Gully Audit

• Gully Round No.

• Road Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Gang Name

• Site Photo

  Yes

  No

  N/A

Quality Inspection

• Are all gully pots cleaned to the required standard?

  Yes

  No

  N/A

• Do the gullies match the inventory?

  Yes

  No

  N/A

• Does the claimed amount match the cleaned total?

  Yes

  No

  N/A

• Auditor Signature

  Sign