Title Page

  • Purpose of inspection

  • Conducted on

  • Prepared by

  • Site name

  • Location
  • H reference number

Manhole cover and frame

  • Road and Sewer Contractor

  • Sewer sectional agreement

  • Sewer type

  • Manhole reference number

  • Location of manhole

  • Special manhole

  • Cover and frame type

  • Manhole construction

  • Condition of cover and frame

  • Set to finished level

  • What level is it set to?

  • Measurement from finished level to top step

  • How many raising pieces does it have

  • How many raising pieces does it have.

  • Shaft issues (Cover and frame to top of cover slab)

  • Cover slab

  • Manhole rings

  • Base of manhole

  • Sewer lengths coming into manhole

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