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CRM INSPECTION REPORT - STORMWATER DRAINAGE
CRM INSPECTION REPORT - STORMWATER DRAINAGE
Mark Edenborough

CRM INSPECTION REPORT - STORMWATER DRAINAGE CHECKLIST

Drainage Inspection Assessment - CRMs

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Free CRM INSPECTION REPORT - STORMWATER DRAINAGE Checklist

Use this Digital Checklist

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Audit

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

Consequences

Likelihood

Likliehood

Consequences

Risk Rating

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

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

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

Habitable floor inundation

Property / non-habitable floor habitation

Velocity / depth hazard

Potential damage - private property

Potential damage - public property

Number of properties affected
0 - 0 properties
1 - 1 property
2 - 2-5 properties
3 - >5 properties

ADDITIONAL INFORMATION

Any additional information?

Additional photographs:
Inspectors Name
CRM INSPECTION REPORT - STORMWATER DRAINAGE
Mark Edenborough

CRM INSPECTION REPORT - STORMWATER DRAINAGE

Drainage Inspection Assessment - CRMs

Use this Digital Checklist
Download as PDF
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

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