Internal Sewer Inspection Report

• DA/CDC/CC Number

• Client / Site

• Location
  Address

• Conducted on

  Date

• Health and Building Surveyor

1. Ongoing Matters for Builder/Contractor Checklist

• 1.1. Builder's sign

  Yes

  No

  N/A

• 1.2. Sediment and erosion controls

  Yes

  No

  N/A

• 1.3. Rubbish control

  Yes

  No

  N/A

• 1.4. Builder's toilet

  Yes

  No

  N/A

• 1.5. Protection of public space by fence or hoarding

  Yes

  No

  N/A

• 1.6. Protection and support of adjoining buildings

  Yes

  No

  N/A

2. Health and Building Surveyor's Checklist

• 2.1. Licensed plumber

  Yes

  No

  N/A

• 2.2. Application paid for

  Yes

  No

  N/A

• 2.3. Check fixtures with approved building plan

  Yes

  No

  N/A

• 2.4. Location in relation to footings

  Yes

  No

  N/A

• 2.5. In-filled ground

  Yes

  No

  N/A

• 2.6. Correct grade

  Yes

  No

  N/A

• 2.7. Cover

  Yes

  No

  N/A

• 2.8. Approved materials

  Yes

  No

  N/A

• 2.9. Bedding site support, overlay, backfill

  Yes

  No

  N/A

• 2.10. Brick or strapping support

  Yes

  No

  N/A

• 2.11. Jointing

  Yes

  No

  N/A

• 2.12. Length of branches

  Yes

  No

  N/A

• 2.13. Depth of floor wastes/gullies

  Yes

  No

  N/A

• 2.14. Concrete support to traps

  Yes

  No

  N/A

• 2.15. Trap under shower

  Yes

  No

  N/A

• 2.16. Bath discharge through floor wastes

  Yes

  No

  N/A

• 2.17. Raised invert between floor waste and WC

  Yes

  No

  N/A

• 2.18. Vent

  Yes

  No

  N/A

• 2.19. Sticker left

  Yes

  No

  N/A

• 2.20. Floor waste to separate WC

  Yes

  No

  N/A

• 2.21. Record in field book and on approved plan

  Yes

  No

  N/A

• 2.22. Plumber on site

  Yes

  No

  N/A

3. Comments

• 3.1. Result

  Satisfactory

  Unsatisfactory