Information
C&RT Culvert Clean & Inspection Contract
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Conducted on
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Culvert Name / Number
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Functional Location
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Waterway?
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Region
- East Midlands
- London
- Manchester & Pennine
- North East
- North West
- South East
- West Midlands
- North Wales & Borders
- Central Shires
- other
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Please name other region.
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Prepared by
Works detail
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Grid reference / Postcode
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GPS location
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Type of works
- CCTV
- Cleaning
- Relinine
- Other
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Silt sample required?
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Number of men required for task
Inlet Structure
Culvert inlet
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Photo of Inlet structure
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Comments
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Photo of Watercourse upstream from inlet
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Comments
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Inlet found?
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Height (mm)
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Width (mm)
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Water depth (mm)
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Material
- Masonry
- Brick
- Concrete
- VC
- Cast iron
- Timber
- PVC
- Other
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If other please detail
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Shape
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Type
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Vegetation clearance required?
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Assumed silt level?
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Land access payment?
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Additional notes
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Overhead services
Outlet structure
Culvert outlet
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Photo of outlet structure
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Comments
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Photo of watercourse downstream from outlet
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Comments
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Outlet found ?
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Height (mm)
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Width (mm)
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Water depth (mm)
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Material
- Masonry
- Brick
- Concrete
- VC
- Cast iron
- Timber
- PVC
- Other
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If other please detail
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Shape
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Type
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Vegetation clearance required?
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Assumed silt level?
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Land access payment ?
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Additional notes
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Overhead services
Additional photographs
Additional photos
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Additional photo 1
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Note
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Additional photo 2
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Note
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Additional photo 3
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Note
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Additional photo 4
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Note
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Additional photo 5
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Note
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Additional photo 6
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Notes
Pollution & environmental control
Identified Hazards, Environmental & pollution control
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Damming required
- Sand bags
- Fabric dams
- Trench sheet
- Piled dams
- Water filled dams
- Not required
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Pollution controls
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Details of other environmental hazards identified
Sign off
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Other comments ( minor works , observations etc
