Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Last Inspection conducted

  • Prepared by

  • Location
  • Inspection party

  • Add member
  • Name

  • Position

  • Company

Operational Status at time of inspection

  • Dam details

    Sth Para details.png
  • Consequence Category

  • Storage Level Gauge board (m), FSL=29.00m

  • Storage Level mAHD, FSL = 255.43 m

  • Water in Storage ML, capacity at FSL = 44,850ML

  • Releases via outlet ML/day

  • release via spillway

  • Other Comments

  • Photos

  • Sketch of deficincies

Conditions at time of inspection

  • Weather

  • Estimated Max Temperature degrees celsius

  • Sky

  • Wind

  • Rain

  • Days since last rain

  • Other Comments

  • Photos

  • Sketch

Dam Safety Management

  • O&M Manual on Site

  • O&M Manual Reviewed

  • Dam Safety Emergency Plan on Site

  • Dam Safety Emergency Plan reviewed

  • Drawings on site

  • Operator Knowledge

  • Operator training

  • Other Comments

  • Photos

  • Sketches

Crest

  • Cracks

  • Vegetation

  • Sink Holes

  • Subsidence

  • Overtopping

  • Wheel ruts

  • Parapet

  • Other deficiencies/comments for the crest.

  • Take photos of any deficiencies found on crest

  • Sketch

Downstream Face

  • Cracks

  • Slips

  • Erosion

  • Vegetation

  • Animal Activity

  • Bulges

  • Subsidence

  • Seepage

  • Berm drains

  • Groin drains

  • Filter drain outlets

  • Right abutment extension

  • Other deficiencies/comments for the downstream face

  • Take photos of any deficiencies found on downstream slope

  • Sketch

Upstream Face

  • Cracks

  • Slips

  • Erosion

  • Vegetation

  • Subsidence

  • Animal Activity

  • Bulges

  • Wave Effects

  • Rock Facing

  • Take photos of any deficiencies found on upstream face

  • Other deficiencies/comments for the upstream face

Abutments

  • Cracks

  • Slips

  • Erosion

  • Vegetation

  • Subsidence

  • Seepage

  • runoff diversion drains

  • Take any photos of abutment observations

  • Other deficiencies/comments for abutments

  • Sketch

Area Downstream of Dam

  • Slips

  • Vegetation

  • Seepage

  • Comments

  • Photos

  • Sketch

Outlet tunnel

  • Access

  • Concrete lining

  • Drainage holes

  • Other comments

  • Photos

  • Sketch

Outlet tower

  • Internal walls

  • Leakage

  • Pipework

  • Valves

  • Screens

  • Screen lifting mechanism

  • Internal access

  • Security

  • Superstructure

  • Hoist

  • Ventilation

  • Lighting

  • Breather pipe

  • Access bridge

  • Other comments

  • Photos

  • Sketch

Outlet Works Operation

  • Valve Schematic

    Pages from PDFedOandM.jpg

SP1, EL 247.55 mAHD = 21.12 mGb

  • Valve SP1 status

  • Valve SP1 tested

  • Valve SP1 last tested

  • Valve SP1 test satisfactory

  • Other comments

  • Photos

  • Sketch

SP2. EL 242.07 mAHD = 15.64 mGb

  • Valve SP2 status

  • Valve SP2 tested

  • Valve SP2 last tested

  • Valve SP2 test satisfactory

  • Other comments

  • Photos

  • Sketch

SP3, Invert EL 236.88 mAHD = 10.45 mGb

  • Valve SP3 status

  • Valve SP3 tested

  • Valve SP3 last tested

  • Valve SP3 test satisfactory

  • Other comments

  • Photos

  • Sketch

SP4, Invert EL = 231.09 mAHD = 4.66 m Gb

  • Valve SP4 status

  • Valve SP4 tested

  • Date valve SP4 last tested

  • Valve SP4 test satisfactory

  • Comments

  • Photos

  • Sketch

SP5, Invert EL = 225.61 mAHD = -0.82 m Gb

  • Valve SP5 status

  • Valve SP5 tested

  • Date valve SP5 last tested

  • Valve SP5 test satisfactory

  • Comments

  • Photos

  • Sketch

SP6

  • Valve SP6 status

  • Valve SP6 tested

  • Date valve SP6 last tested

  • Valve SP6 test satisfactory

  • Photos

  • Comments

  • Sketch

SP7

  • Valve SP7 status

  • Valve SP7tested

  • Date valve SP7 last tested

  • Valve SP7 test satisfactory

  • Photos

  • Comments

  • Sketch

Spillway

  • Ogee Crest

  • Approach Apron

  • Downstream apron

  • Training Walls

  • Excavated slopes

  • Underdrain outlets

  • Bridge piers

  • Bridge beams

  • Bridge deck

  • Vehiclular access

  • Debris catcher

  • Other comments

  • Photos

  • Sketch

Instrumentation

  • Survey Marks

  • Survey Pillars

  • Standpipes

  • Internal settlement

  • Gauge board

  • Other comments

  • Photos

  • Sketch

Access to Dam

  • Right Abutment

  • Left abutment

  • Access to dam photos

  • Other access to dam notes

  • Sketch

Reservoir

  • Landslips around rim

  • Boat Ramp

  • Other comments

  • Sketch

  • Photos

Communications

  • Telemetry

  • Telephones

  • Radios

  • Other comments

  • Sketch

  • Photos

Power Supply

  • Normal

  • Standby

  • Other comments

  • Sketch

  • Photos

Surveillance

  • Consequence Category

  • Rainfall

  • Rainfall observation frequency meets ANCOLD guidelines

  • Storage Level

  • Storage Level Observation frequency meets ANCOLD guidelines

  • Seepage

  • Seepage Observation frequency meets ANCOLD guidelines

  • Seepage Analysis

  • Seepage Analysis observation frequency meets ANCOLD guidelines

  • Pore Water Pressure

  • Pore water pressure observation frequency meets ANCOLD guidelines

  • Surface Displacement

  • Surface Displacement observation frequency meets ANCOLD guidelines

  • Internal displacement

  • Internal displacement observation frequency meets ANCOLD guidelines

  • Seismological

  • Seismological observation frequency meets ANCOLD guidelines

  • Telemetry

  • Telemetry observation frequency meets ANCOLD guidelines

  • Visual Inspections

  • Visual Inspection observation frequency meets ANCOLD guidelines

  • Other comments

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.