Man Hole QA Page

Manhole Completion - QA Handback Record

* Indicates required field

Your Name *

Date *

Site Location *

Manhole Reference/Number *

Depth to Invert in M *

Construction Method *

Diameter in M *

Cover Slab Type *

Lid Type *

Riser Top Section Construction *

Choose Any *

Benching Satisfactory All Holes and Joints Pointed Channels set correctly Cover slab rotated to the correct orientation Step Irons in line with Aperture Step irones in line vertically ring to ring Manhole clean and free from debris Area around manhole compacted

Witness [client representative] *

First

Last

Email Address of client Witness *

Submit