Luke Joseph

Drainage Asset Assessment - Channel

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Conducted on
Prepared by
Location
Asset ID
undefined

Asset Information

Street
Suburb
Asset Type
Between
Direction of Flow
Left Start Depth
Left Start Top Width
Left Start Bottom Width
Left End Depth
Left End Top Width
Left End Bottom Width
Right Start Depth
Right Start Top Width
Right Start Bottom Width
Right End Depth
Right End Top Width
Right End Bottom Width
Material
- Concrete
- Unlined
- Vegetated
- Gravel/soil
Defects Present
- Overgrown Vegetation
- Blockage
- Maintenance Required
- Spalling and Cracks
- Corrosion
- Erosion Around Asset
- Other
Observation comments
Structural Score
- 0
- 1
- 2
- 3
- 4
- 5
Serviceability Score
- 0
- 1
- 2
- 3
- 4
- 5
Recommendation
Recommendation Details
Images of Asset

Luke Joseph

Drainage Asset Assessment - Channel

Use this Template

Print as PDF

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.