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Information Required Observations

• Name of Road
CHECKLIST FOR Pipeline
• Existing INSPECTION AND ASSESSMENT
• Yes OF EXISTING
PIPELINES• No
• Length of pipeline
• Type of Pipe
• Size of Pipe
• Year Laid
• Year used last
• Method of Transmission • Pump
• Gravity
• Pipe efficiency •
• Repaired before? • Yes
• No
• If yes why

• Year repaired
• Replaced before • Yes
• No
• Year replaced
• Original type • AC
• UPVC
• Ductile Iron
• Steel
• Not Applicable
• Mild steel
• Mild steel with lining
• Original size
• Condition of Pipe • Good
• To be replaced
• Type of joint • Socket
• Bellmouth
• Welded
• Flanged
• Condition of joint • Good
• Leaking – Some
– All
• Name of fitting • Sluice Valve
• Air Valve
• Washout
• Fire-Hydrant
• Diameter of fitting •
• Make of fitting
• Age of fittings
• Fittings missing • Nuts
components • Studs
• Bolts
• Not fully engaged
• Repair work on the valve • YES
• NO
• Reason for repair

• Condition of fitting • Good


• Leak at joints
• To be replaced
CHECKLIST FOR INSPECTION AND ASSESSMENT OF EXISTING
PIPELINES

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