CHECK LIST FOR EXCAVATION AND BACKFILL
CCCC
CONTRACTOR:-
Check List No:
Date:
Inspection Time
Inspection Date
TO:SUBJECT
DRAWING REF
LOCATION
CIVIL WORKS
X Mark where applicable
Survey
( ) Dimension
Wet Conditions
( ) Surface water controlled
or diverted
Bedding
( ) Approved Material in use for Pipe etc.
Bedding
( ) Levels
( )Plumb
( ) water pump
( )Thickness and Dimension of Bedding
Utilities
( )Marking (Warning Tape)
( )Alignment
Means of Access
( ) Site preparation including site
formation & site access
( ) Lateral Travel to edge of
Excavation should be 1 m
Checked By: Surveyor
QC Engineer
Site Engineer
( )Exact location of utilities
marked
Backfilling
( ) Approved Material in use
Grading/Shaping
( ) Approved Material in use
( ) Filling Placed in required ( )Compacting Verified by Lab
Layers
( )Level/Dimensions
( ) Compaction Verified by
Lab
DATE &TIME
DATE &TIME
DATE &TIME
Approval /Remarks
Engineer's Rep:
RECEIVED BY
Date :
Date & Time:
Date & Time
Approved under a using test on site Yann REDOULOUX 14 01 2017
: