Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Inspection details

  • Time at beginning of inspection

  • Number of bedrooms

  • Number of residents

  • Soil type

  • Inspection fee

  • System type

  • Disposal area

Performance standards

  • Does the system prevent the spread of disease by micro-organisms? (1)

  • Does the system prevent the spread of foul odours? (2)

  • Does the system prevent the contamination of water? (3)

  • Does the system prevent the degradation of soil and vegetation? (4)

  • Does the system discourage insects and vermin? (5)

  • Does the system ensure that persons do not come I to contact with untreated sewage or effluent (whether treat or not) in their ordinary activities on the premises concerned? (6)

  • Does the system minimise any adverse impacts on the amenity of the premises and surrounding lands? (7)

  • Does the systems provide for he re-use of resources (including nutrients, organic matter and water? (8)

Buffer distances

  • Is the effluent disposal area greater than 100 m to permanent surface waters? (9)

  • Is the effluent disposal area greater than 250 m to domestic groundwater? (10)

  • Is the effluent disposal area greater than 40 m to other waters (eg intermittent waterways, dams)? (11)

Spray irrigation

  • Is the effluent disposal area greater than 6 m up/3m down to driveways & property boundaries? (12)

  • Is the effluent disposal area greater than 15 m to dwellings? (13)

  • Is the effluent disposal area greater than 3 m to paths and walkways? (14)

  • Is the effluent disposal area greater than 6 m to swimming pools? (15)

Subsurface & trickle irrigation

  • Is the effluent disposal area greater than 6 m up/ 3 m down to pools, property boundaries, driveways & buildings? (16)

Absorption disposal methods

  • Is the effluent disposal area greater than 12 m up/6m down to the property boundary? (17)

  • Is the effluent disposal area greater than 6 m up/ 3 m down to pools, driveways and buildings? (18)

Tanks

  • Is the lid, manhole and inspection openings undamaged and in place? (19)

  • Is the tank accessible? (20)

  • Is the tank undamaged? (21)

  • Does he tank need a pump-out? (22)

AWTS & Irrigation area

  • Have service reports been sent to Council? (23)

  • Is the irrigation line buried? (24)

  • Is there sufficient irrigation area? (25)

  • Has a testable backflow containment device being installed (for new systems)? (26)

  • Is the system operational at the time of inspection? (27)<br>Eg - chlorine tablets, UV lamp

  • Are irrigation warning signs present? (28)

  • Is effluent being evenly distributed? (29)

  • Are garden hoses and fittings being used for irrigation? (30)

Septic tanks, biological systems: Absorption trenches, evapotranspiration beds and mounds

  • If there is a grease trap, is it satisfactory? (31)

  • Is greywater being disposed of satisfactorily? (32)

  • Is the disposal area showing signs of stress? (33)

  • Is the disposal area failing? (34)

Pump-out

  • Is there a pump-out contract? (35)

  • Is there a draw line with a cam lock? (36)

  • Does the operator have pump-out receipts? (37)

  • Is greywater being disposed of satisfactorily? (38)

Comments

  • Comments

  • Inspection result

  • Time at end of inspection

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.