Title Page

  • Development Application Number

  • Property Address:
  • Conducted by:

  • Conducted on

WHS Considerations

  • Have you identified any major hazards/no-go areas onsite?

  • Is PPE required before entry?

  • Do you have the correct PPE?

  • Is it safe to proceed onto the site?

Consideration

Drainage

Stormwater

  • Does the Land appear prone to local flooding

  • Are any surface/ subsoil water problems evident

  • Is surface water likely to be diverted to the detriment of adjoining land

  • Can Roof Water drain to the street/reticulated system

  • Stormwater will need to drain to

  • Describe

  • Can surface water be drained to street/interallotment system

  • Is the existing drainage system adequate for the proposal

  • Is an Onsite Stormwater Detention system (OSD) required

Sewage

  • Will existing sanitary plumbing & drainage be affected

  • Is the existing overflow (relief) gully compliant

  • Will the existing overflow (relief) gully be affected

  • Will the proposal encroach into the influence of an utility main or easement

Effluent Disposal Field

  • Does the Development require an Effluent Disposal Field

  • Is sufficient area available for the initial and reserve disposal fields

  • Does site appear to have limiting disposal criteria present

  • Could the disposal field’s textural classification be determined on inspection

  • Specify

  • Could the appropriate effluent disposal method be determined on inspection

  • Specify

Site Stability

  • Does land appear to have been filled

  • Does land require filling to facilitate the development

  • Does the development necessitate the site being excavated/cut

  • Are retaining walls required to stabilise excavated/cut areas

  • Will the footings be below the influence of any adjoining building

  • Are adjoining building(s) likely to require underpinning

  • Is adjoining footpath/road/public land likely to be undermined

  • Will the structure encroach into the influence of any utility service pipe

  • Will soil erosion control measures be required on site

  • Will slab fill be contained within the allotment

Built Environment

  • Any existing buildings to be demolished

  • Is natural light/ventilation to existing buildings likely to be obstructed

  • Will weep-holes, freeboard of existing dwelling likely to be affected

  • Will any doors/gates open out over public footpath/roadway (Roads Act)

  • Any existing fences on side boundaries

  • Any existing fences forward of the building line

  • Is a swimming pool involved with the development (either existing or proposed)

  • Does existing perimeter fencing comply with Swimming Pools Act

  • Any existing openings from dwelling/outbuildings to be made ‘Child Safe’

Acess

  • Can vehicular access be gained to the site

  • Is a vehicular crossing required

  • Can access be obtained from a Public road

  • Is the ‘Public Road’ maintained

  • Does the existing vehicular access require upgrading

  • Is the existing vehicular crossing on correct side for access

  • Is there adequate line-of-sight at the point of access onto the Public road

  • Any existing damage to kerb and gutter, and footpath

  • Have photos of existing kerb & gutter condition been taken & filed

Utlilities

Electricity

  • Is reticulated electricity available

  • Any overhead power lines in close vicinity that could impact on the building

  • Will the proposed building be too close to the lines<br>

  • Notification to Essential Energy required within 7 days

  • Will the Development: -

  • (a) involve the penetration of the ground within 2m of a power pole or underground electricity power line (clause 45 of SEPP (Infrastructure) 2007)

  • Notification to Essential Energy required within 7 days

  • (b) be within or immediately adjacent to an electricity easement (clause 45 of SEPP (Infrastructure) 2007)

  • Notification to Essential Energy required within 7 days

  • (c) be immediately adjacent to an electricity substation (clause 45 of SEPP (Infrastructure) 2007)

  • Notification to Essential Energy required within 7 days

  • (d) be within 5m of an exposed overhead power line (clause 45 of SEPP (Infrastructure) 2007)

  • Notification to Essential Energy required within 7 days

  • (e) if a swimming pool, within 5m vertically of an overhead power line (clause 45 of SEPP (Infrastructure) 2007)

  • Notification to Essential Energy required within 7 days

  • (f) if a swimming pool, within 30m horizontally of an overhead electricity transmission line support structure (clause 45 of SEPP (Infrastructure) 2007)

  • Notification to Essential Energy required within 7 days

Water

  • Is Council’s potable reticulated water supply available

  • Is the position of the meter standpipe compatible with vehicular access etc

  • Will access be available/maintained for Council’s meter reader

  • Is the position of the water main consistent with its location on GIS

  • Is the building required to be served by fire hydrants

  • Are Street Hydrants available to serve the building(s)

Sewerage

  • Is a reticulated sewerage system available

  • Is the position of the sewer main consistent with its location on GIS

  • Will access be available & maintained to the lot’s sewer junction

  • Is the sewer junction serving only a single allotment

Stormwater

  • Is a reticulated underground stormwater system evident on lot/in the street

  • Will stormwater pipe outlets have to be cut into the street kerb

  • Is a major overland flow path running through or next to the allotment

  • Is adequate freeboard provided (ie 300mm above Ground Level)

Other

Rail

  • Will the Development:-

  • (a) involve a new level crossing, conversion into a public road or a private road access across a level crossing or a likely significant increase in the number of vehicles using a level crossing in vicinity of site (clauses 84-87 of SEPP (Infrastructure) 2007)

  • Notification to RailCorp/ARTC required within 7 days

  • (b) is likely to have an adverse effect on rail safety (clauses 84-87 of SEPP (Infrastructure) 2007)

  • Notification to RailCorp/ARTC required within 7 days

  • (c) involve the use of a crane in air space above the rail corridor (clauses 84-87 of SEPP (Infrastructure) 2007)

  • Notification to RailCorp/ARTC required within 7 days

  • (e) be likely to be adversely affected by rail noise or vibration (clauses 84-87 of SEPP (Infrastructure) 2007)

  • Notification to RailCorp/ARTC required within 7 days

  • (d) involve the penetration of the ground at least 2m below existing Ground Level: (clauses 84-87 of SEPP (Infrastructure) 2007)<br> i) within or above a rail corridor; or<br> ii) within 25m (measured horizontally) of a rail corridor; or<br> iii) within 25m (measured horizontally) of the ground directly above an underground rail corridor

  • Notification to RailCorp/ARTC required within 7 days

  • If residential development, does it adjoin a railway corridor (ie railway line)

Road

  • Will the Development:-

  • (a) be likely to be adversely affected by road noise or vibration (clauses 100-102 of SEPP (Infrastructure) 2007)

  • (b) be undertaken on land reserved for classified road purposes: (clauses 100-102 of SEPP (Infrastructure) 2007)<br> i) with a value greater than $150,000; or<br> ii) for the purpose of dwellings or other building to be held under strata title

  • Notification to RMS required within 7 days

Amenity

  • Will the adjoining land be adversely affected by overshadowing

  • Is the development likely to adversely affect privacy of adjoining land

  • Is the development likely to adversely obstruct access to light

  • Is the development likely to adversely obstruct access to scenic views

  • Should adjoining owners be notified

  • Is a House No./Rural Property No. required to be erected and displayed

  • Do the submitted plans adequately and accurately depict the condition of the existing building the subject of the inspection

  • Have photos of the site been taken and placed on file

Development

  • Has the building work the subject of this application already commenced

  • List works already commenced

Existing Fire Saftey Measures

  • Existing Fire Safety Measures Present?

  • Smoke Alarms (battery only)

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Smoke Alarms (240v)

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Smoke Detectors

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Fire Hose Reels

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Pillar Hydrants

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Fire Hose Reel Pump

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Sprinklers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • External Wall-wetting Sprinklers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • CO2 Extinguishers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • DCP Extinguishers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Foam Extinguishers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Stored Water Extinguishers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Wet Chemical Extinguishers

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Fire Blankets

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Exit Signs (illuminated)

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Emergency Lighting

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Required Exit Door(s)

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

  • Fire Doors

  • Internal

  • External

  • Tag Date/Number:

  • Number present

  • Comments

  • Photos

Signature

  • Inspecting Officer

  • Senior Building Development Officer
    Accreditation Number: BPB 1234 (A1 accreditation)

  • Senior Building Development Officer
    Accreditation Number: BPB 1664 (A1 accreditation)

  • Building Development Officer
    Accreditation Number: BPB 0970 (A2 accreditation)

  • Building Services Supervisor
    Accreditation Number: BPB 1236 (A1 accreditation)

  • Building Development Officer
    Accreditation Number: BPB 1339 (A1 accreditation)

  • Building Development Officer
    Accreditation Number: BPB 1739 (A3 accreditation)

  • Senior Building Development Officer
    Accreditation Number: BPB 1496 (A1 accreditation)

  • Signature of Officer

  • Select date

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