Mains Extension

• Name of Project

• Maximo No.

• MEA Approved

  Date

• Conducted on

  Date
• Location
  Address

• Prepared by

  Select Glen L Paul B

  • Glen L
  • Paul B

Site

• Bill board photo

  Media

• Approximate Gas requirement date

  Date

1.0 - Site Visit

• Enter Stage of Works

Stage of Works

• JSA Number

• Stage of Development

  Select Vacant Land Site Cut Road Base Trenching underway

  • Vacant Land
  • Site Cut
  • Road Base
  • Trenching underway

• Conducted on

  Date

• Add media

  Media

Contacts

Site Contact details

• Name

• Position

• Phone / Email

• Water Contractor

  Select Tunney and Houlihan abc CBD Eng hij other

  • Tunney and Houlihan
  • abc
  • CBD
  • Eng
  • hij
  • other

• Contractors Name and details

• Is contractor Gas qualified

  Yes

  No

Crossing Details

• Railway Crossing

  Yes

  No

• Railway Details

• Add media

  Media

• Date design requested

  Date

• 1.4 - Drain Crossing

  Yes

  No

  N/A

• Add media

  Media

• Drain Details

• Date design requested

  Date

• 1.4 - Misc Crossing

  Yes

  No

  N/A

• Type of Crossing

• Add media

  Media

• Crossing Details

• Date design requested

  Date

• 1.4 - Misc Crossing

  Yes

  No

  N/A

• Type of Crossing

• Add media

  Media

• Crossing Details

• Date design requested

  Date

Misc Details

• 1.4 - Property line definition required

  Yes

  No

  N/A

• Add media

  Media

• Property Line Details

• Date design requested

  Date

• 1.4 - Easement Details

  Yes

  No

  N/A

• Add media

  Media

• Easement Details

• Date design requested

  Date

• 1.4 - Flora Details eg trees, plants, grasses

  Yes

  No

  N/A

• Add media

  Media

• Flora Details

• Date design requested

  Date

• 1.4 - Fauna Details eg Birds, animals, reptiles

  Yes

  No

  N/A

• Add media

  Media

• Fauna Details

• Date design requested

  Date

• 1.4. Native Settlement

  Yes

  No

  N/A

• Add media

  Media

• Native Settlement Details

• Date design requested

  Date

• 1.4. Contaminated Soils

  Yes

  No

  N/A

• Contacted soil details are required. Need to contact ....?... For additional details

• Add media

  Media

• Contaminated Soil Details

• 1.4. Miscellaneous

  Yes

  No

  N/A

• Add media

  Media

• Miscellaneous Details

• Date design requested

  Date

Tie in details

Add Tie in details

• Tie in location

• Add drawing

  Drawing

• Add media

  Media

Check consultants plans

• Does project involve a new estate

  Yes

  No

• All lots covered

  Yes

  No

• Offset table approved

  Yes

  No

• Construction plan similar to approved plan of Subdivision

  Yes

  No

• Is mains length greater than 10 % diff

  Yes

  No

• Has mains extension officer approved difference

  Yes

  No

• Service Road Crossing Conduits provided where required

  Yes

  No

Relevant details provided to Draftsperson

• Offset table

  Yes

  No

• Mains Construction method provided eg in conjunction with Road Construction

  Yes

  No

• AutoCad road construction drawings

  Yes

  No

• Mains size and Material<br>

  Yes

  No

• Bill of materials

  Yes

  No

• Single Trench, Common Trench, Conduit and Bore

  Yes

  No

• Tie in details

  Yes

  No

• Partial Gas Services

  Yes

  No

• Marker Post Details

  Yes

  No

  N/A

• Special approvals eg Vic Roads, GasNet

  Yes

  No

  N/A

• Special warnings eg GasNet

  Yes

  No

  N/A

• Marker Post Details

  Yes

  No

  N/A

Finish

• Auditors signature

  Sign