Title Page
1.0 Property Details
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Property ID
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Property Address
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Inspector
- Geoff Cook
- Graeme Dryden
- Other
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Enter Name:
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Conducted on
Question Set and results
2.0 Take 5 (identify any hazards and Assess the risk).
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2.1 Have any Hazard been identified?
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2.2 Hazard type
- Biological e.g. Influenza, COVID 19, Sewerage, Mould, Animal Waste or Sharps
- Environmental e.g. Asbestos, Inclement weather (lightning, Strong Winds or Rain) or Noise
- Physical e.g. Aggressive pet, Abusive or Disruptive tenant
- No apparent hazards identified
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2.3 Describe the hazard
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2.4 Can corrective actions be implemented to control the hazard (where NO is selected Stop. Proceed to section 5.0. Notify the Regional Office where immediate corrective action is necessary).
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Describe the corrective action
3.0 Where safe to enter the property.
3.1 Water Meter
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Is the Water Meter visible
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Location (provide image of the Water Meter)
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Can the Water Meter be isolated (where the response is NO contact Water Corporation (13 13 75) and report the fault
3.2 Pressure Test
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Attach pressure gauge to front or rear hose tap and enter results (Note location of the hose tap, provide image of pressure reading and hose tap)
- 350-400 KPA
- 400-450 KPA
- 450-500 KPA
- 500 KPA and above- limiting valve recommended
Hot Water System
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Type (provide image)
- Electric Heat Pump
- Electric Instantaneous
- Electric Storage
- Gas Continuous flow
- Gas Instantaneous
- Gas Storage
- Solar
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Location
4.0 Internal audit (where safe to enter the building)
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4.0.1 Does the property have an Ensuite
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Does the Ensuite have a Bath or SPA
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
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Does the Ensuite have a Shower
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
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Does the Ensuite have a Basin
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
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Does the Ensuite have a Toilet
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Cistern type (provide image)
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WELS rating
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Pan type (provide image)
4.1 Kitchen
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
4.2 Laundry
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
4.3 Main Bathroom
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Does the Main Bathroom have a Bath
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
-
Does the Main Bathroom have a Shower
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Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
-
Does the Main Bathroom have a Basin
-
Complete WELS testing and record results
- 3
- 4.5
- 6
- 7.5
- 9
- 12
- 15
- 18
- 20
- Unable to test
- No fixture
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Does the Main Bathroom have a Toilet
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Cistern type (provide image)
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WELS rating
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Pan type (provide image)
Main Toilet
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Where is the Toilet located
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Note location
5.0 Additional Comments
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Have any priority works been identified? e.g., water leaks, property damage, broken fittings or fixtures.
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Enter description (include schedule of rates where applicable)
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Has a Works Order been raised (enter WO details where the response is YES)
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Work Order details
8.0 Sign off
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Completion date
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Signature
