Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Client / Site
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Region
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Contractor/s
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Job Description
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Date
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Time
1. Reinstatement
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Is the temporary reinstatement free from trip hazards and left in a satisfactory manner?
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Has all task related waste been removed from site?
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Have grassed areas been top soiled and seeded and are free of debris?
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Have garden beds been reinstated satisfactorily. Plants replaced, mulch and toppings free from clay or other materials?
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Does permanent reinstatement and compaction meet Vic roads, Local Council, property owner’s requirements?
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Have concrete saw over cuts been kept to a minimum?
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Have concrete saw over cuts been removed as part of the hard surface reinstatement?
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Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?
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Has Refix / Relight been completed?
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If required, was a red card left with correct information and details?
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Has a clean up notice been left with the consumer?
2. MG Standards
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Have MG standards (meter locations, clearances, etc.) been maintained?
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Does pipe coating meet MG standards?
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Does construction meet MG requirements?
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Have other authority’s assets been identified and proved?
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If required, has meter protection been installed?
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Has fitting line been installed in accordance with AS 5601?
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Has regulator vent been installed and installed correctly?
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Has slab and enclosure been installed?
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Does the slab and enclosure meet MG standards?
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Is tracer wire in place at up stands?
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Is Manifold/Up stand supported as per MG requirements?
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Have all marker posts been installed as per MG requirements?
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Have valve syphon test point etc covers been installed as per MG requirements?
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Is there evidence of a satisfactory area covered for leakage location and identification?
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Has a line valve been installed as per MG requirements?
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Has the abandoned service up stand been removed/cut from above ground?
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Is the daily location sheet accurate?
3. House Keepiing
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Crushed rock laid level and compacted.
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Evidence of subsidence in compound and entry and exits.
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Evidence of debris/rubbish.
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Interior of compound clear of fire hazards, tidy.
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Exterior of compound clear of fire hazards, tidy?
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Fire Protection e.g. Fire Extinguishers, etc. in place and in test date.
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Security of compound fence, gates etc.
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Paint work on buildings, posts and bollards etc.
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Warning signs, Emergency Contact details legible in place and with current information?
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PPE signs/notification?
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Comments
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Overall Audit Rating
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 5.5
- 6
- 6.5
- 7
- 7.5
- 8
- 8.5
- 9
- 9.5
- 10