B.W. Watermain - End of Maintenance Period Audit

• Document No.

• Project No.

• Project Name

• Site Details

• Conducted on

  Date

• Prepared by

• Drawings

• Date for end of maintenance period

  Date

• Valves

Checked Valve

Valve Checked

• Valve location?

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

  C

  NC

  NA
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• Reason for NC:

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

  C

  NC

  NA
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• Reason for NC:

• C. Cover level with surrounding surface & centered?

  C

  NC

  NA
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• Reason for NC:

• D. Markers installed if required?

  C

  NC

  NA
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• Reason for NC:

• E. Is 3rd party damage or works likely to be the cause of any issues?

  Yes

  No

  Partial
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• Specific Comments:

• Comments.....

• Photos.....

  Media

• Fire Plugs

Checked Fire Plug

Fire Plug Checked

• Fire plug location?

• A. Cover to top of lugs 100-200mm?

  C

  NC

  NA
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• Reason for NC:

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

  C

  NC

  NA
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• Reason for NC:

• C. Cover level with surrounding surface & centered?

  C

  NC

  NA
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• Reason for NC:

• D. Road reflective marker installed?

  C

  NC

  NA
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• Reason for NC:

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

  C

  NC

  NA
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• Reason for NC:

• F. Is 3rd party damage or works likely to be the cause of any issues?

  Yes

  No

  Partial
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• Specific Comments:

• Comments.....

• Photos.....

  Media

• Trench Settlement Observed?

  No

  Yes
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• Trench Settlement

Trench Settlement Observation

Trench Settlement Observation

• Observation Location?

• For this location what is the worst case depth of trench settlement (m)?

• For this location what is the approximate length of trench settlement (m)?

• Specific Comments.....

• Photos.....

  Media

• General Comments.....

Trench Reinstatement

• Trench reinstatement is satisfactory?

  C

  NC

  NA
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• Reason for NC:

• Photos:

  Media

Site cleanup & demobilisation

• Site cleanup & demobilisation is complete?

  C

  NC

  NA
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• Reason for NC:

• Photos:

  Media

• Other Observations

Observation

Other Site Observation

• Comments.....

• Photos.....

  Media