Road Inspection Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DATA

• Complaint Type

  Customer request

  Referral from within Council

  Work permit application

  Other

• Road Type

  Asphalt

  Chip seal

  Gravel

• Hazard Type

  Road failure

  Surface failure

  Rutting

  Gravel replacement

  Vertical movement

• RISK RATING

• Council infrastructure

  Low risk

  Medium risk

  High risk

  Extreme risk

• Private property

  Low risk

  Medium risk

  High risk

  Extreme risk

ASSESSMENT WEIGHTING CRITERIA

• Any service infrastructure under pathway (eg sewer, water, storm water)

  Yes

  No

  N/A

• Links to approved future works plans

  Yes

  No

  N/A

• Links to gravel road sealing program

  Yes

  No

  N/A

• Current or under assessment DA's

  Yes

  No

  N/A

• VEHICLE USAGE - include AADT if pre-existing data has been allocated

• High Use - CBD areas, shopping centers, aged care facilities, Hospitals, Schools

  Yes

  No

  N/A

• Medium Use - Parks adjoining High areas, churches and aged homes within urban areas; all medium or high density residential zones; strip shops or corner shops in residential areas. In parks, reserves and lane ways with unlimited access.

  Yes

  No

  N/A

• Low Use - All other areas.

  Yes

  No

  N/A

OUTCOMES & ACTIONS

• 1. No further action

• Advise provided to complainant

• 2. Refer to operations area for scheduling into routine maintenance program

• Scope of works

• 3. Refer to operations area for scheduling into Capital Works program (Minor capital works < $30,0000)

• Scope of works

• 4. List possible treatment for funding consideration on next financial year draft budget list (Major capital works > $30,000)

• Scope of works

• 5. Prepare treatment concept - Emergent Works

• Referral details (eg design section)

ADDITIONAL INFORMATION

• Any additional information?

• Sketch (if required)

  Drawing

• Inspectors Name

  Sign