Diversion Specific Site Inspection

• Specific Diversion Inspection Report

• Customer Name

• Licence No. ie 46x/xxx/xxxx

• Location
  Address

• Waterway Name

• Conducted on

  Date

• Prepared by

Dam Details

• Is there a Dam on the property?

  Yes

  No

  N/A

• How many dams?

• Type of Dam

  Onstream Dam

  Offstream Dam

  Catchment Dam

• Spillway

  Yes

  No

  N/A

• Is the Dam Hazardous?

  Yes

  No

  N/A

• Compensation/Siphon Pipe installed:

  Yes

  No

  N/A

• Is the Compensations pipe accessible?

  Yes

  No

  N/A

• Is the compensation/Siphon Pipe in working condition?

  Yes

  No

  N/A

• Size of compensation pipe mm

• Is the compensation/Siphon Pipe in working condition?

  Yes

  No

  N/A

• Is water being passed d/s of dam?

  Yes

  No

  N/A

• Is Dam wall clear of significant vegetation?

  Yes

  No

  N/A

• Other comments on structural condition, cracks, seepage, erosion, extra works,

• Photos of dam

  Media

Pump Details

• Is there a pump installed?

  Yes

  No

  N/A

• Type of pump

  Select Electric Hydrocarbon Windmill Ram Race PTO

  • Electric
  • Hydrocarbon
  • Windmill
  • Ram
  • Race
  • PTO

• Pump Make

• Pump Model

• Is bunding in place?

  Yes

  No

  N/A

• Is bunding functional?

  Yes

  No

  N/A

• Other Comments on bunding, suction lines, pump, weir structures etc

• Photos of pump/s/ weir etc

  Media

Meter Details

• Are meters installed?

  Yes

  No

  N/A

• Meter Serial Number

• Meter Reading (ML)

• Is there any evidence of tampering?

  Yes

  No

  N/A

• Any there any leaks around the meter?

  Yes

  No

  N/A

• Are any security tags intact?

  Yes

  No

  N/A

• Is there a datalogger installed at this site?

  Yes

  No

  N/A

• Is the datalogger functioning correctly?

  Yes

  No

  N/A

• General information regarding meter

• Photos of meter/ dataloggers

  Media

Type of Irrigation

• Irrigation Method

  Select Dripper Spray Flood/gravity fed Overhead sprinklers Pop-Up Sprinklers Mini-sprinklers and micro-jets Subsurface drip Travelling Irrigator Centre Pivot Lateral Move Other

  • Dripper
  • Spray
  • Flood/gravity fed
  • Overhead sprinklers
  • Pop-Up Sprinklers
  • Mini-sprinklers and micro-jets
  • Subsurface drip
  • Travelling Irrigator
  • Centre Pivot Lateral Move
  • Other

• Irrigation Use

• Other comments on irrigation

• Photos of irrigation

  Media

Customer Comments / Licence Holder Issues

• Other comments

  Yes

  No

  N/A

• undefined

• Signature

  Sign