Final audit form - water reticulation

• Address:

• Project Code:

• Contractor:

• Consultant:

• On-site contact:

• Conducted on

  Date

• Prepared by

Audit report. Notes and / or photos can be added at any point by selecting the Menu at the right-hand side (3 dots)

• Inspected for:

• Trenches levelled and top soil applied

  Compliant

  Non-compliant

  Not applicable

• No evidence of subsidence

  Compliant

  Non-compliant

  Not applicable

• Installed as per approved drawing design:

• Sluice valves

  Compliant

  Non-compliant

  Not applicable

• Fire plugs

  Compliant

  Non-compliant

  Not applicable

• Indicators / markers

  Compliant

  Non-compliant

  Not applicable

• Other

  Compliant

  Non-compliant

  Not applicable

• Surface fittings remain level and flush to finished surface levels

  Compliant

  Non-compliant

  Not applicable

• Area clean and surplus material removed

  Compliant

  Non-compliant

  Not applicable

• Final reinstatement quality is satisfactory / complies with contract requirements:

  Compliant

  Non-compliant

  Not applicable

• Jointing

  Compliant

  Non-compliant

  Not applicable

• Bedding

  Compliant

  Non-compliant

  Not applicable

• Backfill

  Compliant

  Non-compliant

  Not applicable

• Compaction

  Compliant

  Non-compliant

  Not applicable

• Other

  Compliant

  Non-compliant

  Not applicable

• Condition of washout assemblies remain satisfactory

  Compliant

  Non-compliant

  Not applicable

• Construction conforms with final as-constructed plans

  Compliant

  Non-compliant

  Not applicable

• Mains have been flushed and are free of air and colour. If chlorine residual tested, please record results here.

  Yes

  No

  N/A

• All valves have been turned on and are operational?

  Yes

  No

  N/A

• Water main extension ready for connection / tappings?

  Yes

  No

  N/A

• Comments:

• I confirm that this audit is

  Compliant

  Non-compliant

  Not applicable

• Name / Signature

  Sign