Information
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Location
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What is the Work Order number?
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What is the Scheme number?
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What is the GIS identification number?
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What is the Valve number?
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What is the Valve type?
- Air Valve
- Isolation Valve
- Scour Valve
- Actuated Valve
- Dead End Valve
- Flow Control Valve
- Hydrant Valve
- Non-return Valve
- Pressure Reduction Valve
- Reticulation Valve
- Surge Relief Valve
- Buried
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Person conducting inspection
- Peter Bradley
- Todd Anderson
- Aaron Lauina
- Jamie Cordery
- Stephanie Gall
- Ashley White
- Jeremy Poihipi
- Nicholai Robin
- Ryan Renata
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Date and time inspection conducted
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When was the inspection completed?
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Is this a return visit by a Thiess Services team member?
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Is access to inspect possible?
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Was a traffic permit required?
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Was traffic control on site out of hours?
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How many traffic control people were on site?
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How many hours was traffic control on site?
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Docket number
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Were bolts replaced?
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How many bolts were replaced?
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Did you need to dewater the pits prior to entry?
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Did you require an additional person for confined space entry?
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Is a CM required?
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Extra comments
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All information in the form has been completed and is accurate to the best of my knowledge
