yes

  No

  N/A

• System Non Conformance

  Yes

  No

  N/A

• Contractor generated NCR

  Yes

  No

  N/A

• Contractor generated a CAR

  Yes

  No

  N/A

Matters arising

• NCPN no

• Contractors NCR no

• CAR no

• Closed out.

• RMS representative's name

  Sign