OnSite - CRT/Kier Site Visit

• Survey date

  Date

• Weather

  Dry

  Drizzle

  Rain

  Heavy Rain

• Team Leader

• Project Number

• Culvert Name/Number

• Functional Location Code

• Name of Canal

• Nearest Address (GPS)
  Address

• Nearest Post Code

• No Lock/Bridge within 500m of site

• Nearest Lock/Bridge name

• Lock/Bridge reference number

• Distance to survey site

• Location photo(s)

  Media

Survey Details

• Unable to locate

• Water feed into culvert

  None

  Low

  Medium

  High

• Culvert type

  Gravity Fed

  Siphonic

• Overall length (inlet to outlet) (m)

• Confirm camera set at exterior headwall

Pre-clean measurements

• Length surveyed from inlet (m)

• Completed?

• Survey abandon reason

  Select Collapse Obstruction Roots Silt Siphonic Water level

  • Collapse
  • Obstruction
  • Roots
  • Silt
  • Siphonic
  • Water level

• Length surveyed from outlet (m)

• Completed?

• Survey abandon reason

  Select Collapse Obstruction Roots Silt Siphonic Water level

  • Collapse
  • Obstruction
  • Roots
  • Silt
  • Siphonic
  • Water level

• No jetting carried out

Post-clean measurements

• Length surveyed from inlet (m)

• Completed?

• Survey abandon reason

  Select Collapse Obstruction Roots Silt Siphonic Water level

  • Collapse
  • Obstruction
  • Roots
  • Silt
  • Siphonic
  • Water level

• Length surveyed from inlet (m)

• Completed?

• Survey abandon reason

  Select Collapse Obstruction Roots Silt Siphonic Water level

  • Collapse
  • Obstruction
  • Roots
  • Silt
  • Siphonic
  • Water level

• Survey method

  No dam or pump required

  Dam & pond water

  Dam & pond & de-water

  Dam & overpump & de-water

Inlet Headwall

• No inlet headwall

• Height (mm)

• Width (mm)

• Thickness (mm)

• Arch ring thickness (mm)

• Number of skins in arch ring

• Embankment height (mm)

• Distance to towpath (mm)

• Distance to offside edge (mm)

• Inlet headwall

  Media

Outlet Headwall

• No outlet headwall

• Height (mm)

• Width (mm)

• Thickness (mm)

• Arch ring thickness (mm)

• Number of skins in arch ring

• Embankment height (mm)

• Distance to towpath (mm)

• Distance to offside edge (mm)

• Outlet headwall

  Media

Edge Protection

• Edge protection type

• Edge protection location

• Edge protection photo(s)

  Media

• Additional comments

Inlet side

• Height (mm)

• Width (mm)

• Material

  Select Brick Cast Iron Plastic Stone (MAR) VC Concrete Unknown/Other

  • Brick
  • Cast Iron
  • Plastic
  • Stone (MAR)
  • VC
  • Concrete
  • Unknown/Other

• Other material description/comments

• Culvert (inlet)

  Media

Outlet side

• Height (mm)

• Width (mm)

• Material

  Select Brick Cast Iron Plastic Stone (MAR) VC Concrete Unknown/Other

  • Brick
  • Cast Iron
  • Plastic
  • Stone (MAR)
  • VC
  • Concrete
  • Unknown/Other

• Other material description/comments

• Culvert (outlet)

  Media

Construction

• Main material of construction

  Select Brick Cast Iron Plastic Stone (MAR) VC Concrete Unknown/Other

  • Brick
  • Cast Iron
  • Plastic
  • Stone (MAR)
  • VC
  • Concrete
  • Unknown/Other

Towpath

• Canal towpath material

  Select Earth Grass Gravel Paved Tarmac Unknown/Other

  • Earth
  • Grass
  • Gravel
  • Paved
  • Tarmac
  • Unknown/Other

• Other material description/comments

• Canal towpath edge material

  Select Natural Bank Concrete Channel Concrete Pile Sheet Pile Wood Pile Unknown/Other

  • Natural Bank
  • Concrete Channel
  • Concrete Pile
  • Sheet Pile
  • Wood Pile
  • Unknown/Other

• Canal freeboard (towpath) (mm)

Offside

• Canal offside edge material

  Select Natural Bank Concrete Channel Concrete Pile Sheet Pile Wood Pile Unknown/Other

  • Natural Bank
  • Concrete Channel
  • Concrete Pile
  • Sheet Pile
  • Wood Pile
  • Unknown/Other

• Other material description/comments

Dimensions

• Canal Width (m)

• Canal (max) Depth (mm)

• Manhole Details

Manhole

Manhole Location

• Location
  Address

• Area Photo(s)

  Media

Cover Dimensions

• Height (mm)

• Width (mm)

Shaft Dimensions

• Height (mm)

• Width (mm)

• Depth (mm)

• Shaft Material

Chamber Dimensions

• Height (mm)

• Weight (mm)

• Depth (mm)

Invert Dimensions

• Invert (mm)

Inlet Side

• Name

• Address
  Address

• Contact Number

Outlet Side

• Name

• Address
  Address

• Contact Number

• Sketch x-section (with measurements)

  Drawing

• Towpath on Inlet Side

• Towpath on Outlet Side