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    Road Inspected
  • Divide the road into 10 approximately equal sections eg a 1km road will have 10, 100m sections. For each section review the condition of the track Surface, Near surface and elevated areas and apply an average condition score. Use the notes section to record any specific details or areas of concern.

    Condition Score.png
  • Record Start of Inspection location
  • Conducted on

  • Prepared by

Assessment

Section 1

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 2

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 3

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 4

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 5

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 6

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 7

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 8

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 9

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Section 10

  • Surface Score

  • Near Surface Score (up to 1m)

  • Elevated Score (1m and above)

Signage

  • Signage at Start of road serviceable?

  • Signage at End of road serviceable?

  • Additional signage serviceable?

Outcome / Recommendations

  • Outcome of condition inspection.

  • Additional notes or comments.

  • Date of next inpection.

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