Title Page

  • Address of property at which the inspection was carried out
  • Registered number of DA or CDC

  • Registered number of CC

  • Development Description

  • Inspection type

  • Please specify

  • Specific Item/s inspected

  • Date of Inspection

  • Name of Certifying Authority by whom inspection was carried out

  • Please specify

  • Individual certifier who carried out inspection

  • Please specify name and accreditation number

  • Individual certifier signature

  • Individual certifier signature (additional)

  • Outcome of inspection

  • Is a reinspection required before work proceeds?

  • Work may proceed to the point of the next mandatory inspection.
    Refer to the list of inspections provided to you previously.

Inspection notes


  • Class(es) of building being inspected

  • Is a contract for the certification work in place?

  • Has notice of commencement of work been given?

  • Has evidence of HBCF insurance been provided?


  • Are there any special hazards on the site?

  • Specify

  • Have controls and/or SWMS been appropriately provided?

  • Does the development generally appear to be being carried out accordance with the development consent?

Inspection checks

  • Inspection type

  • Please specify

  • The location of the footings are as approved documents

  • The size of the footing excavation is as per approved documents

  • The work has been carried out or prepared in a manner that appears to be in accordance with the relevant requirements of the BCA

  • Is this a concrete slab?

  • Photos of work as inspected

  • General notes/items for rectification

Evidence used

  • Tick each type of evidence used to decide the findings of fact and to support the decision recorded in this report.

  • Visual inspection of work/building elements

  • Measurement of work/building elements/materials

  • Comparison to approved documents (plans/specifications)

  • Comparison to BCA deemed-to-satisfy provisions

  • Comparison to BCA referenced documents/standards

  • Interview of person(s) who apparently carried out the work

  • Inspection and recording of other documentation (eg installation certificates, chain-of-custody documents,etc)

  • Other

  • Provide details

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.