On-Site Wastewater Management System Inspection v1

• Location
  Address

• OSWM License Number

Inspection details

• Time at beginning of inspection

  Date

• Number of bedrooms

• Number of residents

• Soil type

  Sandy Loam

  Clay Loam

  Light Clay

  Medium Clay

  Heavy Clay

• System type

  Tank & Trench

  AWTS

  Reed Bed

  Worm Farm/composting Toilet

  Other

• Site Sketch

  Drawing

• Readily available disposal area

  Ample

  Moderate

  Restricted

• Gradient

  flat to 1:20

  1:20 to 1:5

Performance standards

• Does the system prevent the spread of foul odours?

  Yes

  No

  N/A

• Does the system prevent the contamination of water?

  Yes

  No

  N/A

• Does the system prevent the degradation of soil and vegetation?

  Yes

  No

  N/A

• Does the system discourage insects and vermin?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Fences and signage are provided to restrict livestock and vehicular access to disposal areas?

  Yes

  No

  N/A

• Greywater treatment

  With septic

  Diverted to trench

  Diverted to surface

Buffer distances

• Bordering land sensitivity

  Not

  Moderate

  High

• Is the disposal area greater than 6m down slope or 3m upslope from a property boundary?

  Yes

  No

  N/A

• Is the effluent disposal area greater than 40m to permanent surface waters?

  Yes

  No

  N/A

• Is the effluent disposal area greater than 80m to domestic groundwater?

  Yes

  No

  N/A

• Is the effluent disposal area greater than 20 m to other waters (eg intermittent waterways, dams)?

  Yes

  No

  N/A

Spray irrigation

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Subsurface & trickle irrigation

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

  Yes

  No

  N/A

Absorption disposal methods

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Disposal area size

  Per Policy

  >80% Policy

  <80% Policy

Tanks

• Tank clear of vegetation?

  Yes

  No

  N/A

• Tank > 3000L

  >3000L

  2000-3000L

  <2000L

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

  Yes

  No

  N/A

• Is the tank accessible?

  Yes

  No

  N/A

• Is the tank undamaged?

  Yes

  No

  N/A

• Is the crust layer satisfactory?

  Yes

  No

  N/A

• Does he tank need a pump-out?

  Yes

  No

  N/A

AWTS & Irrigation area

• Have service reports been sent to Council?

  Yes

  No

  N/A

• Is the irrigation line buried?

  Yes

  No

  N/A

• Is there sufficient irrigation area?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are irrigation warning signs present?

  Yes

  No

  N/A

• Is effluent being evenly distributed?

  Yes

  No

  N/A

• Proper irrigation line and not garden hoses are being used for irrigation?

  Yes

  No

  N/A

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

• If there is a grease trap, is it satisfactory?

  Yes

  No

  N/A

• Is the disposal area satisfactory? (No signs of stress or failure)

  Yes

  No

  N/A

Comments

• Comments

• Inspection result

  System Pass

  System Minor Failure

  System Major Failure

• Risk Level<br><30 = Low. 31-45 = Medium. 46 + = High

  Low Risk

  Medium Risk

  High Risk

• Inspection Officer

  Sign

• Occupier (if present)

  Sign

• Time at end of inspection

  Date