For Inspector For Maintenance Crew Component No. Preventative / Corrective Maintenance Inspection Item and Inspection Item No. Result Component Name Actions Check the flow diversion device Y__ before the inlet pipe and whether Scouring or erosion is present at 1 the bypass flow channel is clogged inlet structure and/or riprap apron N__ Work Order # __________ Y__ Clogged pipes or excessive A1 2 Remove sediment or debris sediment in the forebay Pretreatment N__ (Forebay) Repair or replace the outlet Damaged outlet structure (e.g., Y__ structure 3 cracking, subsidence, spalling, erosion, or deterioration) N__ Work Order # __________ A2 Y__ (If a MTD is used for pretreatment, Pretreatment 1 MTD inspection see manufacturer’s maintenance (MTD, N__ manual) if installed) A3 Y__ (See BMP No. ________ Field Pretreatment 1 BMP inspection Manual) (Structural BMP) N__ Note:
For Inspector For Maintenance Crew Component No. Component Name Inspection Item and Inspection Item No. Result Preventative / Corrective Maintenance Actions A1 Pretreatment (Forebay) 1 Scouring or erosion is present at inlet structure and/or riprap apron Y__ N__ Check the flow diversion device before the inlet pipe and whether the bypass flow channel is clogged Work Order # __________ 2 Clogged pipes or excessive sediment in the forebay Y__ N__ Remove sediment or debris 3 Damaged outlet structure (e.g., cracking, subsidence, spalling, erosion, or deterioration) Y__ N__ Repair or replace the outlet structure Work Order # __________ A2 Pretreatment (MTD, if installed) 1 MTD inspection Y__ N__ (If a MTD is used for pretreatment, see manufacturer’s maintenance manual) A3 Pretreatment (Structural BMP) 1 BMP inspection Y__ N__ (See BMP No. ________ Field Manual) Note:
07-subsurface-gravel-wetland-maintenance-field-man-april-2015.docx