Title Page

  • Client Name

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

Quotation Details

  • Quotation Details/Pricing

Customer Information

  • Customer Name

  • Customer Address
  • Customer Email

  • Customer Telephone Number

Site Details (if different to above)

  • Site Customer Name

  • Site Customer Address
  • Site Customer Email

  • Site Customer Telephone Number

Site Information

  • Distance from main road

  • Is there an existing system?

  • Does the system require emptying?

  • Does the existing system need decommissioning/disposing of?

  • What are the ground conditions like?

  • Will shoring or a breaker be required?

  • Number of properties connected to the plant

  • Does the spoil need to be removed from the site?

Treatment Plant Details

  • Proposed plant

  • Height of inlet drainage on site

  • Length of inlet drainage (per metre)

  • Length of outlet drainage (per metre)

  • How many inspection chambers/ sample points are required? (Please include size)

  • Where is the point of discharge?

Installations Extras

  • Is a Building Notice required?

  • Is an EA permit required?

  • Is a street works licence required?

  • Any tarmac/paths to reinstate?

  • Any electrical work to be carried out?

  • RCD available? (If already on site please include a photo)

  • Where is the power supply? How far is it from the treatment plant?

  • Will there be any works on the highway?

  • Materials Required. Eg. Concrete/chambers/cable/pipe

  • Site photos (Essential) Please include access photos.

Post installation discussions

  • Has ongoing maintenance been discussed?

  • Does site required an Environmental Management System?

Health and Safety

  • Is there restricted site access?

  • Segregation of the working area (is there a requirement for Heras fencing/ Pedestrian barriers/ specific signage), if so please confirm the requirements.

  • Is there any significant site traffic?

  • Are there any other contractors on site?

  • What type of welfare is required?

  • Are there any overhead or underground cables within our working area? Can the customer provide service plans?

  • Is there a storage compound area?

  • Are there any protective boards required? If so how many?

  • Is there any other notable risks on site?

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.