Geotechnical Hazard Inspection: Yes No Yes No Yes No Yes No Yes No Yes No
Geotechnical Hazard Inspection: Yes No Yes No Yes No Yes No Yes No Yes No
Geotechnical Hazard Inspection: Yes No Yes No Yes No Yes No Yes No Yes No
Nama : Lokasi :
Tanggal : Tipe Inspeksi :
Kondisi Umum
Deskripsi kondisi umum area inspeksi
Failure:
Are there any NEW Yes Yes
Are there any OLD
failures? No No
Describe the failures (size, material, type, weathering):
Risk Rating and Recommendations
Consequences : Risk:
Recommendations:
Inspected By: Approved By:
Name: Name:
Position: Position:
Signature: Signature:
Date: Date: