Quality Management System : BACKFILLING TO EXCAVATIONS

Fill in the form below and submit accordingly, Alternatively click to download fillable form.

1.1 Date and Time of Request*

1.2 Date and Time of Inspection Required*

1.3 Date and time of Delivery of Request*

1.4 Details of Section of Work to be Inspected/Approved*

Request checked by site agent*: Please Select:

Signature of Site Agent *: Upload Digital Signature? (png,jpg,gif) Please sign below:

Signature of Recipient (Engineer’s Representative)*: Upload Digital Signature (png,jpg,gif)? Please sign below:

2.1 Location*

2.2 Latest drawings used*:

2.3 In-situ compaction to specification*:

2.4 Backfill material/depth acceptable*:

2.5 Compaction to specification*:

Date Inspected*:

The backfilling and material used, as detailed above, has been*

The contractor can now commence with blinding/foundation concrete for the above portion of the Works.

In the case of NON approval, the contractor is to rectify the following*:

Name*

Signature: Upload Digital Signature?: Please sign below: