Title Page
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Site conducted
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Conducted on
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Prepared by (Enter First name and Surname)
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Location
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Supervisor
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Crew
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Shift
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Today's Safety Focus is:
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I AM FIT FOR WORK ACCORDING TO NBG GUIDELINES
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Sign Inspection Sheet
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D6 Dam Drawings and Information
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D6 Site Plan
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D6 Dam Diversion Site Plan
D6 Dam Main Embankment
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Are you on Dayshift?
Embankment
Photos from Crest and Spillway Access
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Position 1 Upstream embankment
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Add media
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Position 3 Downstream embankment
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Add media
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Position 4 Downstream embankment
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Add media
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Position 7 Upstream embankment
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Add media
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Position 9
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Add media
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Position 11- crest
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Add media
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Position 12- downstream embankment
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Add media
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Position 13 spillway
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Add media
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Position 14 spillway
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Add media
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Position 19 spillway
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Add media
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Position 20 spillway
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Add media
Photos From Bottom Bench
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Position 21- LH side of embankment
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Add media
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Position 22 LH side of wall- wetspot.
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Add media
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Upstream Liner
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Is there any damage to the liner?
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Is there any slumping under the liner?
Seepage
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Is there evidence of Seepage observed?
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Evidence of Seepage
Location
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Enter Time and Date Seepage Identified
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Locate the Area of Seepage
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Take Photo/s of the area
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Is the seepage clear?
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Contacted RDA Supervisor
Erosion
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Is there evidence of Erosion observed?
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Evidence of Erosion
Location
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Enter Time and Date Erosion Identified
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Locate the Area of Erosion
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Take Photo/s of the area
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Contacted RDA Supervisor
Cracking
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Is there evidence of Cracking observed?
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Evidence of Cracking
Location
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Enter Time and Date Cracking Identified
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Locate the Area of Cracking
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Take Photo/s of the area
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Contacted RDA Supervisor
D6 Diversion Embankment
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Are you on dayshift?
Embankment
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Example 1
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Add media
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Example 2
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Add media
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Example 3
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Add media
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Example 4
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Add media
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Seepage
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Is there evidence of Seepage observed?
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Evidence of Seepage
Location
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Enter Time and Date Seepage Identified
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Locate the Area of Seepage
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Take Photo/s of the area
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Is the seepage clear?
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Contacted RDA Supervisor
Erosion
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Is there evidence of Erosion observed?
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Evidence of Erosion
Location
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Enter Time and Date Erosion Identified
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Locate the Area of Erosion
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Take Photo/s of the area
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Contacted RDA Supervisor
Cracking
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Is there evidence of Cracking observed?
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Evidence of Cracking
Location
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Enter Time and Date Cracking Identified
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Locate the Area of Cracking
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Take Photo/s of the area
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Contacted RDA Supervisor
D6 Pump Station
Pumps
Electric Transfer Pumps
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D6 Transfer pumps operating.
- PPC-001
- PPC-002
- PPC-003
- No pumps Operating
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Line Pressure(kpa)
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Any unusual noises from pumps?
Issue
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Description of Issue
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Photo of Issue
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Raise MN and inform Supervisor
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Any Leaks in the pipework or vacuum breakers
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Issue
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Description of Issue
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Photo of Issue
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Raise MN and inform Supervisor
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Is the Pump Station operating as expected?
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Discussed issues with Supervisor
D6 Seepage pump station
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Is seepage pond below maximum level?
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Check pump operation
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Are pump 418-PPU-001 & 418-PPU-002 in auto and healthy?
Issue
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Description of issue
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Photo of issue
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Raise MN and inform supervisor
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Any leaks in the pipework ?
Issue
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Description of issue
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Photo of issue
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Raise MN and inform supervisor
Water level
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Is a life ring in place, stored off the ground and with a retrieval rope in good condition?
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Alert supervisor and arrange for replacement immediately
Water Level
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Record the Gauge Boards Water Level
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Take a Photo of the Gauge Boards
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Are the Gauge Boards in good condition?
Issue Identified
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Comment on Issue
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Action taken on resolving issue
Was the Inspection able to be completed?
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Was the Inspection able to be completed?
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Please Select a Reason
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Comment on why inspection was not completed