Record of Critical Stage Inspection

• Address of property at which the inspection was carried out
  Address

• Registered number of DA or CDC

• Registered number of CC

• Development Description

• Inspection type

  Select after excavation for, and prior to the placement of, footings prior to pouring an in-situ reinforced concrete building element prior to covering of the framework for a floor, wall, roof or other building element prior to covering waterproofing in a wet area prior to covering stormwater drainage connections after the building work has been completed and prior to any occupation certificate being issued in relation to the building prior to covering of fire protection at service penetrations to building elements that are required to resist internal fire or smoke spread prior to covering the junction of any internal fire-resisting construction bounding a sole-occupancy unit, and any other building element required to resist internal fire spread as soon as practicable after the barrier required under the Swimming Pools Act 1992 has been erected Other

  • after excavation for, and prior to the placement of, footings
  • prior to pouring an in-situ reinforced concrete building element
  • prior to covering of the framework for a floor, wall, roof or other building element
  • prior to covering waterproofing in a wet area
  • prior to covering stormwater drainage connections
  • after the building work has been completed and prior to any occupation certificate being issued in relation to the building
  • prior to covering of fire protection at service penetrations to building elements that are required to resist internal fire or smoke spread
  • prior to covering the junction of any internal fire-resisting construction bounding a sole-occupancy unit, and any other building element required to resist internal fire spread
  • as soon as practicable after the barrier required under the Swimming Pools Act 1992 has been erected
  • Other

• Please specify

• Specific Item/s inspected

• Date of Inspection

  Date

• Name of Certifying Authority by whom inspection was carried out

  Broken Hill City Council

  Other

• Please specify

• Individual certifier who carried out inspection

  Select Andrew Schultz BPB1931 Barry Stegeman BPB1059 Craig Visser BPB1628 Other

  • Andrew Schultz BPB1931
  • Barry Stegeman BPB1059
  • Craig Visser BPB1628
  • Other

• Please specify name and accreditation number

• Individual certifier signature

  Sign

• Individual certifier signature (additional)

  Sign

• Outcome of inspection

  Satisfactory

  Satisfactory - Minor issues

  Unsatisfactory

• Is a reinspection required before work proceeds?

  No reinspection required

  Reinspection required

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

Preliminary

• Class(es) of building being inspected

  Select 1a 1b 2 3 4 5 6 7a 7b 8 9a 9b 9b 10a 10b 10c

  • 1a
  • 1b
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7a
  • 7b
  • 8
  • 9a
  • 9b
  • 9b
  • 10a
  • 10b
  • 10c

• Is a contract for the certification work in place?

  Yes

  No

  N/A

• Has notice of commencement of work been given?

  Yes

  No

  N/A

• Has evidence of HBCF insurance been provided?

  Yes

  No

  N/A

General

• Are there any special hazards on the site?

  Safe

  At Risk

  N/A

• Specify

• Have controls and/or SWMS been appropriately provided?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Inspection checks

• Inspection type

  Select after excavation for, and prior to the placement of, footings prior to pouring an in-situ reinforced concrete building element prior to covering of the framework for a floor, wall, roof or other building element prior to covering waterproofing in a wet area prior to covering stormwater drainage connections after the building work has been completed and prior to any occupation certificate being issued in relation to the building prior to covering of fire protection at service penetrations to building elements that are required to resist internal fire or smoke spread prior to covering the junction of any internal fire-resisting construction bounding a sole-occupancy unit, and any other building element required to resist internal fire spread as soon as practicable after the barrier required under the Swimming Pools Act 1992 has been erected Other

  • after excavation for, and prior to the placement of, footings
  • prior to pouring an in-situ reinforced concrete building element
  • prior to covering of the framework for a floor, wall, roof or other building element
  • prior to covering waterproofing in a wet area
  • prior to covering stormwater drainage connections
  • after the building work has been completed and prior to any occupation certificate being issued in relation to the building
  • prior to covering of fire protection at service penetrations to building elements that are required to resist internal fire or smoke spread
  • prior to covering the junction of any internal fire-resisting construction bounding a sole-occupancy unit, and any other building element required to resist internal fire spread
  • as soon as practicable after the barrier required under the Swimming Pools Act 1992 has been erected
  • Other

• Please specify

• The location of the footings are as approved documents

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is this a concrete slab?

  Yes

  No

  N/A

• Photos of work as inspected

  Media

• 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