Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

TYPE OF INSPECTION

AUDIT

  • Roof clear of overhanging branches

  • Roof, gutters and spouting clean

  • Lead flashings present

  • If Lead flashings present are they well sealed and protected from corroding

  • Gutter guard installed and in good condition

  • First flush device installed and operative

  • Tank inlet screened, strainer clear of debris

  • Inlet, outlets of tank secure, excludes access for animals and mosquitoes

  • Tank integrity satisfactory (no cracks)

  • Water supply pipe work in good condition and protected from damage (vehicles and/or fire risk)

  • Evidence of recent tank desludging

  • Other matters for consideration

INSPECTION RESULT

  • Result

  • Comments / Issues

FOLLOW UP ACTION

  • Photos

SIGN OFF

  • Officers Name

  • Signature

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