SUTHERLAND SHIRE COUNCIL PROJECT SERVICES

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location and Setout

• Lot Number

• Chainage, Carriageway, Layer

• Describe the weather conditions during the final trim and compact.

• Specified Compaction

• Is the Lot a Hold Point or Witness Point which requires Client Signoff?

  Yes

  No

  N/A

• Make arrangements for Client inspection. There is a Client Signoff field at the bottom of this ITP.

• Does the Setout and placement of the Lot conform to the line and levels on the drawing?

  Yes

  No

  N/A

• Attach survey report if available.

• Take a photo

  Media

Material Specification

• What is the Material Specification, including details of Stabilising additives?

• Does the material conform to the specification?

  Yes

  No

  N/A

• Attach Delivery Dockets from supplier and any supplier test certificates. If sampled and tested, attach Test Results. If the material is Stabilised Insitu, consider testing to confirm the percentage of additive.

Compaction

Compaction Test

• Test Reference Number, Chainage, CL Offset

• Compaction Test Result ( % ) . Attach Result

• Pass?

  Yes

  No

  N/A

• Did the Lot pass the Proof Roll? A Proof Roll is undertaken to confirm the compaction is consistent across the Lot and there are no soft spots. Any soft spots should be reworked and retested.

  Yes

  No

  N/A

Lot Signoff

• Lot passed

  Yes

  No

  N/A

• Produce a Non-conformance Report

• Client Signoff, if required

  Sign

• Contractor Signoff

  Sign