CFA Statement of Compliance Report V1.1

• TRAX No.

• Audit Title

• Client / Site

• Inspected by

• Date of Inspection

  Date

• Type of Statement of Compliance Inspection

  Urban Subdivision

  BMO Subdivision

• Has defendable space been fully implemented in accordance with the planning permit requirements?

  Yes

  No

• Detail non compliance issues

• Add photographs to support the issue (s)

  Media

• Are fire hydrants located in accordance with water plans

  Yes

  No

• Explain

• Are fire hydrants correctly identified? (Marker post, road reflective marker or appropriate road marking)

  Yes

  No
Select for each hydrant fault

• Select non compliance(s)

  Select Unable to locate No road reflective marker No marker post Marker post not installed correctly (eg. faces wrong way) Marker post not secured to ground Cover not seated correctly Unable to remove cover Lugs too high Lugs too low Lugs offset More than 200m apart Other

  • Unable to locate
  • No road reflective marker
  • No marker post
  • Marker post not installed correctly (eg. faces wrong way)
  • Marker post not secured to ground
  • Cover not seated correctly
  • Unable to remove cover
  • Lugs too high
  • Lugs too low
  • Lugs offset
  • More than 200m apart
  • Other

• Provide details of non compliance.

• Describe location

• Additional information

• Add photographs to show issue(s)

  Media

Outcome

• Consent to Statement of Compliance

  Yes

  No

• Detail actions taken or to be taken to rectify identified issues.