Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date & Time:

  • Application No:

  • Address:
  • LOT No: DP No:

  • The work inspected:

  • Issue Plumbing Final Certificate:

  • Council Officer:

  • "Yes" denotes compliance
    "No" denotes non-conformance
    "N/A" denotes not applicable

  • SITE CONTROLS - General

  • SC01 - Builders sign erected

  • SC02 - PCA sign erected

  • SC03 - Toilet on site

  • SC04 - Sedimentation controls in place &appropreate

  • SC05 - Single site access managed

  • SITE CONTROLS - Earthworks

  • SC05 - Unprotected cut battered correctly (<2m H:L)

  • SC06 - Unprotected fill battered correctly (<2m H:L)

  • SC07 - Excavation >3m from neighbors buildings

  • SC08 - Excavations DO NOT effect adjacent structures

  • CONSENT CONDITIONS & PREVIOUS INFNECTIONS

  • SC09 - DA conditions complied with

  • SC10 - Previous inspections instructions complied with

  • PLUMBING FINALS - Sewer

  • PF01 - Boundary riser IO above ground, accessible & concreted

  • PF02 - No surface water to ORG & 150 below lowest floor waste

  • PF03 - Wet Areas floors graded to suitable floor waste

  • PF04 - Vent pipes have cowl & deck tight fitted

  • PF05 - All existing manholes exposed at surface

  • PLUMBING FINALS - Stormwater

  • PF06 - All guttering & downpipes provided & secure

  • PF07 - Grates provided at surface water inlets

  • PF07 - Drains at bottom batter/slopes directed to storm water

  • PF08 - Drained to road/approved rubble pit

  • PF09 - Kerb repaired at approved storm water junction point

  • PF10 - Tank overflow to storm water

  • WATER SUPPLY

  • PF11 - Hot water less than 50 degrees

  • PF12 - Hot water system inlet fitted with ball valve isolation

  • PF13 - Copper hot water overflow discharge to ground level safely

  • PF14 - All pipe penetrations sealed

  • PF15 - Water meter must be connected using copper pipe

  • PF16 - Vacuum breakers fitted to all external taps

  • PF17 - All stop valves exposed at surface

  • PF18 - All fire hydrants exposed at surface

  • PF19

  • PF20

  • PLUMBING FINALS - Rain Water Tanks

  • PF21 - Mains top up supply has 100mm air gap to tank

  • PF22 - Above ground - Dual check valve installed at meter

  • PF23 - Below ground - Testable double check valve at meter

  • PF24

  • PF25

  • OTHER

  • PF26 - Gas bottles restrained and stable

  • PF27 - Gas bottles have compliance plate

  • PF28

  • PF29

  • PF30

  • OTHER INSTRUCTIONS & NOTES

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.