SEW - ICR6 INSTALLATION OF AIR VALVES/CARBON FILTER GROUND VENTS

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Project No:

• Catchment:

• Sub Catchment:

• CIZ No.

1. Planning and Approvals

• All Plans/Permits valid and onsite - ie. Power Company, Council or VicRoads MOA

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

2. Construction Documentation

• SWMS relevant for specific site

  Yes

  No

  N/A

• Carbon Filter Ground Vent construction as per Standard Drawing SEW_PSS_006

  Yes

  No

  N/A

• Air Valve Assembly construction as per Standard Drawing SEW_PSS_007

  Yes

  No

  N/A

• Excavation Permit

  Yes

  No

  N/A

• Confined Space Entry Permit

  Yes

  No

  N/A

• Valid Q form

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

3. Construction Plant and Equipment

• Daily pre-start checklists completed for all plant

  Yes

  No

  N/A

• CSE equipment satisfactory

  Yes

  No

  N/A

• Fall from heights equipment/gear

  Yes

  No

  N/A

• Hoses (no leaks)

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

4. Service Location and Protection

• "Dial Before You Dig" information <br>

  Yes

  No

  N/A

• All known existing services have been located and proved prior to work commencing

  Yes

  No

  N/A

• Minimum clearance maintained as per WSA 07-2006 or WSA 02-2002

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

5. Traffic Management

• Set up as per site Traffic Management Plan

  Yes

  No

  N/A

• Works within specified road access time periods as stated in MOA

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

6. Inspection of Materials

• Pipe and fittings conform to specifications and are in new condition

  Yes

  No

  N/A

• Cabinet "Eucalyptus Green" in colour

  Yes

  No

  N/A

• As per standard drawings SEW-PSS-006 or SEW-PSS-007

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

7. Establish Environmental Controls (as per TMP)

• Silt fencing set up where required

  Yes

  No

  N/A

• Silt traps employed where required

  Yes

  No

  N/A

• Parra webbing erected around protected trees/vegetation

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

8. Excavation

• Sufficient traffic management and signs around excavation

  Yes

  No

  N/A

• Adequate fall from heights protection installed where required

  Yes

  No

  N/A

• Correct trenching and shoring method uses for excavations greater than 1.5m deep

  Yes

  No

  N/A

• Spoil stored correctly or removed from site

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

9. Concrete Works

• Concrete to be a minimum 25Mpa

  Yes

  No

  N/A

• Concrete to be placed in accordance with WSA-07-2007

  Yes

  No

  N/A

• Free fall to be less than 1.6m

  Yes

  No

  N/A

• Concrete to be immediately compacted after placing ( ensure segregation of concrete ingredients does not occur)

  Yes

  No

  N/A

• Formwork has not been stripped until adequate concrete strength has been achieved

  Yes

  No

  N/A

• Ground Vent has been concrete encased

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

10. Testing of Air Valve

• Fitting fully operational (test under mains pressure)

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

11. Finished Pit

• Constructed to design specification

  Yes

  No

  N/A

• Fittings are straight (not on an angle)

  Yes

  No

  N/A

• As constructed levels recorded by surveyor

  Yes

  No

  N/A

• Step irons are in accordance with SEW -1307-V

  Yes

  No

  N/A

• No visible cracks/defects

  Yes

  No

  N/A

• Marker post installed with relevant sign attached

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

12. Finished Above Ground Cabinet

• Constructed in accordance with SEW-PSS-006 or SEW-PSS-007

  Yes

  No

  N/A

• Fittings/cabinets are straight (not on an angle)

  Yes

  No

  N/A

• As constructed levels recorded by surveyor

  Yes

  No

  N/A

• No visible cracking/defects

  Yes

  No

  N/A

• Approved abloy lock on cabinet

  Yes

  No

  N/A

• Constructed in accordance with PSS-1011-M

  Yes

  No

  N/A

• No obstructions blocking canister from being accessed/changed by Maintenance

  Yes

  No

  N/A

• SEW sign/sticker on cabinet

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

14. Compaction and Backfill

• Backfill to MRWA Specification No. 04-03.1 or to Road Authority's requirements

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

15. Reinstatement

• Construction Impact Zones and affected work areas restored to condition prior to commencement of works

  Yes

  No

  N/A

• All surplus material removed from site

  Yes

  No

  N/A

• Date

  Date

• Checked By

  Select Fiona Best Murray Doherty Quinnie Trinh

  • Fiona Best
  • Murray Doherty
  • Quinnie Trinh

NOTES AND COMMENTS

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