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Location : Date :

Layer : RFI No :
Drawing No. :

S.No. Description YES NO NA

1 Previous layer approved


2 Material from approved source
3 Material contains sufficient moisture
4 Material contains over size boulders / stones
5 Layer thickness is as specified
6 Using the approved machinery for spreading
7 Level pegs arranged

Was a nonconformance / noncompliance found? YES / NO


Description:
……………………………………………………………………………………………………………………………………

PQA No.:…………………

Recommended Action:
……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

Inspected by : Reviewed by :
Designation : Designation :
Date : Date :

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