Department of Communities/Housing Authority - Hydro-Jetting and Camera Drainage Report - Maintenance Works and Service Contract.

• DoC Works Order Number:

• Property ID

• Property Address:
  Address

• Conducted on:

  Date

• Conducted by:

Property Sewer system:

• Type:

  Deep Sewer

  Septic System

  ATU System

  Other

• Location of Inspection Shaft i.e. Front (RHS) Rear (LHS)

• Photograph

  Media

• Number and location of Septic Tanks and Leach Drains

• Photograph

  Media

• Brand/Location/Irrigation System i.e. sprinkler field

• Photograph

  Media

• If 'OTHER', description required.

• Photograph

  Media

Cause of Blockage:

• Issue

  Roots

  Paper

  Rocks

  Toys

  Other

• Has the drain been compromised (damaged)?

  Yes

  No

• Description and location.

• Description

As-Constructed Attachment:

• Please attach image of the 'As-constructed' property drainage layout. The attachment must clearly show; location of blockage and, where applicable, location of Septic tanks, leach drain(s), ATU and irrigation field. Refer example below.

  

• Add media

  Media

• Check box if additional works are required. (Where additional works are identified, to ensure the adequate functioning of the property drainage system, the Contractor is to immediately inform the Principal and request an Additional Works Order under Clause 4.7 of the General Specification).

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR labour:

• Tick the box where non scheduled labour is required to complete the works.

• Describe why the non schedule labour is required

• Units of labour (per 1/4 HR increments)

Non SoR material:

• Tick the box where non scheduled material is required to complete the works.

• Material description

• Quantity

• Costings

Non SoR Works - Plant and Equipment:

• Check the box where non scheduled Plant and/or Equipment is required to complete the works.

• Plant/Equipment description

• Costings

• Has a Hazard been identified? [A hazard is anything with the potential to cause injury or property damage].

  Yes

  No

• Recommended Actions

• Photograph

  Media

Additional Comments

• Is further Technical Information required

  Yes

  No

• Comments

License No

• Please provide Trade License details

Signature

• Please sign on completing the Audit

  Sign