Information

  • Station No.

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Personnel

ACCESS HATCH FLOOR PLAN

  • Draw floor plan of Access Hatches and allocate number

  • Pump station overview (take photo)

SP FEATURES

  • Anchor Points

  • Number of Anchor Points

  • Anchor Point Yearly Assessment Document Sighted

  • Date on Document

  • Water Tap

  • Public access

ACCESS HATCH SAFETY GRILLE

  • Access Hatch Safety Grille Drawing

    Safety Grille.png
  • Add Hatch for multiple Access Hatches

  • Hatch

ACCESS HATCH

  • Hatch No

  • Access Hatch (Take a Photo)

  • Hatch Location

  • Specify

  • Hatch Design

  • Hatch Mounted On

  • Specify

HATCH COVER

  • Hatch Cover (Take a Photo of Underside)

  • Hatch Cover Material

  • Specify

  • Hatch Cover Body

  • Lifting Handle

  • Locking Cleat

  • Hinges

  • Hinge Bolts and Nuts

  • Rubber Beading

  • Sign

Hatch Frame

  • Hatch Frame Material

  • Specify

  • Hatch Frame Opening Dimensions ( Hinge side X Adjacent Side) mm

  • Hatch Frame

  • Hatch Frame Mounting Bolts

  • No of Supports

  • Supports

  • Supports Design

  • Dimensions (Length x Distance from wall) mm

  • Dimensions (Width x Depth x Thickness) mm

  • Anchor Bolts

  • Angle config 2.jpg
  • Dimensions (Length x Distance from wall) mm

  • Dimensions (Width x Depth x Thickness) mm

  • Comments

SAFETY GRILLE

  • Safety grille (Take a Photo)

  • Safety Grille Material

  • Safety Grille Dimensions (Hinge Side X Adjacent Side) mm

  • Type of Grille

  • Stiffeners

  • Stiffeners Type

  • Stiffeners Dimensions - Angle Bar (Width x Depth x Thickness) mm

  • Stiffeners Dimensions - Flat Bar (Width x Depth) mm

  • Edge Frame Type

  • Edge Frame Dimensions - Flat Bar (Width x Depth) mm

  • Edge Frame Dimensions - Angle Bar (Width x Depth x Thickness) mm

  • Other? Specify and note dimensions (Width x Depth) mm

  • Edge Frame

  • Safety Grille Grid Design

  • Grid Bar Spacing - Each Way (mm X mm)

  • Grid Bar Spacing - (mm apart)

  • Grid Bar Dia (mm)

  • Hinges

  • Hinge Bolts and Nuts

  • Warning Sign - 'Do Not Stand'

  • Comments

Classification

  • Classification After Inspection

WORK SCOPE

  • Complete Assembly

  • Hatch Cover

  • Hatch Frame

  • Safety Grille

  • Comments

VALVE CHAMBERS

  • Number Of Valve Chambers

  • Is Sign Installed on Valve Camber? (No Safety Grille Under Cover)

Overall Station

  • Additional Information (Take a Photo)

  • Additional Comments For Station

  • Sign

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