Information

  • Document No.

  • Project No.

  • Project Name

  • Site Details

  • Conducted on

  • Prepared by

  • Drawings

Valves

  • Valves

  • Checked Valve

Valve Checked

  • Valve location?

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

  • Tap to enter information
  • Reason for NC:

  • B. Shroud central, not damaged, no gap under cover?

  • Tap to enter information
  • Reason for NC:

  • C. Cover level with surrounding surface & centered?

  • Tap to enter information
  • Reason for NC:

  • D. Markers installed if required?

  • Tap to enter information
  • Reason for NC:

  • Comments.....

  • Photos.....

Fire Plugs

  • Fire Plugs

  • Checked Fire Plug

Fire Plug Checked

  • Fire plug location?

  • A. Cover to top of lugs 100-200mm?

  • Tap to enter information
  • Reason for NC:

  • B. Shroud central, not damaged, no gap under cover?

  • Tap to enter information
  • Reason for NC:

  • C. Cover level with surrounding surface & centered?

  • Tap to enter information
  • Reason for NC:

  • D. Road reflective marker installed?

  • Tap to enter information
  • Reason for NC:

  • E. Marker post installed, height & vertical ok?

  • Tap to enter information
  • Reason for NC:

  • Comments.....

  • Photos.....

Property Services

  • Property Services

  • Checked Property Service

Property Service Checked

  • Service location?

  • A. Stop tap depth 300-600mm?

  • Tap to enter information
  • Reason for NC:

  • B. Stop tap embedded in sand?

  • Tap to enter information
  • Reason for NC:

  • C. Stop tap covered by pot?

  • Tap to enter information
  • Reason for NC:

  • D. Above ground marker installed?

  • Tap to enter information
  • Reason for NC:

  • E. Tie distance confirmed?

  • Tap to enter information
  • Reason for NC:

  • Comments.....

  • Photos.....

General Observations

Trenches & Reinstatement

  • Trenches filled, level & reinstated satisfactorily?

  • Tap to enter information
  • Reason for NC:

  • Photos:

Site Demobilisation

  • Contractor has fully demobilised from site?

  • Tap to enter information
  • Reason for NC:

  • Photos:

Site Cleanup

  • Site is clean?

  • Tap to enter information
  • Reason for NC:

  • Photos:

Asset Commissioning

  • Watermain has passed pressure testing and has been dissinfected?

  • Tap to enter information
  • Reason for NC:

Abandoned Assets

  • Abandoned assets have been left as noted on the drawings?

  • Tap to enter information
  • Reason for NC:

  • Photos:

Watermain is Operational

  • All valves are open and flow confirmed from relevant fire plugs?

  • Tap to enter information
  • Reason for NC:

Other Observations

  • Other Observations

  • Observation

Other Site Observation

  • Comments.....

  • Photos.....

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