Page 1: Project Info
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Item No.
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Road name
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Town / suburb
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Start CH (m)
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End CH (m)
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Length
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Road width (m)
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Area (m2)
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Inspection carried out by
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Inspection date
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Gravel QA No.
Site Inspection Items
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Formation layer (previous) inspected & approved
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Quarry material (Type 2.5 MRTS05)
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Material test reports provided
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"Compaction" testing carried out - 97% Std (1/500m. Min of 1 test)
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no.
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"Layer Thickness" testing carried out - 100mm compacted (Min 90mm - Max 120mm)
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Erosion sediment controls are in place
Page 2: Quality Assurance
- QA Check
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Chainage (m)
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Width (m)
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Formation grade crossfall (>3.5m - 4% to 6%) (<3.5m - 3%)
Defaults / Corrective Action
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Default / Corrective Action
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Defaults corrected
Page 3: Sign Off
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This sign off certifies that the above "Pavement Gravel Works" have been inspected by the persons noted below and were found to meet the requirements of the Contract Specifications.
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Contractor
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Inspector
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Client
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Other
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Other