TATA CONSULTING ENGINEERS LIMITED

TCE-M7-CV-ER-F-062 SH.: 1 of 1
PLACEMENT AUTHORISATION AND ACCEPTANCE
CHECKLIST FOR GSB / WBM / WMM LAYER OF ROADS
Project : System :
Client / Job No. : Road Details :
Contractor : Ref. Documents 1)
Description : 2)

Road Location: ______________________ Layer for which Authorization required:_______

Start Chainage : ______________________ End Chainage: _____________________
Gradation of Aggregates per Layer: _______________________________________________
Estimated Volume:________________________ Specified Thickness / Layers:____________
Accept
Items to Check
Cont’r TCE Remarks
A. Placement Authorisation

1. Field Test Results of previous layers (Attach reports)

2. Elevations and Dimensional Survey (Attach report)
3. U.G. Drainage, Gullies, Manholes
U.G. I/E Cable Installation, Road Crossings
4.
E Supervisor ___________ I Supervisor __________
5. Shoulders: Elevation & Compaction
Availability of Paver / Motor Grader / Roller/ Soil
6.
Compactor
7. Cleanliness
8. Prime coat application (in case of WMM)

Items to Check 1st Layer 2nd layer 3rd layer

B. In process GSB / WBM /

1. Date
WMM Inspection

2. Start Time
3. Completion Time
4. Specified Compaction Equipment used
5. No. of Test Samples taken
6. Type of Tests
7. Quality & Sufficiency of Murrum (for WBM layer)
8. Actual Thickness
Remarks: ______________________________________________________________
______________________________________________________________
______________________________________________________________

Contractor TCE Client

Name
Designation
Signature &
Date

FILE NAME: TCE.M7-CV-ER-F-062 R2.doc TCE FORM NO. 120 R3 Issue R2