Water Infrastructure - Damage to Facilities

• Document No.

• Audit Title

• Conducted on

  Date

• Client : Department of European Union Investments

• Prepared by

  Richard Walkling

  Sinan Celebci

  Emrah Yılmaz

  Deniz Çay
• Location
  Address

Event details

• Event Location
  Address

• Event occured

  Date

• Event photos

  Media

• Definition of event

Notification

• Is the event notified to the Consultant ?

  Notified

  Not notified

• Date and time of Notification

  Date

• Notified by

• How do you learn the event ?

  Site Visit

  From Municipality

  From MESKI

  From Citizens

  From others

• from whom ?

• Date and Time to learn

  Date

Responsibility

• Is the event caused by Contractor ?

  Yes

  No

  N/A

• Responsible of Event (Foreman or Engineer)

• Is the work comply with MoS and H&S Plan ?

  Yes

  No

  N/A

• What is the main reason to the event ?

  Select Procedure Equipment Method Human (training) Human (Skill) Work Conditions Timing of Task Other

  • Procedure
  • Equipment
  • Method
  • Human (training)
  • Human (Skill)
  • Work Conditions
  • Timing of Task
  • Other

• Explain in the reason.

• Who is the responsible ?

Water Supply Reporting

• Is there any interruption of water supply ?

  Observed

  Not Observed

• Water Supply shut-down

  Date

• Water Supply Take-into-operation

  Date

• Is the water supply shut-down made by MESKI ?

  Off

  On

• Who has made the shut-down ?

• Is the MESKI notified ?

  Yes

  No

  Already notified by MESKI

• Who is the notified Staff from MESKI ?

• Date and Time of Notification

  Date

Damaged Utilities

• Is there any utilities damaged during event ?

  Observed

  Not Observed

• Enter the damaged utility

Utility

• Name of Utility

• Type of Utility

  Select Electricity Telecommunication Natural Gas Irregation Drainage Waste Water Out of Operated Others

  • Electricity
  • Telecommunication
  • Natural Gas
  • Irregation
  • Drainage
  • Waste Water
  • Out of Operated
  • Others

• Shoot the photo

  Media

• Repairing works made by

• Take in to operation ?

  Off

  On

• Date and Time of Operation Start

  Date

• Material used for repairing

• Signature by related Utility Operator's Representative

  Sign

• Estimated Cost of repair

• Site Supervisor of Consultant

  Sign

• Please complete the event under supervision of Consultant

• Signature of Contractor's Site Manager

  Sign

• Please sign the event report by only Site Manager (Hüseyin Dönertaş)

• Signature of Contractor's Representative

  Sign

• Only by Contractor Representative (Mr.Aziz Ünal)

Engineer's Comments

• Engineer's recommendations for future works

• Engineer's Representative

  Sign