Information

  • Site

  • Plumbing Approval Number:

  • Date and Time of Inspection

  • Prepared by (Full Name)

  • Location

General

  • Are all water lines roughed in at the correct height and correct location?

  • Are med gas outlets installed in the correct location?

  • Are all pipe insulation in place?

  • Is a waste outlet in the correct location and capped?

  • Have all penetrations through the floor been sealed correctly?

  • Are all valves free from leaks?

  • Is the plumbing system watertight?

  • Is the water piping pressure test conducted?

  • Are all pipes properly fit?

Hot and Cold Water

  • Materials used are approved and appropriately marked?

  • Hot to the left and Cold to the right?

  • Tempering valves installed? Bathroom fixtures reach a maximum of 50 degrees centigrade?

  • The correct piping is used?

  • Pipe work is labelled appropriately?

  • Securing pipe work (polymer pipe work) at every truss or 600mm max on horizontal?

  • Pressure test 1500 Kpa?

Internal

  • Are faucets free from leaks and damages?

  • No water drips when the spigot is turned off or when the water is running?

  • No visible signs of water stains on walls and ceilings?

  • Is the toilet free from loose fittings?

  • Are all water drains clog-free?

External

  • Is the water pressure at a safe level?

  • No visible signs of cracks, brittleness, or leaking?

  • Is the drainage line free from corrosion and pipe damage?

  • Is the gutter unobstructed?

Completion

  • Inspection Result

  • Recommendations

  • Full Name and Signature of Inspector

  • Full Name and Signature of Client

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.