QUALITY CONTROL PROJECT

INSPECTION CHECKLIST STONOR 3

PHASE: Document Ref.: PD-CL-006

BLOCK NO.: REPLACEMENT OF RFI No:
UNIT NO.: UNSUITABLE MATERIAL Received By:
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 REPLACEMENT OF UNSUITABLE MATERIAL

a Location and extent of the area pegged out

b Cross section survey carried out

c Location of the spoil tips/ dump site determined

d Replacement materials from approved source

e Excavation cleaned from all unsuitable material

f Level survey of excavation done before replacement filling

g Each layer of replacement material is checked and tested

(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: