Information

  • Inspection Address

  • Date and Time:

  • Building Permit No.

Asset Surveillance Final Inspection (Section 73)

Asset Surveillance Final Inspection (Section 73)

  • Date and time of inspection

  • Inspected by

Damages listed in pre works inspection (Section 80)

  • Damages previously listed:

  • Inspected by:

  • Inspected by:

  • Inspected on:

New observations

  • There is no new damage to report

  • ✅✅✅ No further damages to report ✅✅✅

  • There is new damages to the assets which require repair.

  • ❗❗❗❗ New damages to assets. Send a Letter to repair all extra damages listed below ❗❗❗❗

  • There is damage to crossing/s at the property

  • There are multiple damaged crossings at the property

  • There is damage to Concrete Crossing No. 1

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing No.1. x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing No.1. x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing No.1. x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing No.1. x

  • There is further damage to the layback

  • Irregular damage to laybacks at crossing no. 1:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing No. 1. x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing No. 1. x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing No. 1. x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing No. 1. x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at crossing no. 1:

  • There is damage to Paved Crossing No. 1

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Pram Crossing No. 1. x

  • There are chipped laybacks

  • Laybacks chipped at Pram Crossing No. 1. x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing No.1. x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing No.1. x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing No.1. x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing No.1. x

  • Other damage

  • Irregular damage to pavers in Paved Crossing No.1:

  • There is damage to Pram Crossing No. 1

  • There are cracked Pram Crossing sections

  • Sections cracked at Pram Crossing No. 1. x

  • There are chipped Sections of Pram Crossing

  • Sections chipped at Pram Crossing No 1. x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing No 1. x

  • There are depressed sections of pram crossing

  • Sections depressed at Pram Crossing No 1. x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing No.1:

  • There is damage to Concrete Crossing No. 2

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing No.2. x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing No.2. x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing No.2. x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing No.2. x

  • There is further damage to the layback

  • Irregular damage to laybacks at concrete crossing no. 2:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing No. 2. x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing No. 2. x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing No. 2. x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing No. 2. x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at concrete crossing no. 2:

  • There is damage to Pram Crossing No. 2

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing No. 2. x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing No 2. x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing No 2. x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing No. 2. x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing No. 2:

  • There is damage to Paved Crossing No. 2

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Paved Crossing No. 2. x

  • There are chipped laybacks

  • Laybacks chipped at Paved Crossing No. 2. x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing No. 2. x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing No. 2. x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing No. 2. x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing No. 2. x

  • Other damage

  • Irregular damage to Paved Crossing No. 2:

  • There is damage to Concrete Crossing

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing x

  • There is further damage to the layback

  • Irregular damage to laybacks at concrete crossing:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at crossing:

  • There is damage to Paved Crossing

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Pram Crossing x

  • There are chipped laybacks

  • Laybacks chipped at Pram Crossing x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing x

  • Other damage

  • Irregular damage to pavers in Paved Crossing:

  • There is damage to Pram Crossing

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing x

  • There are depressed sections of Pram Crossing

  • Laybacks depressed at Pram Crossing x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing:

  • There is damaged footpath/s in front of the property

  • The damaged footpath is concrete

  • There are damaged 100mm thick footpath bays

  • There are cracked 100mm bays

  • 100mm thick concrete footpath bays cracked x

  • There are chipped 100mm bays

  • 100mm thick concrete footpath bays chipped x

  • There are lifted 100mm bays

  • 100mm thick concrete footpath bays lifted x

  • There are depressed 100mm bays

  • 100mm thick concrete footpath bays depressed x

  • There are further damages to 100mm bays

  • Irregular damage to 100mm concrete footpath bays:

  • There are damaged 125mm thick concrete footpath bays

  • There are cracked 125mm bays

  • 125mm thick concrete footpath bays cracked x

  • There are chipped 125mm bays

  • 125mm thick concrete footpath bays chipped x

  • There are lifted 125mm bays

  • 125mm thick concrete footpath bays lifted x

  • There are depressed 125mm bays

  • 125mm thick concrete footpath bays lifted x

  • There is further damage to 125mm bays

  • Irregular damage to 125mm concrete footpath bays:

  • The damaged footpath is a shared usage asphalt path

  • Damage to the asphalt shared usage path:

  • There is damage to off street parking in front of the property

  • Off street parking bays

  • There are cracked bays in the off street parking

  • Off street parking bays cracked x

  • There are chipped bays in off street parking

  • Off street parking bays chipped x

  • There are lifted bays within off street parking

  • Off street parking bays lifted x

  • There are depressed bays within off street parking

  • Off street parking bays depressed x

  • There are off street parking bays with other irregular damage

  • Irregular damage to off street parking bays:

  • Damage to Concrete rollover kerb within off street parking

  • There are cracked sections of kerbing

  • Sections of concrete rollover kerb cracked within off street parking x

  • There are chipped sections of kerbing

  • Sections of concrete rollover kerb chipped within off street parking x

  • There are lifted sections of kerbing

  • Sections of concrete rollover kerb lifted within off street parking x

  • There are depressed sections of kerbing

  • Sections of concrete rollover kerb depressed within off street parking x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete rollover kerb within off street parking:

  • Damage to Concrete kerb and channel within off street parking

  • There are cracked sections of kerbing

  • Sections of concrete kerb and channel cracked within off street parking x

  • There are chipped sections of kerbing

  • Sections of concrete kerb and channel chipped within off street parking x

  • There are lifted sections of kerbing

  • Sections of concrete kerb and channel lifted within off street parking x

  • There are depressed sections of kerbing

  • Sections of concrete kerb and channel depressed within off street parking x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete kerb and channel within off street parking:

  • Damage to Concrete plinth within off street parking

  • There are cracked sections of concrete plinth

  • Sections of concrete plinth cracked within off street parking x

  • There are chipped sections of concrete plinth

  • Sections of concrete plinth chipped within off street parking x

  • There are lifted sections of concrete plinth

  • Sections of concrete plinth lifted within off street parking x

  • There are depressed sections of concrete plinth

  • Sections of concrete plinth depressed within off street parking x

  • There are sections of concrete plinth with other types of damage

  • Irregular damage to concrete plinth within off street parking:

  • There is damage to kerbing in front of the property

  • Concrete kerb and channel

  • There are cracked sections of concrete kerb and channel

  • Cracked sections of concrete kerb and channel x

  • There are chipped sections of concrete kerb and channel

  • Chipped sections of concrete kerb and channel x

  • There are lifted sections of kerbing

  • Lifted sections of concrete kerb and channel x

  • There are depressed sections of kerbing

  • Depressed sections of concrete kerb and channel x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete kerb and channel x

  • Concrete rollover kerb

  • There are cracked sections of kerbing

  • Sections of concrete rollover kerb cracked x

  • There are chipped sections of kerbing

  • Sections of concrete rollover kerb chipped x

  • There are lifted sections of kerbing

  • Sections of concrete rollover kerb lifted x

  • There are depressed sections of kerbing

  • Sections of concrete rollover kerb depressed x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete rollover kerb:

  • There is significant damage to the nature strip

  • The nature strip is in need of levelling, top soil and seed.

  • Nature strip requires levelling, top soil and seed.🚫🚫🚫

  • There is damage to the nature strip, requiring further attention than soil and seeding.

  • Damage to the nature strip:

  • There have been illegal alterations to the nature strip

  • Illegal crossing extension

  • Material used and approximate width of illegal crossing extension:

  • Illegal erection of Basketball Ring or other permanent structure

  • Illegal structure in the nature strip:

  • Illegal planting in a nature strip

  • Illegal planting in the nature strip:

  • Other type of illegal alteration to nature strip

  • Description of irregular and illegal alterations to a nature strip:

  • There are damaged pits in front of the property.

  • Side Entry Pit/s

  • Number of damaged Side Entry Pits:

  • Damage to the pit surround

  • 1 x side entry pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x side entry pit lid

  • damaged by:

  • Damage to lintel

  • 1 x side entry pit lintel

  • damaged by:

  • Damage to multiple side entry pits:

  • Junction Pit/s

  • Number of damaged Junction Pits

  • Damage to multiple junction pits:

  • Damage to the pit surround

  • 1 x junction pit surround

  • damaged by

  • Damage to pit lid

  • 1 x junction pit lid

  • damaged by

  • Telephone Pit

  • Number of damaged Telephone Pits

  • Damage to multiple telephone pits:

  • Damage to the pit surround

  • 1 x telephone pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x telephone pit lid

  • damaged by:

  • Electricity Pit

  • Number of damaged Electricity Pits

  • Damage to multiple electricity pits:

  • Damage to the pit surround

  • 1 x electricity pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x electricity pit lid

  • damaged by:

  • Sewer Pit

  • Number of damaged Sewer Pits

  • Damage to multiple sewer pits:

  • 1 x sewer pit surround

  • damaged by:

  • 1x sewer pit lid

  • damaged by:

  • Unclassified Pit

  • Number of damaged Unclassified Pits:

  • Damage to multiple unclassified pits:

  • 1 x unclassified pit surround

  • damaged by:

  • 1 x unclassified pit lid

  • damaged by:

  • There are damaged drains in front of the property

  • The footpath edge or nature strip contains a damaged Concrete Spoon Drain

  • Damage to the concrete spoon drain:

  • damaged by:

  • There is damage to a constructed Swale drain that fronts the property

  • Damage to a constructed Swale drain:

  • damage by:

  • There is new damage to assets that are not officially taken over by council. Ie. MIRVAC etc

  • 🚫🚫🚫There is new damage to assets that are not officially taken over by council. The following damages are to be noted only for possible future reference.🚫🚫🚫

  • There is damage to crossing/s at the property

  • There are multiple damaged crossings at the property

  • There is damage to Concrete Crossing No. 1

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing No.1. x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing No.1. x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing No.1. x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing No.1. x

  • There is further damage to the layback

  • Irregular damage to laybacks at crossing no. 1:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing No. 1. x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing No. 1. x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing No. 1. x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing No. 1. x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at crossing no. 1:

  • There is damage to Paved Crossing No. 1

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Pram Crossing No. 1. x

  • There are chipped laybacks

  • Laybacks chipped at Pram Crossing No. 1. x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing No.1. x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing No.1. x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing No.1. x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing No.1. x

  • Other damage

  • Irregular damage to pavers in Paved Crossing No.1:

  • There is damage to Pram Crossing No. 1

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing No. 1. x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing No 1. x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing No 1. x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing No 1. x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing No.1:

  • There is damage to Concrete Crossing No. 2

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing No.2. x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing No.2. x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing No.2. x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing No.2. x

  • There is further damage to the layback

  • Irregular damage to laybacks at concrete crossing no. 2:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing No. 2. x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing No. 2. x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing No. 2. x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing No. 2. x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at concrete crossing no. 2:

  • There is damage to Pram Crossing No. 2

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing No. 2. x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing No 2. x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing No 2. x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing No. 2. x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing No. 2:

  • There is damage to Paved Crossing No. 2

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Paved Crossing No. 2. x

  • There are chipped laybacks

  • Laybacks chipped at Paved Crossing No. 2. x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing No. 2. x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing No. 2. x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing No. 2. x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing No. 2. x

  • Other damage

  • Irregular damage to Paved Crossing No. 2:

  • There is damage to Concrete Crossing

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing x

  • There is further damage to the layback

  • Irregular damage to laybacks at concrete crossing:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at crossing:

  • There is damage to Paved Crossing

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Pram Crossing x

  • There are chipped laybacks

  • Laybacks chipped at Pram Crossing x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing x

  • Other damage

  • Irregular damage to pavers in Paved Crossing:

  • There is damage to Pram Crossing

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing:

  • There is damaged footpath/s in front of the property

  • The damaged footpath is concrete

  • There are damaged 100mm thick footpath bays

  • There are cracked 100mm bays

  • 100mm thick concrete footpath bays cracked x

  • There are chipped 100mm bays

  • 100mm thick concrete footpath bays chipped x

  • There are lifted 100mm bays

  • 100mm thick concrete footpath bays lifted x

  • There are depressed 100mm bays

  • 100mm thick concrete footpath bays depressed x

  • There are further damages to 100mm bays

  • Irregular damage to 100mm concrete footpath bays:

  • There are damaged 125mm thick concrete footpath bays

  • There are cracked 125mm bays

  • 125mm thick concrete footpath bays cracked x

  • There are chipped 125mm bays

  • 125mm thick concrete footpath bays chipped x

  • There are lifted 125mm bays

  • 125mm thick concrete footpath bays lifted x

  • There are depressed 125mm bays

  • 125mm thick concrete footpath bays lifted x

  • There is further damage to 125mm bays

  • Irregular damage to 125mm concrete footpath bays:

  • The damaged footpath is a shared usage asphalt path

  • Damage to the asphalt shared usage path:

  • There is damage to off street parking in front of the property

  • Off street parking bays

  • There are cracked bays in the off street parking

  • Off street parking bays cracked x

  • There are chipped bays in off street parking

  • Off street parking bays chipped x

  • There are lifted bays within off street parking

  • Off street parking bays lifted x

  • There are depressed bays within off street parking

  • Off street parking bays depressed x

  • There are off street parking bays with other irregular damage

  • Irregular damage to off street parking bays:

  • Damage to Concrete rollover kerb within off street parking

  • There are cracked sections of kerbing

  • Sections of concrete rollover kerb cracked within off street parking x

  • There are chipped sections of kerbing

  • Sections of concrete rollover kerb chipped within off street parking x

  • There are lifted sections of kerbing

  • Sections of concrete rollover kerb lifted within off street parking x

  • There are depressed sections of kerbing

  • Sections of concrete rollover kerb depressed within off street parking x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete rollover kerb within off street parking:

  • Damage to Concrete kerb and channel within off street parking

  • There are cracked sections of kerbing

  • Sections of concrete kerb and channel cracked within off street parking x

  • There are chipped sections of kerbing

  • Sections of concrete kerb and channel chipped within off street parking x

  • There are lifted sections of kerbing

  • Sections of concrete kerb and channel lifted within off street parking x

  • There are depressed sections of kerbing

  • Sections of concrete kerb and channel depressed within off street parking x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete kerb and channel within off street parking:

  • Damage to Concrete plinth within off street parking

  • There are cracked sections of concrete plinth

  • Sections of concrete plinth cracked within off street parking x

  • There are chipped sections of concrete plinth

  • Sections of concrete plinth chipped within off street parking x

  • There are lifted sections of concrete plinth

  • Sections of concrete plinth lifted within off street parking x

  • There are depressed sections of concrete plinth

  • Sections of concrete plinth depressed within off street parking x

  • There are sections of concrete plinth with other types of damage

  • Irregular damage to concrete plinth within off street parking:

  • There is damage to kerbing in front of the property

  • Concrete kerb and channel

  • There are cracked sections of concrete kerb and channel

  • Cracked sections of concrete kerb and channel x

  • There are chipped sections of concrete kerb and channel

  • Chipped sections of concrete kerb and channel x

  • There are lifted sections of kerbing

  • Lifted sections of concrete kerb and channel x

  • There are depressed sections of kerbing

  • Depressed sections of concrete kerb and channel x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete kerb and channel x

  • Concrete rollover kerb

  • There are cracked sections of kerbing

  • Sections of concrete rollover kerb cracked x

  • There are chipped sections of kerbing

  • Sections of concrete rollover kerb chipped x

  • There are lifted sections of kerbing

  • Sections of concrete rollover kerb lifted x

  • There are depressed sections of kerbing

  • Sections of concrete rollover kerb depressed x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete rollover kerb:

  • There is significant damage to the nature strip

  • The nature strip is in need of levelling, top soil and seed.

  • Nature strip requires levelling, top soil and seed.🚫🚫🚫

  • There is damage to the nature strip, requiring further attention than soil and seeding.

  • Damage to the nature strip:

  • There have been illegal alterations to the nature strip

  • Illegal crossing extension

  • Material used and approximate width of illegal crossing extension:

  • Illegal erection of Basketball Ring or other permanent structure

  • Illegal structure in the nature strip:

  • Illegal planting in a nature strip

  • Illegal planting in the nature strip:

  • Other type of illegal alteration to nature strip

  • Description of irregular and illegal alterations to a nature strip:

  • There are damaged pits in front of the property.

  • Side Entry Pit/s

  • Number of damaged Side Entry Pits:

  • Damage to the pit surround

  • 1 x side entry pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x side entry pit lid

  • damaged by:

  • Damage to lintel

  • 1 x side entry pit lintel

  • damaged by:

  • Damage to multiple side entry pits:

  • Junction Pit/s

  • Number of damaged Junction Pits

  • Damage to multiple junction pits:

  • Damage to the pit surround

  • 1 x junction pit surround

  • damaged by

  • Damage to pit lid

  • 1 x junction pit lid

  • damaged by

  • Telephone Pit

  • Number of damaged Telephone Pits

  • Damage to multiple telephone pits:

  • Damage to the pit surround

  • 1 x telephone pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x telephone pit lid

  • damaged by:

  • Electricity Pit

  • Number of damaged Electricity Pits

  • Damage to multiple electricity pits:

  • Damage to the pit surround

  • 1 x electricity pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x electricity pit lid

  • damaged by:

  • Sewer Pit

  • Number of damaged Sewer Pits

  • Damage to multiple sewer pits:

  • 1 x sewer pit surround

  • damaged by:

  • 1x sewer pit lid

  • damaged by:

  • Unclassified Pit

  • Number of damaged Unclassified Pits:

  • Damage to multiple unclassified pits:

  • 1 x unclassified pit surround

  • damaged by:

  • 1 x unclassified pit lid

  • damaged by:

  • There are damaged drains in front of the property

  • The footpath edge or nature strip contains a damaged Concrete Spoon Drain

  • Damage to the concrete spoon drain:

  • damaged by:

  • There is damage to a constructed Swale drain that fronts the property

  • Damage to a constructed Swale drain:

  • damage by:

  • There is some new damage, but not enough to warrant repair:

  • 🚫🚫🚫 New damages observed, but not requiring repair. 🚫🚫🚫

  • There is damage to crossing/s at the property

  • There are multiple damaged crossings at the property

  • There is damage to Concrete Crossing No. 1

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing No.1. x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing No.1. x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing No.1. x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing No.1. x

  • There is further damage to the layback

  • Irregular damage to laybacks at crossing no. 1:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing No. 1. x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing No. 1. x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing No. 1. x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing No. 1. x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at crossing no. 1:

  • There is damage to Paved Crossing No. 1

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Pram Crossing No. 1. x

  • There are chipped laybacks

  • Laybacks chipped at Pram Crossing No. 1. x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing No.1. x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing No.1. x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing No.1. x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing No.1. x

  • Other damage

  • Irregular damage to pavers in Paved Crossing No.1:

  • There is damage to Pram Crossing No. 1

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing No. 1. x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing No 1. x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing No 1. x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing No 1. x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing No.1:

  • There is damage to Concrete Crossing No. 2

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing No.2. x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing No.2. x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing No.2. x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing No.2. x

  • There is further damage to the layback

  • Irregular damage to laybacks at concrete crossing no. 2:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing No. 2. x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing No. 2. x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing No. 2. x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing No. 2. x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at concrete crossing no. 2:

  • There is damage to Pram Crossing No. 2

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing No. 2. x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing No 2. x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing No 2. x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing No. 2. x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing No. 2:

  • There is damage to Paved Crossing No. 2

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Paved Crossing No. 2. x

  • There are chipped laybacks

  • Laybacks chipped at Paved Crossing No. 2. x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing No. 2. x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing No. 2. x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing No. 2. x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing No. 2. x

  • Other damage

  • Irregular damage to Paved Crossing No. 2:

  • There is damage to Concrete Crossing

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at concrete crossing x

  • There are chipped laybacks

  • Laybacks chipped at concrete crossing x

  • There are lifted laybacks

  • Laybacks lifted at concrete crossing x

  • There are depressed laybacks

  • Laybacks depressed at concrete crossing x

  • There is further damage to the layback

  • Irregular damage to laybacks at concrete crossing:

  • There is damage to the infill bays

  • There are cracked infill bays

  • Infill bay/s cracked at concrete crossing x

  • There are chipped infill bays

  • Infill bay/s chipped at concrete crossing x

  • There are lifted infill bays

  • Infill bay/s lifted at concrete crossing x

  • There are depressed infill bays

  • Infill bay/s depressed at concrete crossing x

  • There is further damage to the infill bays

  • Irregular damage to infill bay/s at crossing:

  • There is damage to Paved Crossing

  • There is damage to the laybacks

  • There are cracked laybacks

  • Laybacks cracked at Pram Crossing x

  • There are chipped laybacks

  • Laybacks chipped at Pram Crossing x

  • There is damage to the paved area

  • Pavers are cracked

  • Pavers cracked at Paved Crossing x

  • Pavers are chipped

  • Pavers chipped in Paved Crossing x

  • Pavers are lifted

  • Pavers lifted in Paved Crossing x

  • Pavers are depressed

  • Pavers depressed in Paved Crossing x

  • Other damage

  • Irregular damage to pavers in Paved Crossing:

  • There is damage to Pram Crossing

  • There are cracked sections of Pram Crossing

  • Sections cracked at Pram Crossing x

  • There are chipped sections of Pram Crossing

  • Sections chipped at Pram Crossing x

  • There are lifted sections of Pram Crossing

  • Sections lifted at Pram Crossing x

  • There are depressed sections of Pram Crossing

  • Sections depressed at Pram Crossing x

  • There is further damage to the pram crossing

  • Irregular damage to Pram Crossing:

  • There is damaged footpath/s in front of the property

  • The damaged footpath is concrete

  • There are damaged 100mm thick footpath bays

  • There are cracked 100mm bays

  • 100mm thick concrete footpath bays cracked x

  • There are chipped 100mm bays

  • 100mm thick concrete footpath bays chipped x

  • There are lifted 100mm bays

  • 100mm thick concrete footpath bays lifted x

  • There are depressed 100mm bays

  • 100mm thick concrete footpath bays depressed x

  • There are further damages to 100mm bays

  • Irregular damage to 100mm concrete footpath bays:

  • There are damaged 125mm thick concrete footpath bays

  • There are cracked 125mm bays

  • 125mm thick concrete footpath bays cracked x

  • There are chipped 125mm bays

  • 125mm thick concrete footpath bays chipped x

  • There are lifted 125mm bays

  • 125mm thick concrete footpath bays lifted x

  • There are depressed 125mm bays

  • 125mm thick concrete footpath bays lifted x

  • There is further damage to 125mm bays

  • Irregular damage to 125mm concrete footpath bays:

  • The damaged footpath is a shared usage asphalt path

  • Damage to the asphalt shared usage path:

  • There is damage to off street parking in front of the property

  • Off street parking bays

  • There are cracked bays in the off street parking

  • Off street parking bays cracked x

  • There are chipped bays in off street parking

  • Off street parking bays chipped x

  • There are lifted bays within off street parking

  • Off street parking bays lifted x

  • There are depressed bays within off street parking

  • Off street parking bays depressed x

  • There are off street parking bays with other irregular damage

  • Irregular damage to off street parking bays:

  • Damage to Concrete rollover kerb within off street parking

  • There are cracked sections of kerbing

  • Sections of concrete rollover kerb cracked within off street parking x

  • There are chipped sections of kerbing

  • Sections of concrete rollover kerb chipped within off street parking x

  • There are lifted sections of kerbing

  • Sections of concrete rollover kerb lifted within off street parking x

  • There are depressed sections of kerbing

  • Sections of concrete rollover kerb depressed within off street parking x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete rollover kerb within off street parking:

  • Damage to Concrete kerb and channel within off street parking

  • There are cracked sections of kerbing

  • Sections of concrete kerb and channel cracked within off street parking x

  • There are chipped sections of kerbing

  • Sections of concrete kerb and channel chipped within off street parking x

  • There are lifted sections of kerbing

  • Sections of concrete kerb and channel lifted within off street parking x

  • There are depressed sections of kerbing

  • Sections of concrete kerb and channel depressed within off street parking x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete kerb and channel within off street parking:

  • Damage to Concrete plinth within off street parking

  • There are cracked sections of concrete plinth

  • Sections of concrete plinth cracked within off street parking x

  • There are chipped sections of concrete plinth

  • Sections of concrete plinth chipped within off street parking x

  • There are lifted sections of concrete plinth

  • Sections of concrete plinth lifted within off street parking x

  • There are depressed sections of concrete plinth

  • Sections of concrete plinth depressed within off street parking x

  • There are sections of concrete plinth with other types of damage

  • Irregular damage to concrete plinth within off street parking:

  • There is damage to kerbing in front of the property

  • Concrete kerb and channel

  • There are cracked sections of concrete kerb and channel

  • Cracked sections of concrete kerb and channel x

  • There are chipped sections of concrete kerb and channel

  • Chipped sections of concrete kerb and channel x

  • There are lifted sections of kerbing

  • Lifted sections of concrete kerb and channel x

  • There are depressed sections of kerbing

  • Depressed sections of concrete kerb and channel x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete kerb and channel x

  • Concrete rollover kerb

  • There are cracked sections of kerbing

  • Sections of concrete rollover kerb cracked x

  • There are chipped sections of kerbing

  • Sections of concrete rollover kerb chipped x

  • There are lifted sections of kerbing

  • Sections of concrete rollover kerb lifted x

  • There are depressed sections of kerbing

  • Sections of concrete rollover kerb depressed x

  • There are sections of kerbing with other types of damage

  • Irregular damage to concrete rollover kerb:

  • There is significant damage to the nature strip

  • The nature strip is in need of levelling, top soil and seed.

  • Nature strip requires levelling, top soil and seed.🚫🚫🚫

  • There is damage to the nature strip, requiring further attention than soil and seeding.

  • Damage to the nature strip:

  • There have been illegal alterations to the nature strip

  • Illegal crossing extension

  • Material used and approximate width of illegal crossing extension:

  • Illegal erection of Basketball Ring or other permanent structure

  • Illegal structure in the nature strip:

  • Illegal planting in a nature strip

  • Illegal planting in the nature strip:

  • Other type of illegal alteration to nature strip

  • Description of irregular and illegal alterations to a nature strip:

  • There are damaged pits in front of the property.

  • Side Entry Pit/s

  • Number of damaged Side Entry Pits:

  • Damage to the pit surround

  • 1 x side entry pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x side entry pit lid

  • damaged by:

  • Damage to lintel

  • 1 x side entry pit lintel

  • damaged by:

  • Damage to multiple side entry pits:

  • Junction Pit/s

  • Number of damaged Junction Pits

  • Damage to multiple junction pits:

  • Damage to the pit surround

  • 1 x junction pit surround

  • damaged by

  • Damage to pit lid

  • 1 x junction pit lid

  • damaged by

  • Telephone Pit

  • Number of damaged Telephone Pits

  • Damage to multiple telephone pits:

  • Damage to the pit surround

  • 1 x telephone pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x telephone pit lid

  • damaged by:

  • Electricity Pit

  • Number of damaged Electricity Pits

  • Damage to multiple electricity pits:

  • Damage to the pit surround

  • 1 x electricity pit surround

  • damaged by:

  • Damage to pit lid

  • 1 x electricity pit lid

  • damaged by:

  • Sewer Pit

  • Number of damaged Sewer Pits

  • Damage to multiple sewer pits:

  • 1 x sewer pit surround

  • damaged by:

  • 1x sewer pit lid

  • damaged by:

  • Unclassified Pit

  • Number of damaged Unclassified Pits:

  • Damage to multiple unclassified pits:

  • 1 x unclassified pit surround

  • damaged by:

  • 1 x unclassified pit lid

  • damaged by:

  • There are damaged drains in front of the property

  • The footpath edge or nature strip contains a damaged Concrete Spoon Drain

  • Damage to the concrete spoon drain:

  • damaged by:

  • There is damage to a constructed Swale drain that fronts the property

  • Damage to a constructed Swale drain:

  • damage by:

Further Evidence Relevant to any claims made above.

  • I would like to include further notes describing any damage

  • Supporting Notes:

  • I would like to include a photo to support the claims above

  • Supporting Photos:

  • I would like to draw a sketch to support the claims above

  • Supporting sketch:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.