You are on page 1of 4

SOIL COMPACTION CHECKLIST

Project:
Certificate No.:

JQC-SCC-01

P.O. No.:

Tag Description / No.:

Tag No.:

Concrete Structure/Location:

Reference Drawing:

Workpackage:
Specification No.: . . . . ASTM D-1557, ASTM D-2922
Type of Subgrade:
......................
Type of Material Fill:
.....................
Lift thickness: . . . . . . . . . . . . . . . . . . . . . . . . . . .
Minimum compaction required:. . . . . . . . . . . . . . . . .

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

Test Date: . . . . . . .
Type of Compactor:
. . . . . . . . ... . . . . . .
. . ... . . . . . . . . . . . .
. . ... . . . . . . . . . . . .

Laboratory Standard:
Type of soil: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Maximum density:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Optimum moisture content. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location ID

Tested by:

Test point no.

elevation/ depth

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

Field Test Equipment:


Type of equipment: . . . . . . . .
S/N: . . . . . . . . . . . . . . . . . .
Correction factor: . . . . . . . . .

moisture %

(third party - independent laboratory testing comp.)

.
.
.
.
.

dry density

compactio

Note:

Original test report from the


Name:
Company:

attached with this checkshe

Signature:
Date:
Comments:

Company :

Contractor

JANA

Name :
Position :
Signature :
Date :
JQC-SCC-01

Civi QA/QC Engineer

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

..
..
..
...
...

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

..
..
...
..
..

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

.........................
.........................
.........................
compaction %

accepted / rejected

Original test report from the third party need to be


attached with this checksheet.

JANA

Construction Head

You might also like