Man Holes

  • Site

  • Description

  • Prepared by

  • Sub Contractor / Self-Delivery

  • Sub Contractor

  • Location

  • Drawing Reference

Work Item

Preparation

  • Date

  • Setting out correct

  • Base level correct

  • Testing requirements understood

  • Materials correct to specification

  • Method Statement/Risk Assessment In place

Application

  • Date

  • Base rings set in base concrete correctly

  • Inlets correct

  • Main rings, reducers, step irons, etc., correct

  • Brickwork type, quality, workmanship correct

  • Cover slab level correct

  • Position of access opening correct

  • Cover load type

  • Benching accurate and tidy

  • Testing complete and passed

  • Inspected by Building Inspector

Final Inspection

  • All areas complete for final inspection

  • Notification of Inspection raised

  • Approved for commencement of next Trade

Remarks

  • undefined

Final Sign Off

Name & Signature

  • For Brims -

  • For Client

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.