Water Reticulation Construction Log
Project Name
Stage No:
Water Sub-File:
Main Contractor
Water Retic Contractor
Site Contact
Phone:
Accredited Pipe Layerer
Phone
Super Intendent Representative
Mobile:
Water Corporation Inspector:
Mobile:
Construction Commencement Date:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
1
Construction Completion Date:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
2
Valve & Fittings Manufacturer:
Inspection Item
Street Name 1
Street Name 2
Street Name 3
Street Name 4
Pipe Bedding Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pipe Backfill Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of the person Inspected:
Thrust Blocks Date poured
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Disinfection Plan Initial Reading
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Time:
Disinfection Final Reading
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Time:
Pressure Test (1200Kpa)
Date of Pressure test
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mains laid
Rows
Length
Type
Date of Manufacture
100mm
150mm
200mm
250mm
Contractor Representative
Date:
Client Representative
Submit
Should be Empty: