• Property No.

  • Owner/Applicant

  • Conducted on

  • Inspected by

  • Address

  • Location

External drainage

  • Correct drainage sizing (main drain 100mm)

  • Grade or fall at a minimum 1.60 or 1.65% to septic tank

  • Approved pipe work material used - stamp visible

  • Correct bedding/side support - 10mm maximum hard stone / blue metal or sparged with 1 part Portland cement and 4 parts clean sand

  • Vented (between last and second last fixture, <8.5m from the end of drain or >10m from a gully

  • Gully requirements - at least 150mm below lowest fixture and 75mm above surrounding ground level

  • Inspection openings (at the point of connection to septic tank, immediately at or upstream of a bend, outside the building where the WC is connected, at interval lengths of <30m where WC are connected)

  • If back filled, is certifying certificate required from the drainer or plumber

  • The required cover where applicable comments

  • Comments

  • 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.