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

  • Watermain Contractor

  • Is this an AoW or EDLP inspection?

  • Tap to enter information

Valves

  • Checked Valve

  • Valve
  • Valve Location?

  • Depth from cover to top of spindle to be between 100-350mm?

  • 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

  • Cover level with surrounding surface & centered?

  • Tap to enter information
  • Reason for being non-compliant

  • Markers installed if required?

  • Tap to enter information
  • Reason for being non-compliant

  • Comments...

  • Photos...

Hydrants

  • Checked Hydrant

  • Hydrant
  • Hydrant Location

  • Cover to top of lugs 100-200mm?

  • 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

  • Cover level with surrounding surface & centered?

  • Tap to enter information
  • Reason for being non-compliant

  • Road reflective marker installed?

  • Tap to enter information
  • Reason for being non-compliant

  • Marker posts installed, height and vertical ok?

  • Tap to enter information
  • Reason for being non-compliant

  • Comments...

  • Photos...

Property Service

  • Checked Property Service

  • Service
  • Service Location?

  • Stop tap depth 300-600mm?

  • Tap to enter information
  • Reason for being non-compliant

  • Stop tap embedded in sand?

  • Tap to enter information
  • Reason for being non-compliant

  • Stop tap covered by hat?

  • Tap to enter information
  • Reason for being non-compliant

  • Above ground marker installed?

  • Tap to enter information
  • Reason for being non-compliant

  • Tie distances confirmed?

  • 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

  • Watermain has passed pressure testing and water quality 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

Watermain is Operational

  • All valves are open and flow confirmed from relevant hydrants?

  • Tap to enter information
  • Reason for being non-compliant

Other Observations

    Observation
  • Comments...

  • Photos...

  • Tap to enter information

Valves

  • Checked Valve

  • Valve
  • Valve location

  • Depth from cover to top of spindle to be between 100-350mm?

  • 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

  • Cover level with surrounding surface & centered?

  • Tap to enter information
  • Reason for being non-compliant

  • Markers installed if required?

  • 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...

Hydrants

  • Checked Hydrant

  • Hydrant
  • Hydrant Location

  • Cover to top of lugs 100-200mm?

  • 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

  • Cover level with surrounding surface & centered?

  • Tap to enter information
  • Reason for being non-compliant

  • Road reflective marker installed?

  • Tap to enter information
  • Reason for being non-compliant

  • Marker posts installed, height and vertical ok?

  • 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

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