<p> Page 1 of 3 Construction Grading Checklist</p><p>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.</p><p>Local Public Agency (LPA): LPA Responsible Charge:</p><p>State Project No.: Project Name and Location:</p><p>State Control No.: Date of Review: This Form was Completed By:</p><p>Item Completed If No, Define Details or Information Used to Task Description or Questions Additional Comments # Yes No N/A Corrective Action Verify Content</p><p>Have soil samples been obtained 1. to establish the correct curves to use on this project?</p><p>Is the inspector using the correct </p><p>2. compaction curve information?</p><p>Are density and moisture tests </p><p>3. being run properly as required?</p><p>Is cultivated or fallow land bladed</p><p>4. and rolled prior to starting fills?</p><p>Have all objectionable materials 5. such as logs, vegetation, or trash are removed prior to starting fill?</p><p>Have pavements under new 6. embankements with less than three feet of fill been removed? </p><p>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</p><p>Have pavements deeper than 7. three feet under new embankments been broken up?</p><p>Is unsuitable material below 8. subgrade undercut and measured for final pay?</p><p>Are selective soil placement Plans or Special Provisions 9. requirements being followed?</p><p>Are culverts being bridged with sufficient embankment to prevent Plans or Special Provisions 10. damage from hauling equipment? </p><p>Is roadway being constructed 11. according to typical section and profile?</p><p>Are Limits of Construction (LOC) </p><p>12. staked?</p><p>Does Contractor have </p><p>13. borrow/waste sites approved?</p><p>Are grades tight bladed at the 14. end of each day to facilitate drainage?</p><p>Is salvaging of topsoil to ensure 15. proper drainage and erosion control monitored?</p><p>Is all rock at subgrade elevation </p><p>16. undercut 6"?</p><p>Is the embankment placed and 17. compacted full width in layers normally not exceeding 8"?</p><p>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</p><p>Is compaction and stability being checked by visual observation of </p><p>18. subgrade and the embankment under earth moving equipment?</p><p>Is hauling and leveling equipment 19. routed over the full width of the embankment?</p><p>Do Daily records include: location, type of work, workers, hours, equipment, quantities, soil</p><p>20. types, layer thickness, relative moisture, degree of compaction and rutting displacement? </p><p>Do Daily records include: 21. weather conditions, and problems encountered?</p><p>12-67, May 2010 Version 1.00 Checklist No. 12-67</p>