Western land Services-Site Defect Report (V1)

• Document No.

• Site defect report

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

DEFECT REPORT

• Defect Reported By

  Sign

• Type of Defect/Failure

  Select Channel Maintenance Culvert Debris Clearance Embankment Repair Erosion Outfall Invasive Species PSRA Silt/Gravel Removal Trash Screen Tree Works Vermin Wall Repair Other (please note below)

  • Channel Maintenance
  • Culvert
  • Debris Clearance
  • Embankment Repair
  • Erosion
  • Outfall
  • Invasive Species
  • PSRA
  • Silt/Gravel Removal
  • Trash Screen
  • Tree Works
  • Vermin
  • Wall Repair
  • Other (please note below)
• Site Location & Coordinates
  Address

• Description of Fault

• Photo of the Defect/Fault

  Media

• What Action is Required to Rectify the Fault (please give as much detail as possible)

• Risks associated with defect .

  Significant

  Moderate

  Minor

• Further Comments (if needed)

• Estimated costs

  Yes

  No

  N/A