Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Customer Request No:-
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Address:-
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Inspected by:-
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Date:-
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Context of the Issue
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Type of Infrastructure
- Footpath
- Kerb & Channel
- Road Surface
- Stormwater Infrastructure
- Retaining Wall
- Utility
- Vegetation
- other
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Community Asset
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Community or Private Land
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Condition of Asset
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Pedestrian Use of Verge
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Likelihood
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Consequence
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Overall Risk Assessment
- Low-4
- Low-8
- Low-12
- Low-16
- Low-20
- Low-24
- Moderate-28
- Moderate-32
- Moderate-36
- Moderate-40
- Moderate-44
- Moderate-48
- Moderate-52
- High-56
- High-60
- High-64
- High-68
- High-72
- High-76
- High-80
- Extreme-84
- Extreme-88
- Extreme-92
- Extreme-96
- Extreme-100
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Comments
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Photos
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Outcome
