Title Page
-
GW Reference No:
-
Location
-
Conducted on
-
Location
-
Personnel
Sewer
-
Is sewer to be audited?
MH
-
Structure name
-
Top step iron less than 600mm
-
Cover level with surrounding FSL
-
Class D cover in Road reserve, class B in private property
-
Cover is accessible
-
Internal finish good/clean
-
Chase layout matches the drawing
-
Inlet/outlet pipes flush with internal MH wall
-
Photos
-
Other
MS/TMS
-
Structure name
-
Class D cover in Road reserve, class B in private property
-
Cover level with surrounding FSL
-
Cover is accessible
-
Distance between cover and top of riser is between 100mm and 150mm
-
Shroud central, not damaged and cap screws off
-
Other
-
Photos
Trenches &/or subsidence
-
Trenches filled & level
-
Other
-
Photos
Water
-
Is water to be audited?
-
Fire Plugs
Fire plug
-
Location
-
Cover level with surrounding FSL & central
-
Cover to top of lugs between 100-200mm? (Major NC if > 300mm)
-
Fire plug central
-
Marker post installed
-
Road reflector installed
-
Other
-
Photos
-
Stop Valves
SV
-
Location
-
Top of spindle between 100-350mm
-
Cover level with surrounding FSL & centred
-
Spindle central
-
Shroud central & not damaged
-
Marker post (if required)
-
Photos
-
Other
-
Washout Box
Washout box
-
Location
-
Box level with FSL
-
Ferrule accessible
-
Other
-
Photos
-
Trenches &/or Subsidence
Trenches &/or subsidence
-
Trenches filled & level
-
Other
-
Photos
-
Water service exposed
Water service
-
Lot number
-
Ferrule buried between 300-600mm
-
Ferrule located between 1.5m-2m inside the title boundary
-
Offset matches drawing
-
Service is embedded in minimum sand
-
Protective pot over ferrule
-
Tracer wire evident
-
Other
-
Photos