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

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