Title Page
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Job Address:
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Client/Builder:
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Inspection Stage:
- Pre Slab Pour
- Post Slab Pour
- Prior To Hook Up
- Post Hook Up
- Post Handover
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Inspection Date:
Stormwater Inspection
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Is a Storm water inspection being conducted on this property?
- Yes
- No
- N/A
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Is the LPOD Riser Visible?
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Is the LPOD Riser Damaged?
- Yes
- No
- N/A
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Is the LPOD Riser Blocked?
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Are all the Stormwater Risers Visible as per plan?
- Yes
- No
- N/A
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Are any of the Risers Damaged?
- Yes
- No
- N/A
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Are any of the Risers Blocked?
- Yes
- No
- N/A
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Was Jetting Required?
- Yes
- No
- N/A
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How many minutes/hours?
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Will CCTV Footage be available for the report?
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Are there any breaks or blockages in the Stormwater drain ?
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1. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a second issue to note?
- Yes
- No
- N/A
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2.What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a third issue to note?
- Yes
- No
- N/A
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3. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a fourth issue to note?
- Yes
- No
- N/A
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4. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a fifth issue to note?
- Yes
- No
- N/A
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5. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a sixth issue to note?
- Yes
- No
- N/A
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6. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a seventh issue to note?
- Yes
- No
- N/A
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7. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a eighth issue to note?
- Yes
- No
- N/A
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8. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a ninth issue to note?
- Yes
- No
- N/A
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9.What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a tenth issue to note?
- Yes
- No
- N/A
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10. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a eleventh issue to note?
- Yes
- No
- N/A
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11. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Is there a twelve issue to note?
- Yes
- No
- N/A
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12. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
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What and Where?
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Likely cause & reason/s
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
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Required and/or Recommended Repairs to be action
Sewer Inspection
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Is a Sewer Inspection being conducted on this property?
- Yes
- No
- N/A
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Is the I.S Shaft Visible?
- Yes
- No
- N/A
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Is the I.S Shaft Damaged?
- Yes
- No
- N/A
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Is the I.S Shaft Blocked?
- Yes
- No
- N/A
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Is the ORG Visible?
- Yes
- No
- N/A
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Is the ORG Damaged?
- Yes
- No
- N/A
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Is the ORG Blocked?
- Yes
- No
- N/A
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Was Jetting Required?
- Yes
- No
- N/A
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How many Minutes/Hours?
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Will CCTV Footage be available for the report?
- Yes
- No
- N/A
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Are there any breaks or blockages in the Sewer drain ?
- Yes
- No
- N/A
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1. What is the issue?
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What and where?
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Likely cause reason/s
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Is there a second issue to note?
- Yes
- No
- N/A
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2. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
-
Likely cause reason/s
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Is there a third issue to note?
- Yes
- No
- N/A
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3. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
-
Likely cause reason/s
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Is there a fourth issue to note?
- Yes
- No
- N/A
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4. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
-
Likely cause reason/s
-
Is there a fifth issue to note?
- Yes
- No
- N/A
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5. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
-
Likely cause reason/s
-
Is there a sixth issue to note?
- Yes
- No
- N/A
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6. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
-
Likely cause reason/s
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Is there a seventh issue to note?
- Yes
- No
- N/A
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7. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
-
Likely cause reason/s
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Is there a eighth issue to note?
- Yes
- No
- N/A
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8. What is the issue?
- Broken
- Blocked
- Dislodged
- Crushed
- Missing
-
What and where?
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Likely cause reason/s
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Required and/or Recommended Repairs to be action:
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Required and/or Recommended Repairs to be action:
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Required and/or Recommended Repairs to be action:
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Required and/or Recommended Repairs to be action:
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Required and/or Recommended Repairs to be action:
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Required and/or Recommended Repairs to be action:
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Required and/or Recommended Repairs to be action
