Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Project No:
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Catchment:
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Sub Catchment:
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CIZ No.
1. Planning and Approvals
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All Plans/Permits valid and onsite - ie. Power Company, Council or VicRoads MOA
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
2. Construction Documentation
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SWMS relevant for specific site
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Constructed as per standard drawing
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Excavation Permit
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Confined Space Entry Permit
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Valid Q form
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
3. Construction Plant and Equipment
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Daily pre-start checklists completed for all plant
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CSE equipment satisfactory
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Fall from heights equipment/gear
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Plugs (no damage)
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Hoses (no leaks)
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
4. Service Location and Protection
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"Dial Before You Dig" information <br>
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All known existing services have been located and proved prior to work commencing
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Minimum clearance maintained as per WSA 07-2006 or WSA 02-2002
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
5. Traffic Management
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Set up as per site Traffic Management Plan
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Works within specified road access time periods as stated in MOA
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
6. Inspection of Materials
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Pipe and fittings conform to specifications and are in new condition
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As per standard drawings SEW_PSS_006 or SEW_PSS_007
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
7. Establish Environmental Controls (as per TMP)
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Silt fencing set up where required
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Silt traps employed where required
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Parra webbing erected around protected trees/vegetation
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
8. Excavation
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Sufficient traffic management and signs around excavation
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Adequate fall from heights protection installed where required
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Correct trenching and shoring method uses for excavations greater than 1.5m deep
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Spoil stored correctly or removed from site
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
9. Deconstruct existing Manhole
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Sewerage flow diversion in place if required
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Correct Q form in place and active
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Appropriate CSE gear used
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SWMS provided and approved
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Appropriate removal/disposal of existing structure and materials
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
10. Testing of Concrete
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Is this a designated MH to be tested? (1 in 5 MH's to be tested per catchment/project)
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Acceptable slump? (Ie. 80mm +- 15mm)
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SEW approved product/supplier used
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Concrete a minimum 25Mpa
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Received a copy of delivery docket, 28 day strength test and completed concrete works ITP
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
11. Concrete Placement
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If this is a discharge MH, has it been constructed in accordance with drawing PSS-1018-M (ie. 1200mm in diameter)
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Concrete to be placed in accordance with WSA-02-2002 clause 14.5.5
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Freefall to be less than 1.6m
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Concrete to be immediately compacted after placing (ensure segmentation of concrete ingredients does not occur)
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Formwork has not been stripped until adequate concrete strength has been achieved
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
12. Finished Manhole
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Constructed to design specification
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Pipe connector flush with MH internal wall
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Pipe connector/stub sealed off for future connection
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Step irons are in accordance with SEW -1307-V
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No visible cracks/defects
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As constructed levels recorded by surveyor
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
13. Unsealed Roadway
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Is new MH located in an unsealed roadway.
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Top of cover left 300mm below actual road surface
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Photos taken prior to burial
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Marker post installed as per standard drawing SEW_PSS_005
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
14. Compaction and Backfill
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Backfill to MRWA Specification No. 04-03.1 or to Road Authority's requirements
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The Road Authority's requirements shall take precedence if they exceed the requirements of the MRWA Specification.
MRWA Specification for roadways:
- up to 1.5m deep - 20mm Class 2 Plant Mixed Wet Mix Crushed Rock
- Over 1.5m - top 600mm to be 20mm Class 2 Plant Mixed Wet Mix Crushed Rock, 20mm Class 4 Crushed Rock for remainder.
- Excavations in Footpaths - 20mm Class 4
- Backfill placed in 200mm layers and compacted to required density 95% AS. -
Compaction Test Report/s received
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
15. Vacuum Testing of Manhole
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Is this a designated MH to be tested? (1 in 5 MH's to be tested per catchment/project)
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Did test pass? (Ie. vacuum pressure loss <= 5kPa after a minimum of 3 minutes)
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If not, has MH been retested and passed?
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Received copy of ITP
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
16. Epoxy Coating
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Is this a discharge MH?
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Has it been epoxy coated?
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Received a copy of epoxy ITP
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
15. Reinstatement
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Construction Impact Zones and affected work areas restored to condition prior to commencement of works
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All surplus material removed from site
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Date
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Checked By
- Fiona Best
- Murray Doherty
- Quinnie Trinh
NOTES AND COMMENTS
South East Water Representitive
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