Department of Communities/Housing Authority - Plumbing and Drainage Audit - Maintenance Works and Service Contract.

• DoC Works Order Number:

• Property ID

• Property Address:
  Address

• Conducted on:

  Date

• Conducted by:

METERS:

• Can the property Water Service be isolated?

  Yes

  No

Schedule of Rates required to install isolation valve(s)

• SoR required

• Description

• Location

• Quantity

Non SoR labour:

• Tick box if non scheduled labour is required

• Labour description

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

Non SoR Material

• Tick box where non schedule Material is required

• Material description

• Quantity

• Costings

• Does the property have a Water Meter?

  Yes

  No

• Location

  Select Front (LHS) Front (RHS) Front (Middle) Rear (LHS) Rear (RHS) Rear (middle) Unknown

  • Front (LHS)
  • Front (RHS)
  • Front (Middle)
  • Rear (LHS)
  • Rear (RHS)
  • Rear (middle)
  • Unknown

• Photograph (must include meter ID number)

  Media

• Does the Water Service comply with ASNZS 3500 Plumbing and Drainage Part 1 Water Services?

  Yes

  No

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material :

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick box if non scheduled labour is required

• Labour description

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

No SoR works - Plant and Equipment:

• Tick the box if non scheduled Plant and/or Equipment is required

• Plant/Equipment description

• Costings

• Photograph

  Media

BACKFLOW PREVENTION:

• Is the property protected by a Backflow Prevention Device?

  Yes

  No

• Location

• Photograph

  Media

WATER FILTERS:

• Are water filters or water softeners fitted to the potable water service?

  Yes

  No

• Comments

• Photograph

  Media

RETICULATION:

• Does the property have a Reticulation System?

  Yes

  No

• Does the system have a manual isolation valve?

  Yes

  No

  Unknown

• Comments

WATER STORAGE TANKS:

• Does the property have Water Storage Tanks?

  Yes

  No

• Are the Tank(s) collecting water from Rain Water Harvesting?

  Yes

  No

• Do the tanks provide storage for Drinking water?

  Yes

  No

• Does the installation comply with AS/NZS 3500 Plumbing and Drainage Part 1: Water services<br>

  Yes

  No

• Works required:

• Photograph

  Media

• Are the Tank(s) collecting water from a Bore?

  Yes

  No

• Photograph

  Media

• Does the installation comply with ASNZS 3500 Plumbing and Drainage Part 4: Heated Water Services

  Yes

  No

• Comments

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

• Tick the box if a HWU is being inspected

• Type

  Solar HWU

  Heat Pump HWU

  Electric Storage HWU

  Electric Instantaneuos

  Other

• Comments

• Condition of the Hot Water Unit

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

• Photograph

  Media

TYPE:

• Deep Sewer

  Yes

  No

• I.S. location

  Select Front (LHS) Front (RHS) Front (Middle) Rear (LHS) Rear (RHS) Rear (middle) Unknown

  • Front (LHS)
  • Front (RHS)
  • Front (Middle)
  • Rear (LHS)
  • Rear (RHS)
  • Rear (middle)
  • Unknown

• Photograph

  Media

• Is the property connected to an Effluent only system?

  Yes

  No

• Location of the Effluent system connection point

  Select Front (LHS) Front (RHS) Front (Middle) Rear (LHS) Rear (RHS) Rear (middle) Unknown

  • Front (LHS)
  • Front (RHS)
  • Front (Middle)
  • Rear (LHS)
  • Rear (RHS)
  • Rear (middle)
  • Unknown

• Septic System

  Yes

  No

• Location

  Select Front (LHS) Front (RHS) Front (Middle) Rear (LHS) Rear (RHS) Rear (middle) Unknown

  • Front (LHS)
  • Front (RHS)
  • Front (Middle)
  • Rear (LHS)
  • Rear (RHS)
  • Rear (middle)
  • Unknown

• Tanks (number and size)

• Tank Lids (condition)

  Functional

  Non-functional

• Number of Leach Drains or Soakwells

• Are works required to any part of the Septic System?

  Yes

  No

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

No SoR works - Plant and Equipment:

• Tick the box if non scheduled Plant and/or Equipment is required

• Plant/Equipment description

• Costings

• Photograph

  Media

• Photograph

  Media

• ATU

  Yes

  No

• location

  Select Front (LHS) Front (RHS) Front (Middle) Rear (LHS) Rear (RHS) Rear (middle) Unknown

  • Front (LHS)
  • Front (RHS)
  • Front (Middle)
  • Rear (LHS)
  • Rear (RHS)
  • Rear (middle)
  • Unknown

• Brand

  Select Biomax Aquarius Biocycle Taylex Clearwater Compact Graf EPro Bio Systems Other

  • Biomax
  • Aquarius
  • Biocycle
  • Taylex Clearwater Compact
  • Graf EPro
  • Bio Systems
  • Other

• Photograph

  Media

DRAINAGE:

• Does the property Sanitary Drainage system comply with ASNZS 3500 Plumbing and Drainage Part 2: Sanitary Plumbing and Drainage

  Yes

  No

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

No SoR works - Plant and Equipment:

• Tick the box if non scheduled Plant and/or Equipment is required

• Plant/Equipment description

• Costings

• Photograph

  Media

• Type

  Metal

  Tiled

  Other

• Comments

• Photograph

  Media

Guttering

• Does the property have guttering

  Yes

  No

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Valley

• Does the property have Valley gutters

  Yes

  No

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Flume Vents

• Does the property have flume vents

  Yes

  No

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

KITCHEN SINK:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Tapware and Outlet

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Trap and Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

LAUNDRY TROUGH/SINK:

• Photograph

  Media

• Condition:

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Tapware

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Trap and Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Laundry Floor Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Toilets:

• Location

  Select Laundry Main Bathroom Ensuite Powder Room Other

  • Laundry
  • Main Bathroom
  • Ensuite
  • Powder Room
  • Other

• Comment

Pedestal Pan

• Photograph

  Media

• Style

  Select S Tap P trap Care Wall faced Right hand skew Left hand skew Wall hung Other

  • S Tap
  • P trap
  • Care
  • Wall faced
  • Right hand skew
  • Left hand skew
  • Wall hung
  • Other

• Comment

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Cistern(s)

• Photograph

  Media

• Style

  Select Plastic Vitreous China Dual Flush Single Flush Mid Level Low Level (Connector type) Inwall/Induct Close Coupled (link) Other

  • Plastic
  • Vitreous China
  • Dual Flush
  • Single Flush
  • Mid Level
  • Low Level (Connector type)
  • Inwall/Induct
  • Close Coupled (link)
  • Other

• Comment

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Vanity Basin(s):

• Photograph

  Media

• Location

  Select Main Bathroom Ensuite Other

  • Main Bathroom
  • Ensuite
  • Other

• Comments

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Tapware and Outlet

• Photograph

  Media

• Condition

  Good

  Fair

  Poor

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Trap and Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Floor Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Bath:

• Photograph

  Media

• Location

  Select Main Bathroom Ensuite Other

  • Main Bathroom
  • Ensuite
  • Other

• Comments

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Tapware and Outlet

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Plug and Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Floor Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Shower Recess:

• Location

  Select Main Bathroom Ensuite Other

  • Main Bathroom
  • Ensuite
  • Other

• Comment

Tapware and Shower Rose

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

Shower Waste:

• Photograph

  Media

• Condition

  Functional

  Non-functional

Schedule of Rates:

• SoR required

• Description

• Location

• Quantity

Non SoR material:

• Tick the box if non scheduled material is required

• Material description

• Quantity

• Costings

Non SoR labour:

• Tick the box if non scheduled labour is required

• Labour description

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

• Has a Hazard been identified during the Audit? [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