Information
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Station No.
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Document No.
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Conducted on
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Prepared by
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Location
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Personnel
ACCESS HATCH FLOOR PLAN
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Draw floor plan of Access Hatches and allocate number
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Pump station overview (take photo)
SP FEATURES
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Anchor Points
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Number of Anchor Points
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Anchor Point Yearly Assessment Document Sighted
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Date on Document
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Water Tap
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Public access
ACCESS HATCH SAFETY GRILLE
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Access Hatch Safety Grille Drawing
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Add Hatch for multiple Access Hatches
Hatch
ACCESS HATCH
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Hatch No
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Access Hatch (Take a Photo)
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Hatch Location
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Specify
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Hatch Design
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Hatch Mounted On
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Specify
HATCH COVER
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Hatch Cover (Take a Photo of Underside)
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Hatch Cover Material
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Specify
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Hatch Cover Body
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Lifting Handle
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Locking Cleat
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Hinges
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Hinge Bolts and Nuts
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Rubber Beading
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Sign
Hatch Frame
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Hatch Frame Material
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Specify
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Hatch Frame Opening Dimensions ( Hinge side X Adjacent Side) mm
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Hatch Frame
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Hatch Frame Mounting Bolts
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No of Supports
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Supports
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Supports Design
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Dimensions (Length x Distance from wall) mm
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Dimensions (Width x Depth x Thickness) mm
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Anchor Bolts
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Dimensions (Length x Distance from wall) mm
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Dimensions (Width x Depth x Thickness) mm
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Comments
SAFETY GRILLE
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Safety grille (Take a Photo)
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Safety Grille Material
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Safety Grille Dimensions (Hinge Side X Adjacent Side) mm
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Type of Grille
- Standard or Similar
- Type A
- Type B
- Type C
- Type D
- Type E
- Type F
- Other
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Stiffeners
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Stiffeners Type
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Stiffeners Dimensions - Angle Bar (Width x Depth x Thickness) mm
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Stiffeners Dimensions - Flat Bar (Width x Depth) mm
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Edge Frame Type
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Edge Frame Dimensions - Flat Bar (Width x Depth) mm
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Edge Frame Dimensions - Angle Bar (Width x Depth x Thickness) mm
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Other? Specify and note dimensions (Width x Depth) mm
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Edge Frame
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Safety Grille Grid Design
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Grid Bar Spacing - Each Way (mm X mm)
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Grid Bar Spacing - (mm apart)
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Grid Bar Dia (mm)
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Hinges
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Hinge Bolts and Nuts
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Warning Sign - 'Do Not Stand'
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Comments
Classification
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Classification After Inspection
WORK SCOPE
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Complete Assembly
- Replace complete assembly- Downturn Design (DTC 3300) (Stainless Steel 316 grade)
- Replace complete assembly- Upturn Design (DTC 4406, 4407) (Stainless Steel 316 grade)
- Replace/Repair Sign (Confined Space)
- Replace/Repair Sign (Hazardous Gasses)
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Hatch Cover
- Replace Cover (Aluminium)
- Replace or Repair Hinge
- Replace or Repair Locking Cleat
- Replace or Repair Lifting Handle
- Replace Hinge Bolts & Nuts (Galvanised)
- Replace Hinge Bolts & Nuts (Stainless Steel)
- Remove rust & re-coat with cold Galv paint
- Install New Rubber Beading
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Hatch Frame
- Replace Frame (Galvanised)
- Replace Frame (Stainless Steel)
- Remove existing supports
- Add 4 corner supports
- Add 2 corner supports at Hinge end
- Add 2 corner supports opposite to Hinge end
- Remove rust & re-coat with cold Galv paint
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Safety Grille
- Replace Grille (Galvanised)
- Replace Grille (Stainless Steel)
- Install flat bar edge frame
- lnstall angle bar edge frame
- Repair or Replace Stiffeners
- Add stiffeners
- Repair opening in grille
- Repair or Replace Hinge
- Replace Hinge Bolts & Nuts (Galvanised)
- Replace Hinge Bolts & Nuts (Stainless Steel)
- Repair or Replace lifting handles
- Remove rust & re-coat with cold Galv paint
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Comments
VALVE CHAMBERS
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Number Of Valve Chambers
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Is Sign Installed on Valve Camber? (No Safety Grille Under Cover)
Overall Station
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Additional Information (Take a Photo)
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Additional Comments For Station
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Sign