Title Page

  • GW Reference No:

  • Location

  • Conducted on

  • Location
  • Personnel

Sewer

  • Is Sewer to be audited?

  • MH
  • Structure name

  • Cover level with surrounding FSL

  • Cover is accessible

  • Other

  • Photos

  • MS/TMS
  • Structure name

  • Cover level with surrounding FSL (hasn't dropped onto the riser)

  • Cover is accessible

  • Shroud central and not damaged

  • Other

  • Photos

  • Trenches &/or subsidence
  • Trenches filled & level

  • Other

  • Photos

Water

  • Is water to be audited?

  • Fire Plugs

  • Fire plug
  • Location

  • Cover level with surrounding FSL & central

  • Fire plug central

  • Marker post installed

  • Road reflector installed

  • Triangle painted on road facing hydrant

  • Other

  • Photos

  • Stop Valves

  • SV
  • Location

  • Cover level with surrounding FSL & centred

  • Spindle central

  • Shroud central & not damaged

  • Marker post (if required)

  • Photos

  • Other

  • Trenches &/or Subsidence

  • Trenches &/or subsidence
  • Trenches filled & level

  • Other

  • Photos

  • Washout Box

  • Washout box
  • Location

  • Box level with FSL

  • Ferrule accessible

  • Other

  • Photos

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