Project: 8089 M80 Ring Road Upgrade

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date & Time of audit

  Date

• Works inspected:

  Electrical pit & pipe

  Communication pit & pipe

• OSP picture

  Media

• Work performed by:

• Seperation

  Select A B C D E F G

  • A
  • B
  • C
  • D
  • E
  • F
  • G

Checklist results key:

• NW - Not Witnessed

• UA - Un-Assessable

• S - Satisfactory

• NS - Not Satisfactory

Asbuilds and alignment information

• As build & alignment information provided

  Yes

  No

  N/A

• Evidence of certification by other parties

  Yes

  No

  N/A

• VicRoads Rep

  Sign

• Visionstream Rep

  Sign

Communication Pit

• All pit entries have spigots correctly fitted to ensure no sharp edges on the entry of each conduit

  Yes

  No

  N/A

• Conduits shall only enter and exit communications pits from the end walls and not from the side walls or floor of the pits

  Yes

  No

  N/A

• Lowest point of conduits entering or exiting pits shall be no less than 100mm above the floor of the pit

  Yes

  No

  N/A

• The centerline of conduits entering and exiting pits shall not have vertical difference of more than 50mm

  Yes

  No

  N/A

• Cross members installed

  Yes

  No

  N/A

• Pit sides NOT buckled or squashed

  Yes

  No

  N/A

• Pits are clean and free of debris

  Yes

  No

  N/A

• Width of concrete apron : 200mm and Depth with Rebar: 200mm

  Yes

  No

  N/A

• Pit set horizontally (level) / above ground around it / shoring where necessary

  Yes

  No

  N/A

• Work site left cleaned and tidy

  Yes

  No

  N/A

• Blue/Yellow communication grade rope has been installed and s continuous through conduit network

  Yes

  No

  N/A

• Cable pit lids shall be VicRoads type approved, indelibly, labelled both "VicRoads" and "Electrical", "Communication" or "Traffic Signals" as appropriate in accordance with VicRoads Standard Drawing TC 1220

  Yes

  No

  N/A

• VicRoads Rep

  Sign

• Visionstream Rep

  Sign

Power Pit

• Distance from top of the pit and top of the pipe to be between 500mm and 700mm

  Yes

  No

  N/A

• Distance from bottom of the pipe to crushed rock to be 100mm or more

  Yes

  No

  N/A

• Blue/Yellow communication grade rope has been installed and s continuous through conduit network

  Yes

  No

  N/A

• Pits are clean and free of debris

  Yes

  No

  N/A

• Width of concrete apron : 200mm and Depth with Rebar: 200mm

  Yes

  No

  N/A

• Pit set horizontally (level) / above ground around it / shoring where necessary

  Yes

  No

  N/A

• Accessibility of the pit in respect of the road

  Yes

  No

  N/A

• Work site left clean, tidy and safe

  Yes

  No

  N/A

• Cable pit lids shall be VicRoads type approved, indelibly, labelled both "VicRoads" and "Electrical", "Communication" or "Traffic Signals" as appropriate in accordance with VicRoads Standard Drawing TC 1220

  Yes

  No

  N/A

• VicRoads Rep

  Sign

• Visionstream Rep

  Sign

Pipe

• As per the standard of the Governing Body, where conduit is installed using the trenching method, approved PVC marker tape shall be installed 300mm below the ground level. The marker tape shall be minimum of 75mm in width and fitted with at least two (2) trace wires. At least two meters of each trace wire shall be anchored to the left neatly coiled within each pit.

  Yes

  No

  N/A

• As per the standard of the Governing Body, internal bearer 2 pair telephone cable (drop wire) shall be drawn through all conduits installed by the boring method. At least two meters of the internal bearer telephone cable shall be anchored to and left neatly coiled in each access pit.

  Yes

  No

  N/A

• VicRoads Rep

  Sign

• Visionstream Rep

  Sign

General findings:

Recommendations:

Specific findings:

• Type of asset:

  Electrical pit & pipe

  Communication pit & pipe

• Passed:

  Yes

  No

  N/A

Sign-off

• Select date

  Date

• Attendees:

• Report prepared by:

• Issued to:

• VicRoads Rep

  Sign

• Visionstream Rep

  Sign