Plumbing Inspection - Drainage (Below Ground Stormwater)

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB DESCRIPTION

LEVEL 1

• Have approved materials and products been used?

  Yes

  No

  N/A

• Does the excavation comply to Worksafe requirements?

  Yes

  No

  N/A

• Is the discharge capacity adequate for the catchment?

  Yes

  No

  N/A

• Does the installation have the required gradient?

  Yes

  No

  N/A

• Is the drain laid in the correct bedding material?

  Yes

  No

  N/A

• Is the backfill material adequate to ensure the drain is protected?

  Yes

  No

  N/A

• Does the drain have an overflow provision?

  Yes

  No

  N/A

• Where required is a reflux valve installed?

  Yes

  No

  N/A

• Does the installation of the drain for charged / displacement systems comply?

  Yes

  No

  N/A

LEVEL 2

• Where required have inspection openings been installed?

  Yes

  No

  N/A

• If a retention system is installed has a surcharge outlet point been provided?

  Yes

  No

  N/A

• Have approved covers been provided on inspection risers?

  Yes

  No

  N/A

• Have the minimum cover requirements been met?

  Yes

  No

  N/A

• Does the bedding and bedding material comply?

  Yes

  No

  N/A

• Did the drain pass the required pressure test?

  Yes

  No

  N/A

• Is the drain installed in an easement / public space compliant?

  Yes

  No

  N/A

• Is the drain constructed in an approved size?

  Yes

  No

  N/A

• Is the design of the drain to an acceptable standard?

  Yes

  No

  N/A

• Has the Stormwater pit been constructed appropriately?

  Yes

  No

  N/A

• Where required, has a modification application been submitted and approved?

  Yes

  No

  N/A

• Has the manufacturers installation instructions been adhered to?

  Yes

  No

  N/A

• Has the class of plumbing been indicated on the compliance certificate?

  Yes

  No

  N/A

• Where relevant, has documentation for an acceptable alternative been provided?

  Yes

  No

  N/A

HAZARD ASSESMENT

• Uneven / unstable Ground

  Yes

  No

  N/A

• Working at heights

  Yes

  No

  N/A

• Traffic hazard

  Yes

  No

  N/A

• Power tools in use

  Yes

  No

  N/A

• Airborne particles / gas

  Yes

  No

  N/A

• Exposed drains / pits

  Yes

  No

  N/A

• High; Moderate; Low

  High

  Moderate

  Low

IMPLEMENT CONTROL MEASURES

• Mechanical locking device

  Yes

  No

  N/A

• Safety observer

  Yes

  No

  N/A

• Barricade / Fence

  Yes

  No

  N/A

• Rubber mat / Barrier mat

  Yes

  No

  N/A

• Safety gloves

  Yes

  No

  N/A

• Helmet

  Yes

  No

  N/A

• Face shield

  Yes

  No

  N/A

• Dust mask

  Yes

  No

  N/A

• Other PPE

  Yes

  No

  N/A

• Extinguishers

  Yes

  No

  N/A

• Mechanical aid

  Yes

  No

  N/A

• Safety equip/devises

  Yes

  No

  N/A

• Mobile work platform

  Yes

  No

  N/A

• Safety harness

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Signaling

  Yes

  No

  N/A

• Communication equipment

  Yes

  No

  N/A

• Monitor / gas monitor

  Yes

  No

  N/A

• Work procedure

  Yes

  No

  N/A

• Inductions / briefings

  Yes

  No

  N/A

• Training

  Yes

  No

  N/A

• Work out of hours

  Yes

  No

  N/A

WORK MEATHOD STATEMENT WORKING TO

• WSM 2. Working in a trench or pit at a depth of 1.5 m or more

  Yes

  No

  N/A

• WSM 3. Confined space

  Yes

  No

  N/A

• WSM 4. Working with asbestos

  Yes

  No

  N/A

• WSM 5. Live work

  Yes

  No

  N/A

• WSM 6. Isolation and work on electrical equipment

  Yes

  No

  N/A

• WSM 8. Conduit installation in the ground

  Yes

  No

  N/A

• WSM 9. Conduit installation in the ground

  Yes

  No

  N/A

• WSM 10. Cable and ladder tray installation

  Yes

  No

  N/A

• WSM 11. Working in risers

  Yes

  No

  N/A

• WSM 12. Using portable ladders

  Yes

  No

  N/A

• WSM 20. New work in existing switchboards

  Yes

  No

  N/A

• WSM 24. Manual handling

  Yes

  No

  N/A

• WSM 25. Working with elevated work platforms

  Yes

  No

  N/A

• WSM 26. Using mobile scaffolds

  Yes

  No

  N/A

• WSM 27. Isolate, lockout and test

  Yes

  No

  N/A

• WSM 28. Working at heights

  Yes

  No

  N/A

• WSM 31. Testing and tagging of electrical appliances

  Yes

  No

  N/A

• WSM 32. Disconnecting an existing installation

  Yes

  No

  N/A

RECORD PROCEDURES

• HAZARDS

• RISK SCORE 1

  HIGH

  MEDIUM

  LOW

• APPLY CONTROL MEASURES WSM

• RISK SCORE 2

  HIGH

  MEDIUM

  LOW

IF RESIDUAL RISK NOT LOW, REDO CONTOL MEASURES

• If residual risk low, commence work

  Yes

  No

  N/A

• Monitor and review effectiveness

  Yes

  No

  N/A

RISK ASSESSMENT CARRIED OUT BY

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JOB COMPLETED BY

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