Page 1: Project Info

  • Item No.

  • Road name

  • Town / suburb

  • Start CH (m)

  • End CH (m)

  • Length

  • Road width (m)

  • Area (m2)

  • Inspection carried out by

  • Inspection date

  • Gravel QA No.

Site Inspection Items

  • Formation layer (previous) inspected & approved

  • Quarry material (Type 2.5 MRTS05)

  • Material test reports provided

  • "Compaction" testing carried out - 97% Std (1/500m. Min of 1 test)

  • no.

  • "Layer Thickness" testing carried out - 100mm compacted (Min 90mm - Max 120mm)

  • Erosion sediment controls are in place

Page 2: Quality Assurance

    QA Check
  • Chainage (m)

  • Width (m)

  • Formation grade crossfall (>3.5m - 4% to 6%) (<3.5m - 3%)

  • Defaults / Corrective Action
  • Default / Corrective Action

  • Defaults corrected

Page 3: Sign Off

  • 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.

  • Contractor

  • Inspector

  • Client

  • Other

  • Other

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