Information
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Client / Site
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Conducted on
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Prepared by
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Location
TYPE OF INSPECTION
AUDIT
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Roof clear of overhanging branches
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Roof, gutters and spouting clean
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Lead flashings present
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If Lead flashings present are they well sealed and protected from corroding
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Gutter guard installed and in good condition
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First flush device installed and operative
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Tank inlet screened, strainer clear of debris
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Inlet, outlets of tank secure, excludes access for animals and mosquitoes
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Tank integrity satisfactory (no cracks)
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Water supply pipe work in good condition and protected from damage (vehicles and/or fire risk)
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Evidence of recent tank desludging
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Other matters for consideration
INSPECTION RESULT
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Result
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Comments / Issues
FOLLOW UP ACTION
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Photos
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SIGN OFF
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Officers Name
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Signature