Hen - SF13 - Pre Street-inspection Defect Form

• Civil Contract pre-inspection been carried out on

  City Fibre

  Virgin Media

  BAU - CF

  VM - PIA

• Supervisor Name

  Select Marlon Brown Dave Bagley Daniel Laycock Steven Hewkin Andrew Siddons Jamie Ayrton Des Rogan Jonathan Kelly Gary Handley Phil Edgell John Walsh John Whitehead Rob Austin Chris Gunn Sean Delaney Kevin Murphy

  • Marlon Brown
  • Dave Bagley
  • Daniel Laycock
  • Steven Hewkin
  • Andrew Siddons
  • Jamie Ayrton
  • Des Rogan
  • Jonathan Kelly
  • Gary Handley
  • Phil Edgell
  • John Walsh
  • John Whitehead
  • Rob Austin
  • Chris Gunn
  • Sean Delaney
  • Kevin Murphy
• Location
  Address

• Street Name

• Conducted on

  Date

• Build Area

  Select

Street Pre-Inspection Defect Form

• Please state Starting Point i.e House Number or land Mark.

• Please select Surface Type i.e Tarmac, Verge, Blocks, Flags, Concrete or Other

  Select Tarmac Verge Flags Block Paving Concrete Other

  • Tarmac
  • Verge
  • Flags
  • Block Paving
  • Concrete
  • Other

• Please give Total distance of the pre-inspection area

• Please take Photo of the pre-inspection area from start to finish more than one can be taken

  Media

• Please state Finnish Point Point i.e House Number or land Mark.

• Please Give as much Information required about Pre-inspection i.e Damage flag count, tarmac condition + any other information required.

• Do you require to complete a Defect form part 2

  Yes

  No

• Please state Starting Point i.e House Number or land Mark.

• Please select Surface Type i.e Tarmac, Verge, Blocks, Flags, Concrete or Other

  Select Tarmac Verge Flags Block Paving Concrete Other

  • Tarmac
  • Verge
  • Flags
  • Block Paving
  • Concrete
  • Other

• Please give Total distance of the pre-inspection area

• Please take Photo of the pre-inspection area from start to finish more than one can be taken

  Media

• Please state Finnish Point Point i.e House Number or land Mark.

• Please Give as much Information required about Pre-inspection i.e Damage flag count, tarmac condition + any other information required.

• Do you require to complete a Defect form part 3

  Yes

  No

• Please state Starting Point i.e House Number or land Mark.

• Please select Surface Type i.e Tarmac, Verge, Blocks, Flags, Concrete or Other

  Select Tarmac Verge Flags Block Paving Concrete Other

  • Tarmac
  • Verge
  • Flags
  • Block Paving
  • Concrete
  • Other

• Please give Total distance of the pre-inspection area

• Please take Photo of the pre-inspection area from start to finish more than one can be taken

  Media

• Please state Finnish Point Point i.e House Number or land Mark.

• Please Give as much Information required about Pre-inspection i.e Damage flag count, tarmac condition + any other information required.

Conclusion

• As all Relevant Information been added to the report

  Yes