• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Complaint Type

  • Drainage Type

  • Hazard Type


  • Council infrastructure

  • Private property


  • Any service infrastructure under pathway (eg sewer, water, storm water)

  • Any service infrastructure near drainage system (eg sewer, water etc)

  • Legal point of discharge

  • Adequate fall available

  • Drainage easement

  • Inter-allotment drainage associated with an easement

  • Links to approved future works plans

  • Current or under assessment DA's

  • PEDESTRIAN AND/OR VEHICLE USAGE - include AADT if pre-existing data has been allocated

  • High Use - CBD areas, shopping centers, aged care facilities, Hospitals, Schools

  • Medium Use - Parks adjoining High areas, churches and aged homes within urban areas; all medium or high density residential zones; strip shops or corner shops in residential areas. In parks, reserves and lane ways with unlimited access.

  • Low Use - All other areas.


  • 1. No further action

  • Advise provided to complainant

  • 2. Refer to operations area for scheduling into routine maintenance program

  • Scope of works

  • 3. Refer to operations area for scheduling into Capital Works program (Minor capital works < $30,0000)

  • Scope of works

  • 4. List possible treatment for funding consideration on next financial year draft budget list (Major capital works > $30,000)

  • Scope of works

  • 5. Prepare treatment concept - Emergent Works

  • Referral details (eg design section)


  • Any additional information?

  • Sketch (if required)

  • Inspectors Name

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.