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On Site Sewage Management Facility Inspection Form V3
On Site Sewage Management Facility Inspection Form V3
Alan Karton

On Site Sewage Management Facility Inspection Form V3 Checklist

OSSM Inspection

Use this Digital Checklist
Download as PDF
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Free On Site Sewage Management Facility Inspection Form V3 Checklist

Use this Digital Checklist

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Audit

Property Details
Type of System
  • Absorption
  • Aerated
  • Dry & Wet Composting / Humus
  • Transpiration
  • Pump Out
  • Grey Water
Number of Bedrooms
  • 1
  • 2
  • 3
  • 4
  • 5+
  • Other
Number of Bathrooms
  • 1
  • 2
  • 3
  • 4
  • 5+
  • Other

Water Source

Risk Assessment Factors

Is the property sufficiently large enough for the system being used?

Risk Rating

Is the volume of waste putting the system at risk of failure?

Is the site well covered with either grass or established gardens?

What basic soil type is present (if known)?

Risk based on soil type

Effluent Disposal Area
Add media

Is there an established effluent disposal area that is being satisfactorily managed?

Does the system have a sufficient number of sprinklers to evenly distribute treated effluent over the irrigation area?

Location of nearest water course

Distance to drain

Distance to neighbouring property

Is there evidence of surface effluent or water logging of ground?

Risk created by surface effluent or water logging?

Is any effluent migrating off the property

Is there any odours detectable?

System Components and Servicing

Are all components of the tank in working order

Risk created by faulty components

Add media

Has the solids tank been de-sludged?

Does the owner / occupant have a good understanding of the components and operation of the system?

Risk based on owners knowledge of the system

Is there a reason for immediate failure?

Reason for immediate failure
Assessment date
Assessor

System rating

On Site Sewage Management Facility Inspection Form V3
Alan Karton

On Site Sewage Management Facility Inspection Form V3

OSSM Inspection

Use this Digital Checklist
Download as PDF
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

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