Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Major Culvert #

  • Select date

  • Photo 1 - Upstream Face

  • Photo 2 - Downstream Face

  • Photo 3 - Approach From North/West

  • Photo 4 - Approach From South/East

ROADWAY

  • Are any signs missing, damaged or obscured

  • Is the ID marker missing, damaged or obscured

  • Is there any damage to guardrail including end terminals<br>

  • Is there any damage to delineators

  • Is the road side drainage outfall to waterway blocked, scoured or eroded

  • Have the road approaches settled or depressed

  • Have the road approaches got visible crocodile cracking or potholes

STRUCTURE

ENDWALLS

  • Is there cracking evident on endwalls

  • Is there exposed reinforcement on end walls

  • Is there separation between culvert and endwalls

  • Is there erosion and scour evident around the end walls

CULVERT

  • Is there cracking evident on segments

  • Is there exposed reinforcement on segments

  • Is there separation between segments

  • Is there shape deformation of the segments

WATERWAY

  • Is there debris built up on upstream side of structure

  • Is there erosion and scour evident in the waterway bed

  • Is there erosion and scour evident in waterway embankment

  • Is there vegetation causing damage to structure or obstructing the waterway

Inspection Team Summary

  • General Notes

  • Is a further level 2 inspection required

  • Add signature

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