Retaining Wall Inspection Checklist
Inspector name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Inspected Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Area of work inspected
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Retaining Wall
Rows
Pass
Fail
Comments
Approved Consent documents on site
1
2
Previous comments/ instructions – PIM/BC
3
4
Sitting
Rows
Pass
Fail
Comments
Dimensions off boundary recording what
survey pegs were referenced if applicable
5
6
Excavation B1
Rows
Pass
Fail
Comments
Excavations, slopes, temporary retaining site safe.
7
8
Pollution/ sediment control in place to RDC requirements.
9
10
Design B1
Rows
Pass
Fail
Comments
Height of wall and surcharges comply with the consent (check on slope above wall).
11
12
Timber Pole Retaining Wall B1, B2
Rows
Pass
Fail
Comments
Post hole diameter, depth and centers to plan.
13
14
The pitch of the wall as per consent H5 Minimum posts, sized and graded to Engineers specification.
15
16
H4 Minimum retaining timber type, size, and graded to Engineers' requirements.
17
18
Masonry Or Tilt Panel Retaining Wall Foundation B1, B2
Rows
Pass
Fail
Comments
Ground Bearing is 100 kpa minimum.
19
20
Reinforcing steel tied and placed in
accordance with consented documents.
21
22
Foundations are clean, square and to correct
dimensions.
23
24
Drainage G13,B1,B2
Rows
Pass
Fail
Comments
Provision is made for the installation of drainage behind the retaining wall.
25
26
The drain is located on the correct side of the boundary.
27
28
The drainage coil is discharging to an approved outfall.
29
30
Safety From Falling/ Fence On Retaining Wall F4,B1,B2
Rows
Pass
Fail
Comments
Barrier required where fall >1m possible
31
32
(dependant on accessibility).
33
34
Has the barrier, or fence been factored into
35
36
the engineer’s design?
37
38
Resource consent approval is required for the
39
40
fence over 2m from natural ground level.
41
42
Documentation
Rows
Pass
Fail
Comments
Engineers Producer Statements received if required in consent conditions.
43
44
PS 3 for construction received if required in consent conditions/ endorsements.
45
46
Confirmation of siting from a registered surveyor if necessary.
47
48
Any other comments
Signature
Submit
Should be Empty: