Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Last Inspection conducted

  • Prepared by

  • Location
  • Inspection party

  • Add member
  • Name

  • Position

  • Company

Operational Status at time of inspection

  • Dam Details

    Bundaleer Details.png
  • Consequence Category

  • Storage Level Gauge board (m), FSL=18.7

  • Storage Level mAHD, FSL = 295.01

  • Water in Storage ML, capacity at FSL = 6,370

  • release via spillway

  • Other Comments

  • Photos

  • Sketch

Conditions at time of inspection

  • Weather

  • Estimated Max Temperature degrees celsius

  • Sky

  • Wind

  • Rain

  • Days since last rain

  • Other Comments

  • Photos

  • Sketch

Dam Safety Management

  • O&M Manual on Site

  • O&M Manual Reviewed

  • Dam Safety Emergency Plan on Site

  • Dam Safety Emergency Plan reviewed

  • Drawings on site

  • Operator Knowledge

  • Operator training

  • Other Comments

  • Photos

  • Sketches

Crest

  • Cracks

  • Vegetation

  • Sink Holes

  • Subsidence

  • Overtopping

  • Wheel ruts

  • Other observations

  • Take photos of any deficiencies found on crest

  • Sketch

Downstream Face

  • Cracks

  • Slips

  • Erosion

  • Vegetation

  • Animal Activity

  • Bulges

  • Subsidence

  • Seepage

  • Other deficiencies/comments for the downstream face

  • Photos

  • Sketch

Upstream Face

  • Cracks

  • Slips

  • Erosion

  • Vegetation

  • Subsidence

  • Animal Activity

  • Bulges

  • Wave Effects

  • Rock Facing

  • Take photos of any deficiencies found on upstream face

  • Other deficiencies/comments for the upstream face

Abutments

  • Cracks

  • Slips

  • Erosion

  • Vegetation

  • Subsidence

  • Seepage

  • Take any photos of abutment observations

  • Other deficiencies/comments for abutments

Area Downstream of Dam

  • Seepage

  • Subsidence

  • Bulges

  • French Drain

  • Comments

  • Photos

  • Sketch

Spillway

  • Concrete ribbon wall

  • Upstream approach

  • Downstream channel

  • Vegetation

  • Erosion

  • Other comments

  • Photos

  • Sketch

Outlet tunnel

  • Concrete lining

  • Leakage

  • Pipework

  • Tunnel portal

  • Outlet cutting

  • Scour

  • Outfall

  • Security

  • Other comments

  • Photos

  • Sketch

Outlet Tower

  • Internal walls

  • Leakage

  • Pipework

  • Valves

  • Inlet screens

Internal access

  • Platform 1 (Bottom)

  • Platform 2 (Middle)

  • Platform 3 (Top)

  • Roof platform

  • Other Internal access

  • Security

  • Superstructure

  • Crane

  • Other comments

  • Photos

  • Sketch

Outlet Works Operation

  • Valve Schematic

    valve schematic Dec 2017.jpg
  • Top valve BU1 (EL287.95 mAHD) status

  • Top Valve BU1 (EL287.95 mAHD) tested

  • Top Valve BU1 (EL287.95 mAHD) last tested

  • Top Valve BU1 (EL287.95 mAHD) test satisfactory

  • Other comments

  • Photos

  • Lower valve BU2 (EL281.98 mAHD) status

  • Lower valve BU2 (EL281.98 mAHD) tested

  • Lower valve BU2 (EL281.98 mAHD) last tested

  • Lower valve BU2 (EL281.98 mAHD) test satisfactory

  • Other comments

  • Photos

  • Double Gate Valve BU3 (EL276.46 mAHD) status

  • Double Gate Valve BU3 (EL276.46 mAHD) tested

  • Double Gate Valve BU3 (EL276.46 mAHD) last tested

  • Double Gate Valve BU3 (EL276.46 mAHD) test satisfactory

  • Other comments

  • Photos

  • Bundaleer trunk main guard valve (BU4) status

  • Bundaleer trunk main guard valve (BU4) tested

  • Bundaleer trunk main guard valve (BU4) last tested

  • Bundaleer trunk main guard valve (BU4) test satisfactory

  • Other comments

  • Photos

  • Scour valve BU5 status

  • Scour valve BU5 tested

  • Scour valve BU5 last tested

  • Scour valve BU5 test satisfactory

  • Comments

  • Photos

  • Pressure relief isolating valve BU6 status

  • Pressure relief isolating valve BU6 tested

  • Pressure relief isolating valve BU6 last tested

  • Pressure relief isolating valve BU6 test satisfactory

  • Comments

  • Photos

  • Overall comments

  • Overall photos

Inlet Works

Bundaleer Weir

  • Crest

  • Downstream face

  • Upstream face

  • Abutment blocks

  • Area downstream

  • Outlet gates

  • Outlet screen

  • Scour valve

  • Bundaleer channel

  • Bundaleer aqueduct

  • Comments

  • Photos

Freshwater creek Weir

  • Crest

  • Downstream face

  • Upstream face

  • Abutment blocks

  • Outlet works

  • Channel

  • Comments

  • Photos

Broughton Weir

  • Crest

  • Downstream face

  • Upstream face

  • Abutment blocks

  • Outlet works

  • Channel

  • Scour Valve

  • Comments

  • Photos

  • Other comments

  • Photos

  • Sketch

Access to Dam

  • Right Abutment

  • Left abutment

  • Other access to dam notes

  • Sketch

  • Access to dam photos

Reservoir

  • Landslips around rim

  • Boat Ramp

  • Other comments

  • Sketch

  • Photos

Communications

  • Telemetry

  • Telephones

  • Radios

  • Other comments

  • Sketch

  • Photos

Power Supply

  • Normal

  • Standby

  • Other comments

  • Sketch

  • Photos

Instrumentation

  • Pnuematic piezometers

  • Vibrating Wire piezos

  • Standpipes

  • Survey System

  • Seepage collection

  • Other comments

  • Photos

  • Sketch

Surveillance

  • Consequence Category

  • Rainfall

  • Rainfall observation frequency meets ANCOLD guidelines

  • Storage Level

  • Storage Level Observation frequency meets ANCOLD guidelines

  • Seepage

  • Seepage Observation frequency meets ANCOLD guidelines

  • Seepage Analysis

  • Seepage Analysis observation frequency meets ANCOLD guidelines

  • Pore Water Pressure

  • Pore water pressure observation frequency meets ANCOLD guidelines

  • Surface Displacement

  • Surface Displacement observation frequency meets ANCOLD guidelines

  • Internal displacement

  • Internal displacement observation frequency meets ANCOLD guidelines

  • Seismological

  • Seismological observation frequency meets ANCOLD guidelines

  • Telemetry

  • Telemetry observation frequency meets ANCOLD guidelines

  • Visual Inspections

  • Visual Inspection observation frequency meets ANCOLD guidelines

  • Other comments

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.