Information

  • Surface Dressing No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Reason for Inspection

  • Site complete and Free of all Defects

  • Location Screenshot

SITE EXTENTS

  • Site extents

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

LOOSE CHIPPINGS

  • Loose Chippings

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

STRIPPING

  • Stripping

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

BLEEDING/FATTING UP

  • Bleeding/Fatting up

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

STREAKING/TRAMLINES

  • Streaking/Tramlines

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

ROADMARKINGS

  • Roadmarkings

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

BUMPS/RIDGES

  • Bumps/ridges

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

OTHER

  • Other

  • Whole Area

  • Wheel Tracks

  • Oil track

  • Centre Line

  • Turning Lane

  • Under Trees

  • Bends

  • Junctions

  • Isolated area

  • Other

  • Is immediate Action Required to make site Safe?

  • Is temporary Signing Required?

  • Site complete and free of defects

  • Client Signature

  • Supervisor

  • Comments

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