排水溝自檢表

填寫說(shuō)明：

1. 本自檢表適用于排水溝的日常自檢工作，旨在確保排水溝的正常運(yùn)行和安全使用。

2. 根據(jù)實(shí)際情況，填寫相應(yīng)的內(nèi)容，如有需要，可在備注欄中進(jìn)行補(bǔ)充說(shuō)明。

3. 填寫時(shí)應(yīng)認(rèn)真仔細(xì)，如有問(wèn)題或異常情況，應(yīng)及時(shí)采取相應(yīng)的措施進(jìn)行處理。

4. 填寫完畢后，應(yīng)及時(shí)上報(bào)相關(guān)部門，并妥善保存。

自檢表格：

序號(hào)：_________ 日期：_________ 填表人：_________

一、基本信息：

1. 排水溝名稱：_________

2. 排水溝位置：_________

3. 排水溝長(zhǎng)度：_________ 米

4. 排水溝寬度：_________ 米

5. 排水溝深度：_________ 米

二、自檢內(nèi)容：

1. 排水溝外觀檢查：

a. 排水溝是否有明顯的破損或變形情況？

b. 排水溝是否有積水或堵塞現(xiàn)象？

c. 排水溝是否有明顯的泥沙淤積？

d. 排水溝是否有雜草叢生或其他異物堆積？

2. 排水溝水流檢查：

a. 排水溝水流是否暢通？

b. 排水溝水流是否有明顯的變慢或停滯現(xiàn)象？

c. 排水溝水流是否有明顯的漩渦或渦流現(xiàn)象？

d. 排水溝水流是否有明顯的波浪或?yàn)R起水花？

3. 排水溝邊坡檢查：

a. 排水溝邊坡是否有明顯的塌方或滑坡現(xiàn)象？

b. 排水溝邊坡是否有明顯的裂縫或沉降現(xiàn)象？

c. 排水溝邊坡是否有明顯的松動(dòng)或脫落現(xiàn)象？

d. 排水溝邊坡是否有明顯的植被破壞或侵蝕現(xiàn)象？

4. 排水溝護(hù)坡檢查：

a. 排水溝護(hù)坡是否完好無(wú)損？

b. 排水溝護(hù)坡是否有明顯的破損或變形現(xiàn)象？

c. 排水溝護(hù)坡是否有明顯的松動(dòng)或脫落現(xiàn)象？

d. 排水溝護(hù)坡是否有明顯的植被破壞或侵蝕現(xiàn)象？

5. 排水溝設(shè)施檢查：

a. 排水溝是否有明顯的設(shè)施損壞或缺失？

b. 排水溝設(shè)施是否有明顯的老化或腐蝕現(xiàn)象？

c. 排水溝設(shè)施是否有明顯的松動(dòng)或傾斜現(xiàn)象？

d. 排水溝設(shè)施是否有明顯的漏水或滲水現(xiàn)象？

三、備注：

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