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
Inspection Details
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Structure ID
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Crossing
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Structure type
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Construction Type
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Construction Material
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Bridge Name
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Road Number
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Road Name
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Owner
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District
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Local Authority
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Date of Next Inspection
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Date of Inspection
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Chainage (km)
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On the
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to................... Road
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Inspection
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Inspection Type
Structure Condition Inspection Report
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Component Location
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Modification
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Group
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Standard Number
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Exposure Class
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Quantity
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Unit
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Quantity per condition state
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Maintenance Required
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Comments
Defective Components Report
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Is a Defective Components Report Required?
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Component Location
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Modification
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Group
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Component
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Standard Number
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Exposure Class
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Condition State
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Description of Defect
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Action Required
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Monitor
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Level 3 Inspection
Standard Procedure Exceptions Report
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Is a Standard Procedure Exceptions Report Required?
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Component Location
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Modification
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Group
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Component
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Standard Number
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Exposure Class
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Undefined Component
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Components not Inspected
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Less than 25 % components inspected
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Other
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Comments
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Other
Timber Drilling Survey Report
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Is a Timber Drilling Survey Report Required?
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Component Location
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Modification
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Group
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Component
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Standard Number
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Diameter (mm)
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Test Details
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Location
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Diameter
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Orientation (H, V, Other)
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Test Results
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Solid
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Rot.
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Pipe
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% Consumed
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Condition State
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Undersize
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Snipe Depth
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Comments
Photographic and Sketches Record
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Photographs
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Add media
Sketches
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Add drawing