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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JOB TYPE
- GRAVITY SEWER REPAIR
- RISING MAIN REPAIR
- RELINE
- INTERCEPTOR
- NRV
- COVER AND FRAME
- CONSTRUCT/REBUILD MANHOLE
- INTERNAL REPAIR TO MANHOLE
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SUPPLIER
- R&K
- MSN
- UKDN
- GALLAGHERS
- JS DRAINAGE
- ONSITE
- LANES
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NAME OF GANG MEMBERS
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ADDRESS OF JOB
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PROPERTY NAME/NUMBER
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STREET/ROAD NAME
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TOWN/CITY
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POSTCODE
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PRIORITY OF WORKS
- PRIORITY 1
- PRIORITY 2
- PRIORITY 3
- PRIORITY 4
- PRIORITY 5
- PRIORITY 6
- PRIORITY 7
- PRIORITY 8
- PRIORITY 9
- PRIORITY A
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DATE
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START TIME
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FINISH TIME
DETAILS OF WORK (CLOSING DIMENSIONS)
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HIGHWAY
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LENGTH
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WIDTH
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DEPTH
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HIGHWAY
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LENGTH
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WIDTH
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DEPTH
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FOOTPATH
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LENGTH
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WIDTH
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DEPTH
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FOOTPATH
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LENGTH
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WIDTH
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DEPTH
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VERGE/FIELD
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LENGTH
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WIDTH
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DEPTH
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VERGE/FIELD
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LENGTH
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WIDTH
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DEPTH
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GARDEN
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LENGTH
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WIDTH
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DEPTH
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GARDEN
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LENGTH
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WIDTH
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DEPTH
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ROAD TYPE
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SURFACE TYPE
- 10mm SMA
- 14mm SMA
- 8mm BITMAC
- 10mm BITMAC
- HRA
- ANTISKID REQUIRED
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TRAFFIC MANAGEMENT
- 2 WAY LIGHTS
- 3 WAY LIGHTS
- 4 WAY LIGHTS
- STOP & GO
- LANE CLOSURE
- ROAD CLOSURE
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PIPE SIZE
- 80mm
- 100mm
- 150mm
- 225mm
- 300mm
- 375mm
- 450mm
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PIPE MATERIAL
- CLAY
- CONCRETE
- MDPE/HDPE
- PVC
- DUCTILE IRON
- STEEL
- FIBRE GLASS
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INTERCEPTOR REMOVAL
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REINSTATEMENT STATUS
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MANHOLE COVER AND FRAME
MATERIALS USED ON JOB
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SAND
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CEMENT
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QSM
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BRICKS
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OVERBANDING
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WHITE LINES
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YELLOW LINES
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TYPE 1 STONE
AREA CONTACT DETAILS
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DERBYSHIRE
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ANGELA COOK, 01332683465, acook@maygurney.co.uk
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NOTTINGHAMSHIRE
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KAMRA FAROOQ, 01332683334, kfarooq@maygurney.co.uk
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HANNAH O'BRIAN, 01332683072, Hobrian@maygurney.co.uk
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LEICESTERSHIRE
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ONKAR SINGH, 01332683371, osingh@maygurney.co.uk
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JULIE HAYE, 01332683192, jhaye@maygurney.co.uk
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WARWICKSHIRE
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ALICE RUSSELL, 01332683702, arussell@maygurney.co.uk
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PAUL TOPPLEY, 01332683702, ptoppley@maygurney.co.uk
START/STOP DETAILS
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SITE START TIME
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SITE STOP TIME
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GRID REFFERENCES
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PERSON TAKING INFORMATION
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PERSON TAKING INFORMATION
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SUPERVISORS SIGNATURES
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DATE