Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Have all pit locations, drain sizes, down pipe locations been checked that they are they most current set of plans?

  • Plan Revision Number

  • All Pipes, fittings, pits, jointing methods comply with relevant standards or Hydraulic Engineers Specifications?

  • All Pipes, fittings, pits and jointing methods meet relevant standards, Hydraulic Engineers and manufactures standard?

  • Pipe bedding material complies with relevant standards or manufactures specification?

  • Back fill Material Does it meet site specifications?

  • If another back fill material is used who authorised this?

  • Signature of person authorising backfill

  • Have all trenches and area's around pits been properly compacted?

  • Have Pit lids and grates been installed to correct levels?

  • Have pits been cleaned and rendered?

  • Signature of person undertaking Inspection

  • Site Supervisors Signature of completed works

  • Non Conforming Items

  • Non Conforming Items Signed off by site supervisor

  • Photos Of Works

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.