FINAL INSPECTION OF FILLING / BACKFILLING

EI-CON-CIV-04 Rev:0 Date: 23.01.2023 Sheet 1 of 1

PROJECT: SUBCONTRACTOR:
DRAWING: RFI No:
REPORT No.:
REPORT Date:
This certificate does not exempt the Subcontractor from the Terms of the Contract, Project Specifications or Quality Procedures but confirms that all these Tests have been performed according to them.

LOCATION / AREA:

CHECK ACCEPTED REJECTED NOT APPLICABLE

Backfilling Material Approval (check approved MAR)

Alignment / level approved and released for backfill (all release reports are available)

Check geotextile installation (when required)

Sand bedding under pipe Compacted

Sand bedding under UG cable

Sand filling around and top of pipe / manhole / catch basin

Compaction of each layer acceptable (all compaction reports are available)

Backfilling by layers acceptable ( Layer No……..)

Final Grading acceptable (check survey report)

REMARKS:

WITNESSED /
SUBCONTRACTOR MAIN SUBCONTRACTOR EPC CONTRACTOR
REVIEWED BY:

Name & Surname

Sign

Date