QUALITY CONTROL PROJECT

INSPECTION CHECKLIST STONOR 3

PHASE: Document Ref.: PD-CL-009

BLOCK NO.:
EARTHWORKS RFI No:
UNIT NO.:
TRIMMING TO Received By:
FOUNDATION CUT Date: Time:

Location: Effective Date: 20/10/16 Rev. 0 Page 1 of 1

Item Inspection Attributes Contractor LHS Consultant

(Representative's name in block letter)

Pass Fail Pass Fail Pass Fail
1 TRIMMING

a Compaction test on formation approved

b Preparation of formation as specified

c Check for completion of underground services before laying of subbase

d Subgrade drainage

e Table drain

f Pipe drains/ culverts

g Services and ducts

h Survey of formation is within specified tolerance

(Representative's name in block letter)

Pass Fail Pass Fail Pass Fail
Final Inspection
Review of all records including required test results

Reason for Failure or Re-inspection:

Nonconformance Report raised during inspection/ re-inspection YES NO NCR No.:

Signature of Sub-contractor Rep: Date: Time:

Full name in block letters:

Signature of LHS Rep: Date: Time:

Full name in block letters:

Signature of Consultant Rep: Date: Time:

Full name in block letters: