R44 SMZ RMS Surveillance Checklist R44 Selected Material Zone. ILC-MI-TP3-405-SC-R44 SMZ.

• Surveillance Checklist R44 - Earthworks Selected Material Zone (SMZ) (ED5 Rev0)

• Project Name.

• Location:

• Prepared by

• Contractor

• Conducted on.

  Date

6 STRUCTURAL TREATMENTS

• R44 CL 6.1 Has survey set out been installed for Selected Material Zone (SMZ)

  Yes

  No

  N/A

• Cl 6.1.1 HOLD POINT.

  

• Cl 6.1.1 Has the HOLD POINT been released.

  Yes

  No

  N/A

• Site won selected material. Cl 2.8.5.1
  Does selected material meet the requirements

  

• If any selected material layer has a CBR value less than specified above, has hydrated lime at a rate of 2% by mass or equivalent, been used for modification.

  Yes

  No

  N/A

• Imported Selected Material. Cl 2.8.5.2 <br>Does imported selected material meet the requirements of RMS material <br>Specification. 3071 <br>Size distribution as per Annexure 3071/A3<br>Max Size 53mm or less <br>PSD as per table 3071/A1(type B)<br>CBR 30 or greater for top 150mm (4day)<br>CBR 30 or greater for bottom 150mm (4day)<br>PI greater than 2 less than 15.

  Yes

  No

  N/A

• If any selected material layer has a CBR(4day) of less than 30, has the top 150mm of material in this zone been modified with a binder (usually lime)

  Yes

  No

  N/A

• Cl 6.1.2 HOLD POINT

  

• Cl 6.1.2 Has the HOLD POINT been released.

  Yes

  No

  N/A

• Cl 6.1.2 HOLD POINT (b)

  

• Has the HOLD POINT been released.

  Yes

  No

  N/A

• Is each SMZ layer thickness not exceeding 150mm.

  Yes

  No

  N/A

• Cl 6..1.2 Has the top of the SMZ been trimmed to required tolerance

  

7 ADDITIONAL CONFORMITY REQUIREMENTS

• Cl 7.3.2 A lot must contain only areas of work that are essentially homogeneous

  Yes

  No

  N/A

• Have any areas that failed to meet homogeneity criteria been excluded from the lot and another lot been opened to be tested

  Yes

  No

  N/A

• Cl 7.1 Has all layers been compacted uniformly over the full area and depth of the layer to achieve the relative compaction specified before the next layer is commenced

  

• Cl 7.3.4 have tests within a particular lot been conducted using a single test method

  Yes

  No

  N/A

• Cl 7.3.7 Have the test holes been repairs as detailed in the PQP.

  Yes

  No

  N/A

• Cl 7.6.1 WITNESS POINT. PROOF ROLLING

  

• Has the proof rolling for the underside of SMZ formation been witnessed.

  Yes

  No

  N/A

• Cl 7.6.2 WITNESS POINT benkelman beam testing

  

• Cl 7.6.2 has the benkelman beam testing been witnessed. R4

  Yes

  No

  N/A

• CL 7.6.2 HOLD POINT

  

• CL 7.6.2 Has this HOLD POINT been released

  Yes

  No

  N/A

G22 SAFETY

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

  Yes

  No

  N/A

• Has a SWMS been developed for the activity.

  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 its design and purposes.

  Yes

  No

  N/A

• Safe work practices observed.

  Yes

  No

  N/A

• Is correct PPE being worn.

  Yes

  No

  N/A

• Were any unsafe practices observed.

  Yes

  No

  N/A

G36 ENVIRONMENTAL

• Are erosion and sediment control measures being installed and maintained.

  Yes

  No

  N/A

• Has mud been prevented from being deposited on the roadways.

  Yes

  No

  N/A

• Have any environmental incidents or potential incidents been observed.

  Yes

  No

  N/A

• Good environmental practices been observed.

  Yes

  No

  N/A

• Is the activity compliant.

  Yes

  No

  N/A

• NCPN or memo number

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• Follow up Action

  Yes

  No

  N/A

• Product nonconformance

  Yes

  No

  N/A

• System Non Conformance

  Yes

  No

  N/A

• Contractor generated an NCR.

  Yes

  No

  N/A

• Contractor generated a CAR

  Yes

  No

  N/A

Matters arising

• NCPN no

• Contractors' NCR no

• CAR no

• Closed out

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