Extension and Connections - Routine Inspection Checklist

SA Water Contract Audit Report

• Contractor

• Audit No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Construction/Maintenance of SA Water Assets

• Job Classification

  WMR

  S/Rehab

  L/Div

  PMP

  M/Proj

•  Ensure all prior notifications e.g. traffic management, dewatering, hold points, TSA Road permit and Variations (including material / labour and equipment used on site) are taken note of. do they comply?

  Yes

  No

  N/A

• Waste Water Construction/Maintenance

• Work Witnessed

  Select Excavation Bedding Laying Manhole Cleaning Civil Works Compaction Levels Connections Link Up Valves Fireplugs Bitumen Other (see notes)

  • Excavation
  • Bedding
  • Laying
  • Manhole
  • Cleaning
  • Civil Works
  • Compaction
  • Levels
  • Connections
  • Link Up
  • Valves
  • Fireplugs
  • Bitumen
  • Other (see notes)

• Have all works witnessed been completed adhering to SA Water Standards?

  Satisfactory

  Not Satisfactory

  Discussion Required

• Is construction/maintenance being followed in accordance with the assigned designs?

  Yes

  No

  Approved Change

• Relevant Photos:

  Media

• Other Notes

• Water Construction/Maintenance

• Work Witnessed

  Select Excavation Bedding Laying Manhole Cleaning Civil Works Compaction Levels Connections Link Up Valves Fireplugs Bitumen Other (see notes)

  • Excavation
  • Bedding
  • Laying
  • Manhole
  • Cleaning
  • Civil Works
  • Compaction
  • Levels
  • Connections
  • Link Up
  • Valves
  • Fireplugs
  • Bitumen
  • Other (see notes)

• Have all works witnessed been completed adhering to SA Water Standards?

  Satisfactory

  Not Satisfactory

  Discussion Required

• Is construction/maintenance being followed in accordance with the ASCON designs?

  Satisfactory

  Not Satisfactory

  Discussion Required

• Relevant Photos:

  Media

• Other Notes

• Other Construction/Maintenance

• Work Witnessed

  Select Excavation Bedding Laying Manhole Cleaning Civil Works Compaction Levels Connections Link Up Valves Fireplugs Bitumen Other (see notes)

  • Excavation
  • Bedding
  • Laying
  • Manhole
  • Cleaning
  • Civil Works
  • Compaction
  • Levels
  • Connections
  • Link Up
  • Valves
  • Fireplugs
  • Bitumen
  • Other (see notes)

• Have all works witnessed been completed adhering to SA Water Standards?

  Satisfactory

  Not Satisfactory

  Discussion Required

• Is construction/maintenance being followed in accordance with the ASCON designs?

  Yes

  No

  Approved Change

• Relevant Photos:

  Media

• Other Notes

WHS/EM Compliance

• Is the work site and surrounds in satisfactory condition?<br>ie. clear of debris, rubbish removed

  Satisfactory

  Not Satisfactory

  Discussion Required

• Environmental Management?

  Satisfactory

  Not Satisfactory

  Discussion Required

• Were workers on-site at the time of visit?

• Personal Protective Equipment?

  Compliant

  Performance Discussion

  Corrective Action

  Non Compliance Issued

•  Sight Dial-B4-U-Dig plans and any information supplied on for other obstructions e.g. <br>- High Voltage SAPN permit – is power isolated?<br>- High pressure gas<br>- Fibre optic cables <br>- Sight pre-con checklist and sign site induction form. (Contractor to inform SA Water personnel of site hazards).<br>

  Yes

  No

  N/A

• Worksite Safety measures ie. shoring, harnesses

  Compliant

  Performance Discussion

  Corrective Action

  Non Compliance Issued

• Do all employees have White Card, Company ID card, Traffic Management Card?

  Yes

  No

  N/A

•  Traffic Guidance must be to the Australian Standard AS1742 - Manual of Traffic Control Devices.<br>- Sight Traffic Management plans (should be drawn up by Leading Hand before work starts) to divert traffic and pedestrians. <br>- If External company used – site traffic management plan prepared by company. <br>- If Road closed – Check detours are in place, advanced warning signs, Barriers around trenches, footpath closed, use other footpath signs.<br>

  Compliant

  Performance Discussion

  Corrective Action

  Non Compliance Issued

• Are any Abestos related activities taking place?

• Do all works comply with -Working with Asbestos pipes SOP - 71543

  Yes

  No

  N/A

• Officer Signature

  Sign