Information

  • Finance Number

  • Project Title

  • Project Manager

  • Conducted on

  • Inspector

  • Location
  • Principal Contractor

  • Contractor's Representative

  • Weighting Adjustment

Progress Update

  • Progress to date?

  • Any construction risks?

  • Any construction opportunities?

  • Current activities?

  • ASSESSMENT:
    OBSERVATION: An exception or isolated non conformance identified during an inspection or audit for correction. Observations are of a lower priority than a major non conformance but may lead to a major or minor non conformance if not rectified. Examples include isolated cases of PPE breach, poor housekeeping.
    MINOR NON CONFORMANCE: Medium priority non-conformance that does not immediately compromise the ability of the management system to achieve defined objectives, or to assure controlled processes, products or outcomes.
    From a risk perspective, a minor non-conformance corresponds to a medium level of risk if corrective action is not taken. Examples include multiple occurrences of an observation or failing to follow traffic management plan.
    MAJOR NON CONFORMANCE: A high priority non-conformance that adversely impacts on the ability of the management system to achieve defined objectives or ensures controlled processes, product or outcomes.
    From a risk perspective, a major non-conformance corresponds to an extreme or high level of risk if corrective action is not taken. Examples include multiple occurrences of the same minor non conformance or safety devices not in use on machines.
    COMPLIANT: Satisfies all statutory, regulatory, codes of practice, company and job specific requirements.
    NOT APPLICABLE: Not assessed during the inspection.

Communication

  • Have the agreed communications taken place with residents to advise ahead of current planned works?

  • Enter details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have Water/Sewer disruption notices been issued 48 hours prior to works?

  • Enter details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Site Set Up

  • Are copies of the Contract Specifications available on site?

  • Enter details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Are copies of the 'For Construction' Drawings available on site?

  • Enter details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Are copies of the Project Management Plans on site and are they being followed?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Surveys & Records

  • Is a copy of DBYD plans available on site?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have existing services and construction points been surveyed to allow construction to proceed?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have the hold points been observed?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Are adequate photos, records and asset data being kept during construction?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

As Constructed Information

  • Are the As Constructed mark up's being captured as work progresses?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Is a surveyor picking up vertical and horizontal levels as work progresses?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Are progress photos being taken of connection points before backfill?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Are the works being constructed in accordance with the approved design?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Pipeline Construction

  • Are the pipe and fittings being installed in accordance with the contract and manufacturers specifications?<br>

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Has the pipe and fittings been installed in accordance with the for-construction drawings?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Has the correct bedding material and geo-fabric been used?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Does the backfill material, location tape and compaction comply with the specifications?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Has the restoration been completed in accordance with the specification?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have all welded joints been logged and photographed?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Was backfilling completed after the end of the cooling period?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Steel Reinforcement

  • Has the correct steel been used?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Has the steel been placed according to design?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have photo's been taken prior to concrete being poured?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Concrete Work

  • Has the correct thickness been used?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Does the concrete meet the strength specification?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Has correct sampling been done?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Pressure Testing

  • Has the procedure for pressure testing pipe been followed?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Is there a NATA test certificate demonstrating compliance with the pressure test?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

Water Quality

  • Has 5C Training been completed by persons undertaking the work?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Are the 5C procedures being followed?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have new mains been flushed and chlorinated?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Has NATA certified bacterial testing been completed on the new main (>50m only)?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

  • Have NATA certified bacterial testing certificated been sent to the Project Manager prior to connection?

  • Enter Details of Minor Non Conformance

  • Add media

  • Weighting Adjustment

  • Enter Details of Observation

  • Add media

  • Weighting Adjustment

  • Enter Details of Major Non Conformance

  • Add media

  • Weighting Adjustment

  • Add media

General

  • General Comments

Signatures

  • Inspection Completed by: Signature: Date / Time:

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.