Title Page
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Site conducted
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Project:
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Client
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Checklist no.
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Inspection by:
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Date/Time
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Section
- Lake
- Wetlands
- Cascades
- Tip Area
- Helipad Field
- Stables Fields
- G3 South
- G3 North
- EWC1
- EWC2
- Service Yard
- Marquee Field
- Road 1
- Road 2
- Road 3
- Road 4
- Road 5
- Road 6
- Road 7
- River
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Element of Works:
- Pump Main
- Irrigation Main
- Irrigation Spur
- Mains Feed
- Borehole Feed
- Services
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Show Plan of Works
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INSPECTION STAGE
1: Setting out for Excavation
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Setting out checked
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Checked by:
2: Installation
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Installation Type
- Mole Plough
- Directional Drill
- Open Trench
- Chain Trench
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Has the minimum depth been checked and how :
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Checked by
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
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Signed:
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Date:
3: Pipe Size
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Confirm pipe size
- 15mm
- 20mm
- 25mm
- 32mm
- 40mm
- 50mm
- 63mm
- 90mm
- 110mm
- 125mm
- 160mm
- 180mm
- 200mm
- 225mm
- 250mm
- 315mm
- Dripline
4: Pipe Type
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Confirm Type
- MDPE
- LDPE
- HDPE
- CAST IRON
- DUCTILE IRON
- STEEL
- Copper
4: Jointing Method
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Confirm Jointing Type
- Compression Fitting
- Electrofusion Fitting
- Butt Fusion
- Threaded
- Spigot
- Flange
3: Pipe Bedding or Backfill Depth & Type
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Confirm Specification
- Selected Excavated Material
- Sand
- As Dug Sand
- Stabilised Material
- Straight Backfill
- Bed & Surround
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Materials
- As Dug Sand
- Selected Subsoil
- Stabilised Subsoil
- Type 1
- Concrete
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Checked by:
- Barry Pace
- Colin Henley
- Graham Humphries
- Jamie Ormerod
- Jim Price
- Rob Van Thuren
- Jack OLeary
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Signed:
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Date
4: Line & Depth of Pipe
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Are Line and depth correct
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Checked by:
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Have adjustments had to be made due to obstructions or site features
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What has caused change to line or depth
- Main Site Feature - Road/Wall/Building
- Levels do not work
- Inverts not achievable
- Services in way
- Tree or Landscape
- Buried Obstruction
- Ground Conditions
5: Testing
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Is testing required, if so type:
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Test:
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Checked by:
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Has the fault been located
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What remedial works is required
6: Backfill & Compaction
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Are suitable materials used
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Checked by:
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Signed:
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Date:
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What action is required
- Remove and Replace
- Monitor for improvement
7: Marker Blocks, Tapes and Location Posts
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Are specified markers in position
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Checked by:
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Signed:
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Date:
8: Final Inspection & Testing
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Final Inspection & Testing Completed
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Inspection Type (To be established from Specification)
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Undertaken by:
9: As-Built Plans
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Survey taken
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As Built Plan for section checked
Final Pipework Section Approval MJA
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All works to section completed to design & specification
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Comments
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Completed by:
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Signed:
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Date:
Final Sign Approval by CR
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All works completed to design & specification
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Comments:
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Completed by:
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Signed:
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Date:
