Downer - Reseal Review & Signoff

WDC Alliance Reseal Review & Signoff Form

• Road Name:

• Date Site Sealed:

  Date

• Sealed by:

  Downer - Wanganui

  Downer - NP

  Downer - HB

  Higgins

  Other

• Company:

General

• Loose chip evident?

  No

  Yes

• Line Marking Complete?

  Yes

  No

  N/A

• Signage Removed?

  No

  Yes

Sealing Quality

• Any Stripping?

  No

  Yes

• Any Flushing?

  No

  Yes

• Sealed to marked limits?

  No

  Yes

Seal Selection

• 2 Coat Appropriate?

  Yes

  No

• Reasons

  Select Traffic volume Alignment High Stress Other

  • Traffic volume
  • Alignment
  • High Stress
  • Other

• Other reason:

• Single Coat Appropriate

  Yes

  No

• Reasons

  Select Traffic volume Alignment High Stress Other

  • Traffic volume
  • Alignment
  • High Stress
  • Other

• Other reason:

• Rack Appropriate

  Yes

  No

• Reasons

  Select Traffic volume Alignment High Stress Other

  • Traffic volume
  • Alignment
  • High Stress
  • Other

• Other reason:

• AC Appropriate

  Yes

  No

• Reasons

  Select Traffic volume Alignment High Stress Other

  • Traffic volume
  • Alignment
  • High Stress
  • Other

• Other reason:

General Comments

Auditor Details

• Signature:

  Sign

• Date:

  Date