Title Page
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Site conducted
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CONDUCTED ON
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PREPARED BY
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CLIENT
- DOWNER
- SOUTHERN DOWNS
- UNITY WATER
- MACKAY REGIONAL COUNCIL
- SUNSHINE COAST REGIONAL COUNCIL
- THE WATER CORPORATION
- OTHER
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IDENTIFY CLIENT
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PROJECT CODE
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IDENTIFY 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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IS THE MH LID BOLTED DOWN?
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IS THERE A GAP BETWEEN THE LID RIM AND THE START OF THE WALL
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WHAT IS THE MEAUREMENT?
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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
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DOES THE MH COVER PRESENT AS A TRIP HAZARD?
MH CONDITION
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MH LID FRAME CONDITION?
- Good
- Offset
- Loose
- Cracked
- Corroded
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MH LID NECK CONDITION?
- Good
- Corroded
- Cracked
- Incorrectly fabricated with diameter reduction
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MH WALL MATERIAL?
- Concrete
- Brick
- Mixed
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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 CONFIGURATION?
- Conical
- Segmented
- Pre-cast
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NUMBER OF STEP IRONS, SPACING AND MATERIAL?
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NUMBER OF LADDERS, LENGTH AND MATERIAL?
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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 BENCHING CONDITION
- Good
- Needs Repair
- Missing
- Poor shape (inhibits smooth flow)
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INCOMING LINES ?
- Yes
- No
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HOW MANY?
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INCOMING LINE DETAILS - MATERIAL, SIZE (mm), LOCATION, HEIGHT
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INCOMING LINE HAS EXTERNAL DROPPER?
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IS THE EXTERNAL DROPPER AGAINST THE WALL?
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ANY INFILTRATION?
- Yes
- No
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IDENTIFY TYPE OF INFILTRATION
- SWEATING
- DRIPPING
- RUNNING
- GUSHING
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IDENTIFY THE EXTENT OF INFILTRATION
- Localised
- Medium
- Severe
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IS CORROSION IDENTIFIED WITHIN THE MH?
- Yes
- No
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IDENTIFY APPROXIMATE DEPTH OF CORROSION (mm)
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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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ADDITIONAL PHOTOS - IF REQUIRED
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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
