LBCO - ESC Inspection Form Weekly

ESC Inspection Form
ESC Inspector*
ESC Inspector Email*
example@example.com
Inspection Date*

MonthDayYear
Date
Previous Inspection Date

MonthDayYear
Date
RW-541 Sunridge Mall Snow RemovalRW-705 Bridgeland Improvements ProjectRW-752 Carstairs Hwy 2A ImprovementsRW-760 15th Avenue Mobility ImprovementsRW-764 Sunnyside Flood Barrier 2025/26RW-768 Saddlebrook Pavement RehabRW-771 CFD Apparatus Slab ReplacementRW-773 14th Street NW PathwayRW-774 18th St SE PathwayRW-778 Bow View Manor Emergency WorkUG-728 Mandalay Phase 5BUG-730 NWIC Phase 2 (Kensington)UG-743 Lawrey Gardens Outfall B76UG-747 Cochrane Emergency RepairsUG 754 - Water maintenance RFSOUG-759 - Fish Creek Sludge Forcemain UpgradesUG-761 Bow River Siphon Line Stop & Isolation ValveUG-765 52 St and Memorial Dr. NE FeedermainUG-766 2025 Watermain ReplacementUG-777B BPSFM Emergency Inspection SupportUG-777C Pipe Diver InstallationUG-779 Phase 4 Bearspaw Feedermain RepairsUG-784 Shepard Energy Centre-Repair SORUG-785 Discovery Ridge Lift StationUG-786 Bowness Park Cross TieCP-676 CP Rail Work36 Avenue YardBalzac ShopSpring Garden Lay DownEnter Work Site Name if not listed above
Project Location Address
Urban File #
Project Start Date

MonthDayYear
Date
Project End Date

MonthDayYear
Date
Weather (including past 48 hours)
Owner
ESC Consultant
Other Attendees

Inspection Checklist (Choose the appropriate answer or provide notes)*

Rows	Yes/No/N/A	Notes
1) Are the approved ESC documents & inspection sheets available on-site?
2) Does the site match the approved drawing for the present phase?
3) Are all socks and donuts in place approved on the drawing?
4) Are appropriate measures in place to control overland run-on and run-off?
5) Are all stockpiles adequately located and stabilized?
6) Are construction exits properly stabilized and maintained?
7) Are critical areas adequately protected?
8) Is stripping inside the approved boundaries?
9) In completed areas, are permanent stabilization measures adequate?
10) Have all temporary controls that are no longer needed been removed?
11) Does water or sediment need to be removed from ponds to maintain volumes?
12) Is the site adequately protected with existing controls?
13) Has dust control been implemented?
14) If required has mandatory cover been installed on inactive areas after 45 days?
15) If after Nov.15 has proper winter shut down occurred?
16) Have deficiencies in the site inspection documents been promptly corrected?
17) Has sediment been tracked onto a street?
18) Has there been a sediment discharge to the storm drainage system?
19) Has there been a sediment discharge to a neighbouring property?
20) Has there been a sediment discharge to an environmental reserve?
21) Has there been a sediment release to a water body?

Observations (effectiveness of the measure used) Include Deficiencies/Noted Concerns, Optional Photo

Maintenance Requirements or Changes Required for the ESC Report and/or Drawings

Performed Actions When and What Repairs/Maintenance were done and by Whom
Observations
Add Photographs

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Comments:
Signature*
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