Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Team Number Responsible-Last on site.

Local Authority Defect Inspection report

  • Please add job reference number

  • undefined

Local Authority Highways dept

  • Please select highway authority from drop down list

Is defect agreed or rejected.

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

  • undefined

  • Is defect agreed?

  • Date Time:

  • Highways Representative Name:

  • Highways Representative Signature.

  • Eltel-UK Representative Signature.

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

  • Please select defected surface

  • Please select defected material type

  • Please take pictures of defect

  • are pin kerbs or Road Kerbs required?

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

  • undefined

  • Please take pictures of damaged kerbs.

  • Additional Info

  • undefined

Responsible Gang or reinstater.

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

  • undefined

  • undefined

  • undefined

  • undefined

  • Additional Info.

  • undefined

Is Traffic Management Required above Chapter 8?

  • Traffic Management info.

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

  • Pictures of Junctions, Roundabouts etc.

  • Additional Info.

  • undefined

  • Eltel-UK representative signature

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

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

  • Select date

Process Document

  • 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 Or the defect can be actioned accepted/rescinded/rejected

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