Defect Inspection report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Local Authority Defect Inspection report

• Please add job reference number

Local Authority Highways dept

• Please select highway authority from drop down list

  Select Northumberland Newcastle Sunderland Durham North Durham South Darlington Hartlepool Middlesbrough Redcar and Cleveland North Yorkshire North Yorkshire (Starbeck) York City Leeds North Yorkshire (Scarborough)

  • Northumberland
  • Newcastle
  • Sunderland
  • Durham North
  • Durham South
  • Darlington
  • Hartlepool
  • Middlesbrough
  • Redcar and Cleveland
  • North Yorkshire
  • North Yorkshire (Starbeck)
  • York City
  • Leeds
  • North Yorkshire (Scarborough)

Is defect agreed or rejected.

• Please state defect inspection type, i.e routine sample etc.

• Is defect agreed?

  Yes

  No

  N/A

• Select date

  Date

• Highways Representative Signature.

  Sign

• Eltel-UK Representative Signature.

  Sign

If defect is agreed please continue to following sections, use the space after each section for additional information.

• Please select defected surface

  Select Verge Footway Footpath Carriageway

  • Verge
  • Footway
  • Footpath
  • Carriageway

• Please select defected material type

  Select unsurfaced grass/ verge Footway flags Footway Tarmac 6mm Black Footway Tarmac 6mm Red Carriageway 10mm Black Carriageway 10mm Red anti skid red anti skid green anti skid buff HRA Black Chips HRA Red Chips SMA 14mm SMA 10mm Concrete Plain Concrete Brushed Concrete Stippled

  • unsurfaced
  • grass/ verge
  • Footway flags
  • Footway Tarmac 6mm Black
  • Footway Tarmac 6mm Red
  • Carriageway 10mm Black
  • Carriageway 10mm Red
  • anti skid red
  • anti skid green
  • anti skid buff
  • HRA Black Chips
  • HRA Red Chips
  • SMA 14mm
  • SMA 10mm
  • Concrete Plain
  • Concrete Brushed
  • Concrete Stippled

• Please take pictures of defect

  Media

• are pin kerbs or Road Kerbs required?

  Select Pin Kerb Road Kerb

  • Pin Kerb
  • Road Kerb

• How many kerbs are required and what type? i.e pin kerb square/round etc.

• Please take pictures of damaged kerbs.

  Media

• Additional Info

Responsible Gang or reinstater.

• Please add name of gang members or reinstaters causing defect.

• Additional Info.

Is Traffic Management Required above Chapter 8?

• Traffic Management info.

  Select Stop n Go 2 Way Lights 3 Way Lights 4 Way Lights Full T.M

  • Stop n Go
  • 2 Way Lights
  • 3 Way Lights
  • 4 Way Lights
  • Full T.M

• Please take pics of junctions, roundabouts etc. and add any special works instructions.

• Pictures of Junctions, Roundabouts etc.

  Media

• Additional Info.

• Eltel-UK representative signature

  Sign

• Highways inspector, is all info regarding the defect covered in this report?

  Yes

  No

  N/A

• Highways inspector/ representative please sign below and select date and time

  Sign

• Select date

  Date