Survey Dev 22.11.12

• Document No.

• Street Address
  Address

• Date Survey Completed

  Date

• Surveyed By

  Luke Bristo

Street Information

• Street Address
  Address

• Total Properties on Street

• Street Overall Safety Details

• Customer Issues

• Special Needs Requirements

• Traffic Management Requirements

• Parking for Welfare Exhib Unit

• Excavation Depths

• Schools, Hospitals, Special Sites

• Trees, Shrubs, Plants Impact

• Existing Damage

• Road Widths

• Footway Widths

• Refuse Collections Days

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Number of Parking Cones

• Additional Info

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public

  Private

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media