Title Page

General Information

  • Date of inspection

  • Address of inspection

  • DA number?

  • LG number

  • Is a concreted 6" boundary shaft top above FGL inside boundary

  • Is a gully grate 75mm above FGL or 150mm below FFL

  • Is a gully charged by a fixture or a tap above?

  • Have vacuum breakers been installed on taps?

  • Does the main line vent finish 450mm above the roof line?

  • Is the branch line more than 10m and a studor vent installed?

  • Is stormwater over flow to the street kerb?

  • Has a metal kerb box been installed at street level?

  • Has the water tank been installed to BASIX requirements?

  • Has a first flush been installed on water tank?

  • Has stormwater pits been installed for overland flow?

  • Has a gas compliance plate been installed above gas bottles?

  • Has a chain been installed to secure gas bottles?

  • Has an isolating tap for gas cooker been installed?

  • Has a gas instantaneous HWS isolation tap been installed?

  • Gas HWS 450mm away from window openings?

  • Gas HWS 450mm below eaves?

  • Are the gas bottles more than 2.5m away from yard gully or manhole?

  • Is hot water tested at 55 degrees?

  • Are kitchen sink and hand basins trapped underneath?

  • Are isolating taps installed on all hot and cold fixture connections?

  • Are all BASIX certificate requirements installed?

Final

  • Comments

  • Inspector

  • Anyone else in attendance?

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.