Information

1. SITE LOCATION

  • Road Name

  • Suburb

  • Ward Location

  • Prepared by

  • Conducted on

  • Additional Personnel Conducting Assessment

SWEEPING

  • Is road surface free of build up of debris

  • Are traffic devices free of build up of debris

  • Is the footpath free of build up of debris

PAVEMENT REPAIRS

  • Is the road pavement free of potholes that require repair

  • Is pavement free of any minor patching required

  • Is the pavement free of any major patching required

  • Is the pavement free of any crack sealing required

FOOTPATH REPAIRS

  • Are footpaths free of trip hazards greater than 88mm

  • Is the footpath free of sections that require replacement

  • If footpath section requires replacement, what type of material is required

KERB AND GUTTER

  • Is kerb and gutter free of damage

  • Is kerb and gutter free of water pooling

  • Is kerb and gutter still in alignment

  • If works are required, what style of kerb and gutter requires replacement

SHOULDER

  • Is the shoulder free of edge break

  • Is the shoulder in good condition and not requiring re sheeting

  • Is the roadside vegetation sufficiently clear of shoulder

DRAINAGE

  • Are culvert and pits clear

  • Are open drains free of obstruction

  • Are drainage lintels in good condition

  • Are drainage head walls in good condition

ROAD ASSETS

  • Do fences appear to be in sound condition

  • Do hand rails appear to be good condition

  • Are delineators appropriate

  • Are ripple strips secure and in place

SIGNAGE

  • Are street name signs in place

  • Is signage unobstructed by vegetation

  • Are signs free of graffiti

  • Are warning and regulatory signs unobstructed

STREET FURNITURE

  • Are seats in good condition

  • Are shelter sheds in good condition

  • Is street furniture free of graffiti.

ADDITIONAL INFOTMATION

  • Is there any further information or comments required.

  • Please photograph any further information required

  • PLAESE SIGN ON COMPLETION OF INSPECTION

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