Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Team Number Responsible-Last on site.
Local Authority Defect Inspection report
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Please add job reference number
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Local Authority Highways dept
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Please select highway authority from drop down list
- 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.
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Please state defect inspection type, i.e routine sample etc.
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Is defect agreed?
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Date Time:
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Highways Representative Name:
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Highways Representative Signature.
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Eltel-UK Representative Signature.
If defect is agreed please continue to following sections, use the space after each section for additional information.
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Please select defected surface
- Verge
- Footway
- Footpath
- Carriageway
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Please select defected material type
- 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
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Please take pictures of defect
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are pin kerbs or Road Kerbs required?
- Pin Kerb
- Road Kerb
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How many kerbs are required and what type? i.e pin kerb square/round etc.
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Please take pictures of damaged kerbs.
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Additional Info
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Responsible Gang or reinstater.
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Please add name of gang members or reinstaters causing defect.
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Additional Info.
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Is Traffic Management Required above Chapter 8?
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Traffic Management info.
- Stop n Go
- 2 Way Lights
- 3 Way Lights
- 4 Way Lights
- Full T.M
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Please take pics of junctions, roundabouts etc. and add any special works instructions.
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Pictures of Junctions, Roundabouts etc.
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Additional Info.
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Eltel-UK representative signature
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Highways inspector, is all info regarding the defect covered in this report?
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Highways inspector/ representative please sign below and select date and time
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Select date
Process Document
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This document should now be emailed to Adam Ritchie adam.ritchie@eltel-uk.info and Chris Briggs chris.briggs@eltel-uk.info so that any remedial works can be programmed. Or the defect can be actioned accepted/rescinded/rejected