Title Page

  • Conducted on

  • Prepared by

  • Location
  • Site Diary

  • Client / Site Name:

  • Client Rep:

  • Date & Time

  • Day

  • Day or Night shift?

  • Drainage Ref:

  • Reference Track:

  • Site Mileage:

  • From

  • To

  • Total

  • Leave Place of Rest:

  • Arrive on Site:

  • Time on Track:

  • Time off Track:

  • Total Time on Track

  • Leave Site:

  • Arrive Place of Rest:

  • Possession Times:

  • Jetting works completed

  • Remote Reel

  • Add media

  • CCTV works completed

  • Add media

  • Catch Pit Surveys completed

  • Add media

  • Catch Pit Repair completed

  • Add media

  • CIPP Patch Repair completed

  • Add media

  • Topo Survey completed

  • Add media

  • Work Remaining - detail below:

  • Jetting

  • Add media

  • CCTV Investigation

  • Add media

  • Catch Pit Survey

  • Add media

  • Topo Survey

  • Add media

  • Catch Pit Repair

  • Add media

  • Delays/Issues/Comments;

  • Add media

  • Drainage Issues:

  • Add media

  • Survey Staff & Responsibilities on Site:

  • 3rd Party Staff

Drainage Assets

    Drainage Assets
  • Drainage Asset

  • Location
  • Mileage

  • Up or Down Line

  • Asset Photograph

  • Location Photograph

  • Asset Configuration

Site Plan

  • Site Plan Photograph

Site Photographs

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.