Information
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Document No.
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Audit Title
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Client / Site
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Prepared by
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Construction
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Maintenance
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Deactivation
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Road Name
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Local Name (and Number)
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Miscellaneous Inspection Comments: (Weather, start and end point of road inspection, any general factors affecting inspection, general comments on road condition, etc.)
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Comments Regarding Maintenance Actions: ( grade, brush, gravel, other assessments, frequency, priority, accessibility, etc.)
Sign-off of Inspection:
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Inspector
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Licensee or Agency Specialist
Sign-off of Completion of Remedial Maintenance Works:
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Inspector
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Licensee or Agency Specialist
INSPECTION CODES
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Inspect for the following items: (Inspection is not limited to these items)
- Tension cracks visibly
- Cutslope failures
- Fillslope failures
- Slides or mass land movements
- Shoulder slumps
- Frost boils
- Subgrade unable to support wheel
- Washouts
- Depth of surface material
- Potholes
- Washboard
- Rutting from vehicles wheels
- Windrows
- Surface stabilization
- Damage from cattle
- Road surface erosion
- Sediment transport from road prism
- Dust control
- Natural drainage patterns
- Culverts partially or fully plugged
- Culverts washed out
- Damaged culverts
- Culvert markers
- Fill over culverts
- Ditch blocks
- Cross-drain culvert frequency
- Cross-drain or stream culvert sizes
- Ditch scour
- Ditches obstructed
- Ditch line sloughing
- Fish stream culvert inlets and outlets
- Inadequate structure
- Site distances
- Brushing
- Snags and danger trees
- Other road hazard (loose rocks, )
- Traffic control signs
- Road radio frequencies posted
REMEDIAL CODES Carry out the following remedial works: (Remedial works are not limited to these items)
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- Correct to specifications
- Certify structures
- Rectify hazards
- Install or repair cross-ditches
- Install or repair
- Remove cross-drains/stream culverts
- Clean or repair cross-drains/stream culverts
- Back up cross-drains/stream culverts
- Repair/replace bridges
- Outslope road
- Install/repair sediment basins
- Revegetate
- Licensee inspections required as per Plan
- Carry out brushing
- Clean ditches
- Clean culvert inlets and outlets
- Grade surface
- Stabilize subgrade
- Replace planks, delineators, etc.
- Replace or repair cattleguard
- Replace signs
- No action
Activities
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Bridge
Culvert
Crossditch
Waterbar
Beaver
Ditching
Subgrade
Grading
Brushing
Gravelling
Sign
ROAD USE PERMIT - INSPECTION POCEEDURES
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1. Use the DPG "ROAD INSPECTION FORM" located at "G:\!Workgrp\Tenures\Eng_RA_site\2007\2007 Inspection Forms"
2. File the RUP Inspection on the applicable RUP file.
3. Be familiar with the Inspection Codes identified above and refer to them when listing deficiencies.
4. Traffic Control Signs shall include but not be limited to : stop signs, FSR junction sign, Radio Frequency Signs, KM Signs, Safety Warnings Signs
5. During the inspection ensure; road is crowned and freely shed water; ditches are free draining; culverts are intact and functional; bridge decking and curbs are sound.
6. The objective of the RUP inspection is to identify deficiencies that may compromise user safety, the environment or the overall integrity of the FSR.
PRIORITY DEFINITIONS
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VH=Immediate H=within current season M=next field season L=Reassess next season
RISK definitions
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H=Immediate safety or environmental hazard M=No immediate safety OR environmental hazard/consequence
L=Monitor for change to hazard
ROAD INSPECTION FORM (Continued)
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Select date
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File Number - 11250.50/
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Road Name
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Local Name (and Number)
Road Inspection
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Priority
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Risk
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KM as posted
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Activity
- Bridge
- Culvert
- Crossditch
- Waterbar
- Beaver
- Ditching
- Subgrade
- Grading
- Brushing
- Gravelling
- Sign
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INSPECTION CODE
- Tension cracks visibly
- Cutslope failures
- Fillslope failures
- Slides or mass land movements
- Shoulder slumps
- Frost boils
- Subgrade unable to support wheel
- Washouts
- Depth of surface material
- Potholes
- Washboard
- Rutting from vehicles wheels
- Windrows
- Surface stabilization
- Damage from cattle
- Road surface erosion
- Sediment transport from road prism
- Dust control
- Natural drainage patterns
- Culverts partially or fully plugged
- Culverts washed out
- Damaged culverts
- Culvert markers
- Fill over culverts
- Ditch blocks
- Cross-drain culvert frequency
- Cross-drain or stream culvert sizes
- Ditch scour
- Ditches obstructed
- Ditch line sloughing
- Fish stream culvert inlets and outlets
- Inadequate structure
- Site distances
- Brushing
- Snags and danger trees
- Other road hazard (loose rocks, )
- Traffic control signs
- Road radio frequencies posted
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REMEDIAL CODE
- Correct to specifications
- Certify structures
- Rectify hazards
- Install or repair cross-ditches
- Install or repair
- Remove cross-drains/stream culverts
- Clean or repair cross-drains/stream culverts
- Back up cross-drains/stream culverts
- Repair/replace bridges
- Outslope road
- Install/repair sediment basins
- Revegetate
- Licensee inspections required as per Plan
- Carry out brushing
- Clean ditches
- Clean culvert inlets and outlets
- Grade surface
- Stabilize subgrade
- Replace planks, delineators, etc.
- Replace or repair cattleguard
- Replace signs
- No action
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Description
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Add media
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Add location
Stream Culvert (check if applies)
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Stream
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Hanging Outlet
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Less Than 20%
