Reseal Inspection Sheet

• Audit Title

• Road
  Address
• Start Location
  Address
• Finish Location
  Address

• Prepared by

• Conducted on

  Date

Block Description

• Road ID

• Block ID

• Extents of work

Road Condition

• Rating

  Treatment not required at this stage

  Treatment within 3 years

  Treatment within 2 years

  Treatment within 1 year

  Treatment within 1 year w. job collaboration

• Cross Fall

  Excessive

  Moderate

  Poor

• Rideability

  Good

  Poor

  Very Poor

• Surface Texture (Sand Patch Test)

• Comments

Treatment

• Select Treatment Type

  Select Asphalt Overlay Chip Seal Rejuvenation Treatment Mill & Fill Rehab Required No Treatment Required

  • Asphalt Overlay
  • Chip Seal
  • Rejuvenation Treatment
  • Mill & Fill
  • Rehab Required
  • No Treatment Required

• Asphalt Type

  BCC2

  DG14

• Rejuvenation Treatment

  Light

  Medium

  Heavy

Measurements

• Length of Road (m)

• Width of Road (m)

• Variable Width (Cul-de-sac, Turn Out, Parking Lane, etc)

  Yes

  No

  N/A

• Edge Plane (m)

Driveways

• Enter House Number(s)

• Photo of Problem Driveway(s)

  Media

Road Sketch

• Sketch Road and Defect Locations (Pavement, Drainage, Other, Etc)

  Drawing

• Photo of sketch of Road and Defect Locations

  Media

Works Required (non pavement failure)

• Arborist Required

  Yes

  No

  N/A

• Weed Spraying Required

  Yes

  No

  N/A

• Traffic Calming Device (Only if removal is required for treatment)

  Yes

  No

  N/A

• Special Line Marking (Yellow Lines, Green Bicycle Lanes, Bicycle Symbols, etc)

  Yes

  No

  N/A

• Special Line Marking (measurement and treatment type)

• Shoulder Work

• Traffic Light Loops (Number)

• Service Lids to be Raised (number)

Road Failures 1

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 2

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 3

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 4

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 5

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 6

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 7

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 8

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 9

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 10

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Road Failures 11

• Type of Failure

  Select Croc Cracking Block Cracking Longitudinal /Transverse Cracking Delamination Patch Failure Isolated Depressions Pavement Pumping Potholes Rutting Shoving

  • Croc Cracking
  • Block Cracking
  • Longitudinal /Transverse Cracking
  • Delamination
  • Patch Failure
  • Isolated Depressions
  • Pavement Pumping
  • Potholes
  • Rutting
  • Shoving

• Area (m2)

• Photo of Failure

  Media

Drainage Works 1

• Type of Drainage Works Required

  Select K&C Grate Lintel & Grate Lintel, Grate & Pit Table Drains Other

  • K&C
  • Grate
  • Lintel & Grate
  • Lintel, Grate & Pit
  • Table Drains
  • Other

• Length (m) or Description of Other

• Photo of Drainage Works

  Media

Drainage Works 2

• Type of Drainage Works Required

  Select K&C Grate Lintel & Grate Lintel, Grate & Pit Table Drains Other

  • K&C
  • Grate
  • Lintel & Grate
  • Lintel, Grate & Pit
  • Table Drains
  • Other

• Length (m) or Description of Other

• Photo of Drainage Works

  Media

Drainage Works 3

• Type of Drainage Works Required

  Select K&C Grate Lintel & Grate Lintel, Grate & Pit Table Drains Other

  • K&C
  • Grate
  • Lintel & Grate
  • Lintel, Grate & Pit
  • Table Drains
  • Other

• Length (m) or Description of Other

• Photo of Drainage Works

  Media

Drainage Works 4

• Type of Drainage Works Required

  Select K&C Grate Lintel & Grate Lintel, Grate & Pit Table Drains Other

  • K&C
  • Grate
  • Lintel & Grate
  • Lintel, Grate & Pit
  • Table Drains
  • Other

• Length (m) or Description of Other

• Photo of Drainage Works

  Media