CRM INSPECTION REPORT - STORMWATER DRAINAGE CHECKLIST

DATA

Location:

Complaint Type

CRM No.

Drainage Type

Table drain / swale
Kerb and gutter
Piped drainage
Culverts
Over land water flow from council property
Over land water flow from private property
Inter-allotment drainage
Natural creek / watercourse
GPT
Wetland
Bioretention
Sand filter
Rain garden
Other
Canal

Hazard Type

Subsidence of ground surface
Ponding of storm water runoff
Impeding flow of water / blockage
Vehicle or property damage
Pedestrian personal injury
Damaged public infrastructure
Flooding - private property
Flooding - public property
Pollution
Overgrown vegetation
Vermin
Damaged private infrastructure
N/A
Erosion

What has occurred?

Has this occurred before?

When?

Site photographs

CRM Risk assessment required?

RISK RATING

Likelihood

Consequences

OVERALL RISK ASSESSMENT

ADDITIONAL ASSESSMENT CRITERIA

PEDESTRIAN AND/OR VEHICLE USAGE

High Use - CBD areas, shopping centers, aged care facilities, Hospitals, Schools

Medium Use - Parks adjoining High areas, churches and aged homes within urban areas; all medium or high density residential zones; strip shops or corner shops in residential areas. In parks, reserves and lane ways with unlimited access.

Low Use - All other areas.

OUTCOMES & ACTIONS

What is the outcome?

Referral details

Who to refer to:

Scope of referral:

Advise provided to complainant

Scope of works

ADDITIONAL RISK ASSESSMENT

EVALUATION CRITERIA
0 - not affected
1 - low risk. Affected in less frequent storm events. 1 in 100 years or RARELY
2 - medium risk. Affected in mid range storm events. Say 1 in 10 to 1 in 50 years or OCCASIONALLY
3 - high risk. Affected in frequent storm events. Say less than 1 in 5 years or FREQUENTLY

Risk of life