NWCF Audit Template - North

• Audit Title

• Client / Site

• Prepared by

• Location
  Address

General information

• Date and time of inspection 4 march 2014 08:15

  Date

• Officer conducting inspection w miller

  Select Nick Philippa Sandra Pearce Stephen Bertocchi Annette Philippa Iain Leslie Peter Siemsen Sasha Smith John Charles Tim Gale

  • Nick Philippa
  • Sandra Pearce
  • Stephen Bertocchi
  • Annette Philippa
  • Iain Leslie
  • Peter Siemsen
  • Sasha Smith
  • John Charles
  • Tim Gale

• Officer conducting inspection

  Select Nick Philippa Sandra Pearce Stephen Bertocchi Annette Philippa Iain Leslie Peter Siemsen Sasha Smith John Charles Tim Gale

  • Nick Philippa
  • Sandra Pearce
  • Stephen Bertocchi
  • Annette Philippa
  • Iain Leslie
  • Peter Siemsen
  • Sasha Smith
  • John Charles
  • Tim Gale

• Reason for inspection NWCF audit

  NWCF Audit

  Metering Exemption

  Metering General

  Licensing Inspection

  Other (refer to comments section)

• File number NOR/050373

• CIRaM number

• Client number 14174A

• Authority holders name & contact number BJ Chambers

• Authorisation number, type and purpose 52507A water licence impounding waters

• Lot 38 & 39 RP728233

• Supply parcel(s) Lots 38 &39 RP728233

• Area under irrigation in ha & type of irrigation

• Outlet size (diameter)

• Is a meter installed?

  Yes

  No

• Meter reference & reading

• Audit outcomes & other comments

• Photo showing meter reading

  Media

• What information did you provide to the entitlement holder/occupier?

• What questions did the landowner/occupier ask in relation to the inspection of their entitlement?

• What opinion (if any) did the entitlement holder/occupier express about the inspection?

  Positive

  Neutral/indifferent

  Negative

  The landowner was not home