• Document No.

  • Audit Title

  • Client / Site:

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Location:
  • Date:

  • Application Number:

  • Type of inspection being undertaken:

  • What is the reason for the inspection?


Defects / Issues

  • Have any defects / issues been found

  • Defect / issues
  • Photo of defect / issue:

  • Add location
  • Description of defect / issue:

  • Timeframe to rectify?

  • Provide details for referral:

General notes

  • Inspection notes

  • General photographs

  • Does the Stormwater infrastructure require CCTV'ing?


  • Add signature

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.