Company Name Goes Here

• Customer

• Location
  Address

• Type of system

• Prepared by

• System brand and model number.

• Council area.

• Domestic or Commercial

  Domestic

  Commercial

• Date of next service due.

  Date

GENERAL CONDITION

• What is the general condition of the tank area as you arrive?

  Good

  Fair

  Poor

• What is the general condition of the irrigation area as you arrive?

  Good

  Fair

  Poor

• Comments on surrounding area.

• Tank area

  Media

• Irrigation area

  Media

SEPTIC CHAMBER

• Crust present?

  Yes

  No

• Odour present?

  No

  Yes

• What is the sludge depth?

  High

  Medium

  Low

• Are inlet / outlet junctions clear?

  Yes

  No

• Does the system require a desludge to be performed?

  No

  Yes

• Are sludge return lines clear?

  Yes

  No

• Does there appear to be good biological activity in the system?

  Yes

  No

TREATMENT CHAMBER

Aeration zone

• Odour present?

  No

  Yes

• Record the pH level.

• Record the dissolved oxygen level, mg/L

Activated sludge

• Is this an activated sludge system?

  Yes.

  No

• Is the air blower working?

  Yes

  No

• Are the diffusers operating?

  Yes

  No

• Is there sufficient air supply?

  Yes

  No

• Is the air blower pressure ok?

  Yes

  No

• Have the aeration timers / diffusers been adjusted?

  Yes

  No

  N/A

• Has the air filter been cleaned or replaced?

  Cleaned

  Replaced

• Is there a biofilm build up?

  No

  Yes

• What is the colour of the effluent?

  Brown

  Light brown

  Dark grey

• Is there suspended growth in the system?

  No

  Yes

• If yes, perform a settleabillity test.

• Settleabillity results.

  Clear

  Bulky

  Turbid

Trickling filter

• Does the system have a trickling filter?

  Yes

  No

  N/A

• Is the recirculation pump operational,

  Yes

  No

• Is the rotating arm / sprayer operational?

  Yes

  No

• Is the distribution plate biofilm good?

  Yes

  No

• Is the timer working correctly?

  Yes

  No

Clarification zone

• Is the sludge return operating?

  Yes

  No

• Is the scum return operating?

  Yes

  No

• What is the sludge depth?

  High

  Medium

  Low

• What is the clarity?

  Clear

  Cloudy

  Bulky solids

Irrigation chamber

• Is the irrigation pump operational?

  Yes

  No

• Are the float switches operational?

  Yes

  No

• Is there a presence of sludge

  No

  Yes

• Are the alarms operational

  Yes

  No

WATER TREATMENT RESULTS

• What is the type of disinfection

  Chlorinated (Cl)

  Ultra violet (UV)

• Record the free Chlorine mg/L

• Record the Turbidity NTU

• Number of Chlorine tablets consumed?

• Number of Chlorine tablets replaced?

• If the system is fitted with UV

• Have the lamps been cleaned

  Yes

  No

• Have the lamps been replaced

  Yes

  No

LAND APPLICATION AREA

• Is there any evidence of physical damage?

  No

  Yes

• Is there any ponding or runoff?

  No

  Yes

• Is there excess weed growth in the area

  No

  Yes

• Is the effluent running in to a dam, storm water drain, creek or river,

  No

  Yes

Surface spray irrigation

• Are sprinkler heads working

  Yes

  No

  Require replacing

• Are sprinklers spraying in a high risk area?

  No

  Yes

• Is the filter clean?

  Yes

  No

Subsurface irrigation

• Operating pressure

  Good

  Fair

  Poor

• Is the filter clean?

  Yes

  No

• Perform back flushing of lines

  Completed

  Unable to complete

Mound / Trench / Bed.

• Is there any ponding to leaching occurring?

  No

  Yes

• Comments.

ELECTORAL COMPONENTS

• General condition

  Good

  Fair

  Poor

• Have alarms been tested?

  Yes

  No

• Is the high water alarm operational?

  Yes

  No

• Is the low air alarm operational?

  Yes

  No

• Is the electrical compartment in good condition,

  Yes

  No

Comments or Repairs required

• Service technician

  Sign