Information

  • Asset ID

  • Conducted on

  • Audit conducted by

  • Name

  • Locality

  • Address
  • Control

  • Conditions

  • Weather

  • Date/Time of last rainfall

1.0 Pre-audit

  • Photo of entire asset & surroundings

  • Asset function

  • Asset Function: (a general description)
    - location
    - catchment
    - key features eg, concrete apron to assist in sediment removal
    - predominant plant species (if present)
    - depth
    - current condition

  • Type of catchment

  • Type of catchment:
    eg. pavement only, grassed, garden beds, residential, industrial, other

  • Previous inspections

2.0 Surrounds

2.1 Structures

  • Fencing

  • Input description of general condition above

  • Steel

  • Steel - Rating

  • Timber

  • Timber - Rating

  • Other

  • Rating

  • Signage

  • Signage - Rating

  • Bollards

  • Timber

  • Timber - Rating

  • Steel

  • Steel - Rating

  • Other

  • Rating

2.2 Surfaces

  • Road

  • Asphalt

  • Asphalt - Rating

  • Footpath

  • Concrete

  • Concrete - Rating

  • Aggregate footpath

  • Aggregate footpath - Rating

  • Other

  • Rating

3.0 Structural

3.1 Inlet

  • Can the inlet be located?

  • Include number of inlets, and photographs of each one

  • Concrete

  • Concrete - Rating

  • Timber

  • Timber - Rating

  • Other material

  • Material

  • Rating

  • Is the structure obstructed or blocked?

  • Input photos and free text details. If multiple inlets are present, record % blockage of worst case.

  • % blockage (100% = completely blocked)

3.2 Outlet

  • Can the outlet be located?

  • Description of outlet (Is outlet pipe submerged? What style of flow control is used? Is the outlet accessible?)

  • Concrete

  • Concrete - Rating

  • Steel

  • Concrete - Rating

  • Fibreglass composite

  • Rating

  • Other Material

  • Material

  • Rating

  • Is the structure obstructed or blocked?

  • Input photos and details

  • % blockage

  • Is an underdrain visible?

  • Input details and photos of underdrain

3.3 Overflow

  • Can the overflow/bypass be located?

  • Include overflow description and design/maintenance observations

  • Concrete

  • Concrete - Rating

  • Steel

  • Concrete - Rating

  • Other material

  • Material

  • Rating

  • Is the structure obstructed or blocked?

  • Input photos and free text details

  • % blockage

3.4 Access

  • Is vehicle access clearly available to the asset and structures?

  • Concrete

  • Concrete - Rating

  • Other material

  • Material

  • Rating

3.5 Other Structures

  • Other structures to record?

  • Input component name under details

  • Other material

  • Material

  • Rating

  • Other material

  • Material

  • Rating

  • Other material

  • Material

  • Rating

  • is the structure obstructed or blocked?

  • Input photos and free text details

  • % blockage

  • Other structures to record?

  • Input component name under details

  • Other material

  • Material

  • Rating

  • Other material

  • Material

  • Rating

  • Other material

  • Material

  • Rating

  • Condition

4.0 Basin

4.1 Surface Conditions

  • Gross pollutants

  • Add description of pollutants

  • Gross pollutants per m2

4.2 Erosion

  • Erosion of batter slope?

  • Is there erosion near civil structures?

  • Erosion of base? (eg. preferential flows)

4.3 Vegetation

  • Are there any plants/trees present on embankment?

  • Include details of plants and locations

  • % coverage

  • Are there plants/trees present on base?

  • Include details of plants and locations

  • % coverage

  • Does the grass show signs of maintenance?

  • - turf cover >90%
    - grass has been mowed

5.0 Rapid Assessment

5.1 Asset works priority

  • Visibility

  • Visibility: Examples of high visibility are shopping precincts, landscaped public open space, general high traffic areas.

  • Catchment

  • High catchment priority (if able to be determined) includes catchments that outfall directly to the bays, or are upstream of sensitive areas

  • Treatment

  • Treatment: High asset priority (if able to be determined) would include an asset that is the lone treatment in a catchment, or performs a significant proportion of treatment within a catchment

  • Surrounds

  • Surrounds: Examples of low priority are assets in disturbed areas such as residential streets with ongoing construction that will stymie maintenance efforts

5.2 Initial assessment

  • Health and Safety issues

  • Are there any elements or issues that the assessors consider to be a risk to health and safety? Please provide a full description

  • Planned maintenance tasks

  • Corrective maintenance tasks

  • Initial outcome

5.3 Final notes

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.