Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

APPLICATION DETAILS

  • Application type

  • Application number:

SITE ASSESSMENT

STORMWATER DISPOSAL

  • Existing Stormwater connection complies

  • Photo of existing outlet where applicable

  • Property slopes away from street

  • New Stormwater connection proposed

  • Is location of nearest pit consistent with Councils GIS

  • Nominated point of discharge:

  • Other point of discharge:

  • Comments?

FLOOD RISK

  • Local drainage system through / adjacent?

  • Located adjacent to river / creek?

  • Comments?

SERVICES

  • Constraints- trees, bus stop, power poles etc.?

  • Photos of constraints

  • Comments?

ROAD RESERVE IMPACTS

  • Excavation proposed adjacent to road reserve?

  • Road reserve supported by retaining walls?comments.

  • Comments?

GENERAL COMMENTS

  • Comments

SKETCH SITE PLAN

  • Add drawing

SITE PHOTOGRAPHS

  • Recommend consideration of photos of the following:
    Kerb
    Stormwater pit(s)
    Natural drainage / creek/ channel
    Street signs
    Street trees
    Road pavement
    Sewer manhole
    Verge area
    Coastal hazard interface
    Existing driveway
    Power pole
    Water meter
    Telstra
    Electricity

  • Add media

FINALISATION

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.