12-67, May 2010 Version 1.00 Checklist No. 12-67

of 3 Construction Grading Checklist

Instructions for Use: This checklist is not intended to assure that all conditions defined by the contract are met. This checklist is a tool used for each project built with Federal Aid Funds to document minimum quality assurance activities that are performed by the LPA and/or NDOR at critical times during construction. This form should be completed by the LPA RC and/or NDOR State Representative. The LPA RC and/or NDOR State Representative is responsible for adding a copy of the completed checklist to the project correspondence log in SiteManager.

Local Public Agency (LPA): LPA Responsible Charge:

State Project No.: Project Name and Location:

State Control No.: Date of Review: This Form was Completed By:

Item Completed If No, Define Details or Information Used to Task Description or Questions Additional Comments # Yes No N/A Corrective Action Verify Content

Have soil samples been obtained 1. to establish the correct curves to use on this project?

Is the inspector using the correct

2. compaction curve information?

Are density and moisture tests

3. being run properly as required?

Is cultivated or fallow land bladed

4. and rolled prior to starting fills?

Have all objectionable materials 5. such as logs, vegetation, or trash are removed prior to starting fill?

Have pavements under new 6. embankements with less than three feet of fill been removed?

12-67, May 2010 Version 1.00 Checklist No. 12-67 Page 2 of 3 Item Completed If No, Define Details or Information Used to Task Description or Questions Additional Comments # Yes No N/A Corrective Action Verify Content

Have pavements deeper than 7. three feet under new embankments been broken up?

Is unsuitable material below 8. subgrade undercut and measured for final pay?

Are selective soil placement Plans or Special Provisions 9. requirements being followed?

Are culverts being bridged with sufficient embankment to prevent Plans or Special Provisions 10. damage from hauling equipment?

Is roadway being constructed 11. according to typical section and profile?

Are Limits of Construction (LOC)

12. staked?

Does Contractor have

13. borrow/waste sites approved?

Are grades tight bladed at the 14. end of each day to facilitate drainage?

Is salvaging of topsoil to ensure 15. proper drainage and erosion control monitored?

Is all rock at subgrade elevation

16. undercut 6"?

Is the embankment placed and 17. compacted full width in layers normally not exceeding 8"?

12-67, May 2010 Version 1.00 Checklist No. 12-67 Page 3 of 3 Item Completed If No, Define Details or Information Used to Task Description or Questions Additional Comments # Yes No N/A Corrective Action Verify Content

Is compaction and stability being checked by visual observation of

18. subgrade and the embankment under earth moving equipment?

Is hauling and leveling equipment 19. routed over the full width of the embankment?

Do Daily records include: location, type of work, workers, hours, equipment, quantities, soil

20. types, layer thickness, relative moisture, degree of compaction and rutting displacement?

Do Daily records include: 21. weather conditions, and problems encountered?

12-67, May 2010 Version 1.00 Checklist No. 12-67