Record of Site Inspection for CDC

• Development Description

• CDC Application No

• Conducted on

  Date

• Prepared by

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

• TYPE OF INSPECTION:
  This inspection was carried out for the purposes of clause 129B of the Environmental Planning and Assessment Regulation 2000.

Statutory checks

• Do the plans and specifications accompanying the application adequately and accurately depict the existing site conditions?

  Yes

  No

  N/A

• Does the development affect and existing building?

  Yes

  No

  N/A

• What class(es) is the existing building?o

  Select

• Provide details of the current fire safety measures in the existing building the subject of the inspection

• Mark which fire safety measures were noted during the inspection.

• Fire-resisting construction (incl. lightweight)

• Lightwieght construction

• Fire seals protecting openings in fire resisting components of the building

• Access panels, door and hoppers to fire-resisting shafts

• Automatic fail-safe devices

• Magnetic door trips/holders

• Mechanical air-conditioning trips

• Smoke and heat ventilation

• Gas supply automatic cut-offs

• Automatic fire detection and alarm systems

• Automatic fire suppression systems

• Emergency Lifts

• Emergency Lighting

• Emergency warning and intercommunication systems

• Exit Signs

• Exit doors

• lever-action door handles

• 'panic' (push) bar latch mechanism

• Fire alarm monitoring (connected to service)

• Fire control centre/room

• Fire Dampers

• Fire doors

• Fire hose reel systems

• Fire Hydrant Systems

• Fire Shutters

• Fire Windows

• Lightweight construction

• Mechanical air handling systems

• Perimeter vehicle access for emergency vehicles

• Portable fire extinuishers

• Safety curtains in proscenium openings

• Smoke alarms and/or heat alarms

• Smoke dampers

• Smoke doors

• Solid core doors

• Standby power systems

• Wall-wetting sprinkler and drencher systems

• Warning and operaitonal signs

• Other

• Please specify

• Provide details of the current fire safety measures in the existing building the subject of the inspection

• Has any building or subdivision work authorised by the relevant development consent commenced on site?<br>If yes, detail the works.

  Yes

  No

  N/A

• Are there any features of the site or any building on the site that would resulting the proposed development not being complying development OR not complying with the BCA?

  Yes

  No

  N/A

• Provide details

General Site Matters

• Is the development clear of any sewer main? (particularly access/inspection points locations)

  Yes

  No

  N/A

• Is the development clear of overhead or underground powerlines?

  Yes

  No

  N/A

• General Notes

• Photos

  Media

• Name and signature of individual who carried out inspection on behalf of Council:

  Sign