• Property Details

  • Type of inspection

  • Conducted on

  • Inspected by

Owners contact details (where known)

  • Contact phone number

  • Contact Postal Address

  • Contact Email Address

Background Information (where known)

  • Number of residents

  • Soil type

Performance standards

  • Does the system prevent the spread of disease by micro-organisms?

  • Does the system prevent the spread of foul odours?

  • Does the system prevent the contamination of water?

  • Does the system prevent the degradation of soil and vegetation?

  • Does the system discourage insects and vermin?

  • Does the system ensure that persons do not come into contact with untreated sewage or effluent (whether treat or not) in their ordinary activities on the premises concerned?

  • Does the system minimise any adverse impacts on the amenity of the premises and surrounding lands?

Buffer distances

  • Is the effluent disposal area greater than 100 m to permanent surface waters?

  • Is the effluent disposal area greater than 250 m to domestic groundwater bore?

  • Is the effluent disposal area greater than 40 m to other waters (eg intermittent waterways, dams)?

Spray irrigation (if installed)

  • Is the effluent disposal area greater than 6 m up/3m down to driveways & property boundaries?

  • Is the effluent disposal area greater than 15 m to dwellings?

  • Is the effluent disposal area greater than 3 m to paths and walkways?

  • Is the effluent disposal area greater than 6 m to swimming pools?

Absorption disposal (if installed)

  • Is the effluent disposal area greater than 12 m up/6m down to the property boundary?

  • Is the effluent disposal area greater than 6 m up/ 3 m down to pools, driveways and buildings?


  • Is the lid, manhole and inspection openings undamaged and in place?

  • Is the tank accessible?

  • Is the tank undamaged?

  • Does the tank need a pump-out?

AWTS & Irrigation area (if installed)

  • Have service reports been sent to Council?

  • Is there sufficient irrigation area?

  • Is the irrigation line buried?

  • Are irrigation warning signs present?

  • Is effluent being evenly distributed?

  • Are garden hoses and fittings being used for irrigation?

Pump to Sewer Systems

  • Is there a visual and audible alarm installed

  • If the system is commercial is there appropriate signage in place with 24/7 contact phone numbers for system operator

General comments about system performance

  • If there is a grease trap, is it satisfactory?

  • Is greywater being disposed of satisfactorily?

  • Is the system operational at the time of inspection? <br>Eg - chlorine tablets, UV lamp

  • Is the disposal area showing signs of stress?

  • Is the disposal area failing?

System information

  • System type

  • Add drawing

  • Disposal area

Inspection Outcome

  • Inspection result

  • Risk Rating of premises

  • Parcel Number

  • Time for reinspection ( if required)

  • Office Use Only

  • Comments

Further information


Why the need for an approval to operate?

  • In 1997, an incident occurred where wastewater was found to be discharged into Wallis Lake, near Port Macquarie. The discharge came from a number of domestic septic tanks. As the Lake was used for aquaculture, an outbreak of Hepatitis A occurred, resulting in 444 people contracting the disease and one fatality.
    As a result, a review was undertaken and it found that councils were best placed to inspect and regulate the use of on-site sewage management system. Changes were made to the Local Government Act 1993 to require everyone with an on-site sewage management systems to obtain an approval to operate the system.
    The maximum time that an approval can be granted is five years and an approval is not transferable on the sale of a property.

Protecting your on-site sewage management system and effluent disposal area

  • There are a number of simple things that you can do to protect your on-site sewage management system:
    • use a sink strainer to reduce waste reaching your septic tank;
    • clean the grease trap regularly (where fitted);
    • don’t discharge bleach, whiteners, nappy soakers etc into the system;
    • don’t discharge hygiene products, condoms, tampons, nappies and cotton buds into the system;
    • don’t use more than recommended amounts of disinfectants and detergents;
    • repair leaking taps and cisterns;
    • have the sludge pumped out every 4-5 years;
    • grow grass in your effluent disposal area and keep it regularly mown;
    • divert stormwater away from the area;
    • don’t drive or park vehicles over the area; and
    • keep livestock out of the area to avoid compacting of the soil.

    If the system becomes smelly, flush a cup of lime (calcium oxide) down the toilet each day for 7 days. This will reduce the pH and encourage bacterial growth, which reduces the odour.

Further information:

  • Further information is available by calling Council during office hours on 6499 2222 and speak to an Environmental Health Officer.

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.