Project Information
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Document No.
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Part No.
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Revision No.
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Client Name
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Project Name
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Inspection Started
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Prepared by
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Location
Test Details
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Drawings Supplied
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Drawing Number
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Drawing Revision
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Drawing Date
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Drawing Approval RPEQ
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Specifications Required
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Structures to be Tested
Structure
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Structure Identification Details
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Actual Depth?
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Structure Diameter
- 900mm diameter
- 1050mm diameter
- 1200mm diameter
- 1350mm diameter
- 1500mm diameter
- 1800mm diameter
- 2100mm diameter
- 2400mm diameter
- 3000mm diameter
- 3600mm diameter
- 4000mm diameter
- Square
- Rectangular
- Other
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Actual Dimentions?
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Is the Structure Covered?
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Start Time
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Structure Water Level Outside Ruler
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Evaporation Pan Water Level Outside Ruler
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 1
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 2
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 3
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 4
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 5
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 6
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Day 7
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Start Time
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Structure Water Level Outside Ruler
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Day 1
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Day 2
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Day 3
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Day 4
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Day 5
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Day 6
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Day 7
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Structures to be Tested
Structure
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Structure Identification Details
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Actual Depth?
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Is the Structure Covered?
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Start Time
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Structure Water Level Outside Ruler
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Evaporation Pan Water Level Outside Ruler
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Complete Test
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Completion Time
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Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Evaporation Pan Water Level Outside Ruler
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Water Level Drop from Previous Day
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Weather
- Clear
- Scattered Cloud
- Heavy Cloud
- Light Showers
- Rain
- Heavy Rain
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Start Time
-
Structure Water Level Outside Ruler
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Complete Test
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Completion Time
-
Structure Water Level Outside Ruler
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Water Level Drop from Previous Day
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Structure Diameter
- 900mm diameter
- 1050mm diameter
- 1200mm diameter
- 1350mm diameter
- 1500mm diameter
- 1800mm diameter
- 2100mm diameter
- 2400mm diameter
- 3000mm diameter
- 3600mm diameter
- 4000mm diameter
- Square
- Rectangular
- Other
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Actual Dimentions?
Test Procedure
Confirm Project Information
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Structures to be inspected and their details
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Testing specification requirements
Initial Work Area Inspection
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Is test area barricaded off or sufficiently delineated?
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Is traffic control established?
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Has a Confined Space Risk Assessment & Entry Permit been completed?
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Has a Safe Work Method Statement been completed and all control measures followed?
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Is the confined space equipment and procedures set up as per the Risk Assessment & Entry Permit conditions followed?
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Structure lid removed and placed at a safe distance from the entry point
Inspection Steps
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Equipment checked and in good working order
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Insert plugs into structure inlets with extendable pole if possible
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Inflate plugs and add support as per manufacturer's specifications
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Place level across structure access hole and measure from the middle of the underside of level to top of water level using a hard ruler
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If applicable, set up and record evaporation pan and complete test as per the same procedure
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Observe water level for time specified in specifications and record result
Disassemble Steps
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Pump or release water from structure, release pressure from plugs and carefully retrieve plugs out of structure
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Replace structure lid, remove barricading and return all items to test unit
Final Demobilisation
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Notify client of result and to contact TestX office to arrange further testing or reports
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Inspector's remarks
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Photo of work area and inspected structures
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I declare that the inspection procedure was followed in accordance with the nominated specifications
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Inspection Completed
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Report Issue Date