Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Weather conditions?

  • Which water authority will be responsible for works once the maintenance period is over?

  • Which authority accredited contractor has been nominated to complete water reticulation works?

  • Does the water contractor have the correct revision of "issued for construction" drawings on site?

  • Describe the section of works audited with reference to sewer manhole numbers &/or subdivision street names?

  • Is the section of works audited trafficable or non-trafficable?

OH&S

  • Site personnel wear appropriate personal protective equipment as required? I.e high visibility clothing, hard hats & foot ware.

  • Where trench depth exceeds 1.5m Contractor has installed trench shoring or benching as required?

  • Safe access & egress, to & from trenches has been made available for site personnel? I.e ladder or other means.

  • Trenches are fenced off or barricaded when trench is left open?

  • Suitable lifting equipment is available for the works being carried out?

  • Traffic Management has been installed as required?

Water Reticulation Works

  • Commencement of water reticulation works?

  • Water reticulation pipe type being installed is in accordance with design documentation & relevant authority specifications?

  • Are pipes being installed in accordance with design specification and manufacturers recommendations?

  • Are trench widths adequate for pipe size/type? Refer to standard drawing MRWA-W-202 pipe trench details.

  • Is the bedding material installed in accordance with design documentation & standard drawing MRWA-W-201pipeline embedment & trench backfill?

  • Does trench backfill material comply with design documentation & relevant authority standard drawings MRWA-W-201 pipeline embedment & trench backfill?

  • Are required clearances to other services being maintained as per relevant authority specifications?

  • Are thrust restraints being installed as per design documentation where required?

  • Any additional information regarding construction activities?

Status of water authority tests

  • Date swabbing of water reticulation works completed?

  • Date pressure test completed on water reticulation works?

  • Has the water reticulation works passed authority pressure test?

  • Chlorination of water reticulation works completed & results satisfy authority requirements?

  • Any additional information regarding the testing of water reticulation works?

Status of Authority Verification Forms

  • Status of authority Development Deed Document?

  • Status of authority Pre-commencement Verification Form?

  • Status of testing of water reticulation works?

  • Status of authority Construction Verification Form?

  • Status of authority as-constructed verification form?

  • Status of authority EDLP Verification Form?

  • Any additional information regarding the status of Verification Forms?

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.