SUB-BASE

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROCEDURAL CHECKLIST

• In use

  Yes

  No

  N/A

TEST RESULTS

• Attached to checklist

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by Contractor

  Yes

  No

  N/A

NON-CONFORMANCE REPORT

• Submitted

  Yes

  No

  N/A

NOMINATED MATERIAL Clause R 40.5

• Nomination of materials form R40.1 submitted

  Yes

  No

  N/A

• Nominated target grading received

  Yes

  No

  N/A

• Test dats to demonstrate compliance

  Yes

  No

  N/A

• Evidence of G 6 compliance

  Yes

  No

  N/A

• Representative samples received.

  Yes

  No

  N/A

• % passing grading serve sizes

  Yes

  No

  N/A

• CBR min 30 minus 19mm fraction.

  Yes

  No

  N/A

• Fine aggregate liquid limit max. 35

  Yes

  No

  N/A

• Fine aggregate plastic index max. 12.

  Yes

  No

  N/A

• Fines PI x% passing 0.425 max. 300

  Yes

  No

  N/A

• Hold point released for nomination

  Yes

  No

  N/A

• Hold point released for change to target grading.

  Yes

  No

  N/A

AUDIT SAMPLE Appendix A3

• % passing grading serve sizes

  Yes

  No

  N/A

• Grading ratio limits % passing

  Yes

  No

  N/A

• CBR min 30 minus 19mm fraction.

  Yes

  No

  N/A

• Fine aggregate liquid limit max. 40

  Yes

  No

  N/A

• Fine aggregate plastic index max. 16

  Yes

  No

  N/A

• Fines PI x% passing 0.425mm max. 350

  Yes

  No

  N/A

CONSTRUCTION Clause R40.7

• Underlying lot conforms

  Yes

  No

  N/A

• Material uncontaminated.

  Yes

  No

  N/A

• Layer maximum thickness 200mm

  Yes

  No

  N/A

• Density test results min. 95%

  Yes

  No

  N/A

• Pavement width

  Yes

  No

  N/A

• Uniformity and finish.

  Yes

  No

  N/A

• Hold point released top of course.

  Yes

  No

  N/A

COMPLETED SURFACE Clause R40.8

• Level, grade, shape as per design.

  Yes

  No

  N/A

• Completed surface toleranced

  Yes

  No

  N/A

• Tolerances satisfied -30 to +15mm

  Yes

  No

  N/A

NON-CONFORMANCE

• Identified by audit

  Yes

  No

  N/A

• Report requested.

  Yes

  No

  N/A

• Signature

  Sign