Title Page
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Site name and number
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Conducted on
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Prepared by
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Principal Contractor
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Area/Location incl MH ref, etc
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Drawing No
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Type of drainage
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Size of drainage
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Drainage material
Items
Trench
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Line and Level
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Condition Safe
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Trench Sign Off
Pipe Bedding
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Material Correct
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Depth of Bedding
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Pipe Bedding Sign Off
Pipe
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Pipe Size and Material Correct
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Gradient and Inverts Correct
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Laid in Right Direction
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Pipe Sign Off
Testing
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Air Test/Water Test
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Air Test/Water Test Sign Off
Manholes
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Position
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Construction
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Inverts
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Number of Branches Correct
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Visual Inspection
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Manholes Sign Off
Backfill
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Surround/Bedding Material Correct
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Fibre Board at Joints (Concrete Only)
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Compaction Correct
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Backfill Sign Off
Final Sign Off
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Principal Contractor Sign Off
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Hannafin Contractors Sign Off