Title Page
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Conducted on
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Prepared by
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CLIENT
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PROJECT CODE
MH DETAILS
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MH ASSET #
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ADDRESS
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MH LID TYPE
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MH DIAMETER
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MH DEPTH
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LOCATION OF MH
- ON ROADWAY
- ON FOOTPATH/ROAD RESERVE
- ON PRIVATE PROPERTY
- ON PRIVATE DRIVEWAY - UNPAVED
- ON DRAINAGE EASEMENT
- ON PARKLAND/CREEK
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IS MH ABOVE OR BELOW SURFACE LEVEL
- Above
- Below
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HEIGHT OF MH FROM SURFACE LEVEL
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IS MH ACCESS HINDERED AND HOW?
- No
- Inside building
- Buried
- Locked yard / dog or pet
- Under debris /rubbish
MH CONDITION
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MH LID FRAME CONDITION
- Good
- Offset
- Loose
- Cracked
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MH LID NECK CONDITION
- Good
- Corroded
- Cracked
- Incorrectly fabricated with diameter reduction
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STEP IRONS / LADDER CONDITION
- Ladder
- Step Irons
- Good / Satisfactory
- Replace partial length
- Missing
- Full Replacement requried
- N/A
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MH WALL CONDITION
- Good
- Lined
- Satisfactory
- Poor
- Bad Suphide Attack
- Cracking
- Leaking
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MH wall additional detail (if leaking, cracking or sulphide attack)
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MH BENCHING CONDITION
- Good
- Needs Repair
- Missing
- Poor shape (inhibits smooth flow)
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DROP PIPE IN MH
- Yes
- No
- Good condition
- Blocked and needs cleaning
- Needs Repair
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BACKDROPS IN MH
- Yes
- No
- Good Condition
- Blocked and needs cleaning
- Needs Repair
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IS THE MH AFFECTED BY TREE ROOTS?
- Yes
- No
- Underneath top slab
- Through benching
- From sewer pipe
- Through MH wall
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IS STORMWATER LIKELY TO POND AROUND MH?
- Yes
- No
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MH PHOTOS
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GENERAL COMMENTS
REHABILITATION RECOMMENDATIONS
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REHABILITATION SCOPE
- MHLocate and raise
- Replace Mh lid / frame
- Replace MH step irons
- Install and or replace MH ladder
- Repair MH benching
- Unblock drop pipes / backdrops
- Replace broken / missing/ damaged drop pipe
- Seal under MH aspro
- Consider lining the MH due to sulphide attack
- Seal MH lid to reduce inflow
- Remove illegal connection into MH
- No Action required
