Inspection Test Plan - Trench Drains

• Rail Section Number- Audit Title

• Document No.

• Document Completed On

  Date

Location

• System

  Select Blackwater Moura Goonyella Newlands North Coast Queensland Rail

  • Blackwater
  • Moura
  • Goonyella
  • Newlands
  • North Coast
  • Queensland Rail
• Add location
  Address

• Section

  Select Central West Far West North Coast Other Abbot Point - Kaili Aldoga - East End Annandale - Boundary Hill Bajool - CQ Saltworks Bethania - Beaudesert Blackwater - Laleham Mine Callide Coal Fields

  • Central West
  • Far West
  • North Coast
  • Other
  • Abbot Point - Kaili
  • Aldoga - East End
  • Annandale - Boundary Hill
  • Bajool - CQ Saltworks
  • Bethania - Beaudesert
  • Blackwater - Laleham Mine
  • Callide Coal Fields

• Road

  Select Up Road Down Road Loop Siding Main Other

  • Up Road
  • Down Road
  • Loop
  • Siding
  • Main
  • Other

• LHS or RHS (facing in the increasing chainage)

  Left Hand Side

  Right Hand Side

• Chainage

Inspection Test Plan - Trench Drains

• Photo of Worksite before works started

  Media

• Photo of Trench Drain dug

  Media

• Photo of Geo Fab installed in the Trench Drain

  Media

• Photo of Ballast installed in Trench Drain

  Media

• Photo of Ballast covered by Geo Fab

  Media

• Photo of Trench Drain covered

  Media

• Photo of exit of Trench Drain

  Media

• Photo of Completed Trench Drain

  Media

Reported By

• Name

  Select Milton Moon Anthony Taylor Mic Sauer Peter White Wayne Sherrington Oliver Hill Mat Dingle Harry Vyas Other

  • Milton Moon
  • Anthony Taylor
  • Mic Sauer
  • Peter White
  • Wayne Sherrington
  • Oliver Hill
  • Mat Dingle
  • Harry Vyas
  • Other

• Name

• Designation

  Superintendent

  Supervisor

  Team Leader

  Team Member

  Other

• Enter Designation

• Select date

  Date

• Add signature

  Sign