Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

ENVIRONMENT

  • Rain Water Controls & Siltation

  • Pollution

  • Material Management

QUALITY - Conformance

  • Jointing

  • If using Nylon, What is the expiry date on the glue container.

  • Trench and Alignment

  • Trench Backfilling

  • Correct Depth

  • Warning Tape

  • Trace Wire

  • Materials - Approved

  • Handling and Storage

  • Inside of Pipe Clean

  • Separation from other Services

  • APA Approved Construction Plan on Site.

  • Test Equipment on Site and Suitable.

  • Meter Assembly Installation Passed.

  • Have Meter Sets been capped off and Warning Tape installed.

SAFETY - Conformance

  • Shoring Required, if so is it suitable for the project.

  • Traffic and Pedestrian Controls

  • Material Management

  • Clothing

  • HIRAC Completed

  • PPE

  • Fire Extinguisher on site

  • Utility Plans on Site

  • Plant Operators - Licenced

  • Contractors Certification Current

OTHER PHOTOS

  • Add media

FINAL AUDIT ON THE SUBDIVISION INFORMATION

  • What is the gas pressure reading at the subdivision.

  • Have the line valves been installed

  • Have the surrounds been installed

  • Have Valve numbers been installed

  • Has the pressure test been completed and passed.

  • Has the "As Constructed Plan" been submitted to APA Group.

  • Has there been any changes to the construction plan? If so what were they.

CERTIFICATE OF ACCEPTANCE

  • On behalf of APA Group accept the transfer of ownership and operation of the gas reticulation system in stalled within this subdivision.
    I declare that I am in receipt of sufficient evidence to confirm that the reticulation system has been constructed in accordance with the requirements of "WGA-34 General Terms, Conditions, Design & Construction for New Subdivisions and Site Development".

  • Add signature

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.