Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Water Authority Validation Officer present?
Tap to enter information
-
Personnel
Site overview
-
Inspection carried out the following time
-
Select date
-
Principal Contractor
-
Sewermain Contractor
-
Is this an AoW or EDLP inspection?
Tap to enter information
MH's
-
MH Checked
Checked MH
-
MH No.
-
Distance from cover to top rung 600mm maximum.
Tap to enter information
-
Reason for being non-compliant
-
Class D cover in road reserve, class B cover in lots and reserves
Tap to enter information
-
Reason for being non-compliant
-
Bolt down cover provided if required.
Tap to enter information
-
Reason for being non-compliant
-
Cover level with surrounding surface
Tap to enter information
-
Reason for being non-compliant
-
Internal finish to MH good. Channel clean and free flowing. MH joint flush and no seals exposed/hanging. No ground water seepage.
Tap to enter information
-
Reason for being non-compliant
-
Inlet & outlet pipes finished flush with internal wall
Tap to enter information
-
Reason for being non-compliant
-
Comments...
-
Photos...
MS/IS
-
Checked MS/IS
MS/IS
-
MS/IS No.
-
Distance from cover to top of screw cap 100-150mm
Tap to enter information
-
Reason for being non-compliant
-
Class D cover in road reserve, class B cover in lots and reserves
Tap to enter information
-
Reason for being non-compliant
-
Cover stable & level with surrounding surface & centered
Tap to enter information
-
Reason for being non-compliant
-
Shroud central, not damaged, no gap under cover.
Tap to enter information
-
Reason for being non-compliant
-
Comments...
-
Photos...
Property Connections
-
Checked Property Connection
Connection
-
Connection Location?
-
Tie distance confirmed
Tap to enter information
-
Reason for being non-compliant
-
Marker peg and tape installed
Tap to enter information
-
Reason for being non-compliant
-
Comments...
-
Photos...
Trenches & Reinstatement
-
Trenches filled, level & reinstated satisfactorily?
Tap to enter information
-
Reason for being non-compliant
Site Demobilisation
-
Contractor has fully demobilised from site?
Tap to enter information
-
Reason for being non-compliant
Site Cleanup
-
Site is clean?
Tap to enter information
-
Reason for being non-compliant
Asset Commissioning
-
Sewermain has passed compliance testing?
Tap to enter information
-
Reason for being non-compliant
Abandoned Assets
-
Abandoned assets have been left as noted on the drawings?
Tap to enter information
-
Reason for being non-compliant
Sewermain is Operational
-
All works have been finalised and all temporary plugs have been removed?
Tap to enter information
-
Reason for being non-compliant
Other Observations
-
Observation
-
Comments...
-
Photos...
Tap to enter information
MH's
-
MH Checked
Checked MH
-
MH No.
-
Cover level with surrounding surface. No settlement.
Tap to enter information
-
Reason for being non-compliant
-
No damage to cover or surround.
Tap to enter information
-
Reason for being non-compliant
-
Cover & surround seal to MH chamber/taper intact.
Tap to enter information
-
Reason for being non-compliant
-
No debris in channel and not holding water
Tap to enter information
-
Reason for being non-compliant
-
Is 3rd party damage or works likely to be the cause of any issues
Tap to enter information
-
Reason for being non-compliant
-
Comments...
-
Photos...
MS/IS
-
Checked MS/IS
MS/IS
-
MS/IS No.
-
Cover stable & level with surrounding surface. No settlement.
Tap to enter information
-
Reason for being non-compliant
-
Shroud central, not damaged, no gap under cover?
Tap to enter information
-
Reason for being non-compliant
-
No damage to cover or surround.
Tap to enter information
-
Reason for being non-compliant
-
Distance from cover to top of screw cap between 100-150mm.
Tap to enter information
-
Reason for being non-compliant
-
Is 3rd party damage or works likely to be the cause of any issues?
Tap to enter information
-
Reason for being non-compliant
-
Comments...
-
Photos...
Trench Reinstatement
-
Trench reinstatement is satisfactory?
Tap to enter information
-
Reason for being non-compliant
Site cleanup & demobilisation
-
Site cleanup & demobilisation is complete?
Tap to enter information
-
Reason for being non-compliant
Other Observations
-
Observation
-
Comments...
-
Photos...
Summary
-
Other Comments...
-
Other Photos...
-
Safety Advisor
-
Site Representative
-
I confirm that all actions highlighted within this report have been completed
