Ventia Hydrant Restoration and Clean Out After Completion Audit

• Conducted on

  Date
• Location
  Address

• Hydrant number

• Inspected by

• Has the maintenance been completed to QUU's requirements?<br>(Maintenance Agreement Scope of Services Appendix A.2)

  Yes

  No

  NA

• Details

• Take photos of maintenance completed

  Media

• Has the site been left clean and tidy?<br>(Maintenance Agreement No C656. 10.3)

  Yes

  No

  NA

• Details

• Take photos of the site

  Media

• Has the hydrant box been cleaned out satisfactorily?<br>(Maintenance agreement No C656. 9.2 b)

  Yes

  No

  NA

• Details

• Take photos of the site

  Media

• Are the hydrant markings to QUU's requirements?<br>(Maintenance Agreement No C 656. 9.2)

  Yes

  No

  NA

• Details

• Take photos of the site

  Media

• Have the lug bolts been cleaned as required?

  Yes

  No

  NA

• Details

• Take photos of the site

  Media

• Is the hydrant box set over hydrant as per SEQ C&D Code?<br>(Maintenance Agreement No C656. 9.2)

  Yes

  No

  NA

• Details

• Take photos of the site

  Media

• Any other comments?

Completion

• Please sign that the audit is complete and correct to the best of your knowledge, at the time of the audit

  Sign