CONDITION ASSESSMENT - STORMWATER ASSETS

• Document No.

• Audit Title

• Client / Site:

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

CONDITION ASSESSMENT

• Location:
  Address

• Date:

  Date

• Asset ID

• Asset type

  Select Pit Pipe Open drain Stormwater area GPT (SQID) End structure

  • Pit
  • Pipe
  • Open drain
  • Stormwater area
  • GPT (SQID)
  • End structure

• Inspection method

  Select CCTV Visual Camera Assumed

  • CCTV
  • Visual
  • Camera
  • Assumed

INSPECTION DETAILS

Defects / Issues

• Have any defects / issues been found

Defect / issues

• Photo of defect / issue:

  Media
• Add location
  Address

• Description of defect / issue:

• Timeframe to rectify?

  Prior to issue of SC

  During defects period

  Monitor only

  Refer to other for review

  ASAP (safety)

• Provide details for referral:

General notes

• Inspection notes

• General photographs

  Media

• Does the Stormwater infrastructure require CCTV'ing?

  Yes

  No

  N/A

FINALISATION

• Add signature

  Sign