Risk Assessment of OSSM System

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Yard gully + tap?

  Yes

  No

  N/A

• Septic lid sealed?

  Yes

  No

  N/A

• Insp. Openings + lids?

  Yes

  No

  N/A

• Inlet/outlet T-piece?

  Yes

  No

  N/A

• Pipework exposed?

  Yes

  No

  N/A

• Distribution box sealed?

  Yes

  No

  N/A

• Underground disposal?

  Yes

  No

  N/A

• Evidence of ponding?

  Yes

  No

  N/A

• 50mm Vent pipe?

  Yes

  No

  N/A

• Odour from septic?

  Yes

  No

  N/A

• Odour from disp. Area?

  Yes

  No

  N/A

• DA insp. OS with lids?

  Yes

  No

  N/A

• Disp. Area fenced?

  Yes

  No

  N/A

• Disp Area maintained?

  Yes

  No

  N/A

• Induct vent?

  Yes

  No

  N/A

• Fruit/veg growing?

  Yes

  No

  N/A

• Area of STB/AT (M2)

• Adequate for usage?

  Yes

  No

  N/A

• No. of bedrooms

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• No. of Occupants

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• AWTS distibution lines buried?

  Yes

  No

  N/A

• Non aerosol forming sprinklers?

  Yes

  No

  N/A

• No. of sprinklers

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• Irrigating fruit / vegetables?

  Yes

  No

  N/A

• At least 2 warning signs erected?

  Yes

  No

  N/A

• Quarterly servicing by a technician

  Yes

  No

  N/A

• REPAIRS / WORK NEEDED

• RISK RATING OF SYSTEM FUNCTIONALITY

  VERY POOR

  BELOW AVERAGE

  SATISFACTORY

  EXCELLENT

Rick Assessment of Environmental Factors

• Local / Pop type

  Village (3)

  Rural Res. (2)

  Rural (1)

• Land Size

  < 1 Acre (4)

  2-7 Acres (3)

  8-20 Acres (2)

  > 20 Acres (1)

• Land Slope

  Steeper Slopes (3)

  Gentle Slope (2)

  Predom. Flat (1)

• Soil Type

  Highly Disp. (3)

  Mod. Dispersive (2)

  Non Dispersive (1)

• Water Body

  < 75 Metres (3)

  75-150 Metres (2)

  >150 Metres (1)

• General Comments

• Stormwater

• Greywater

• SCORE

• HIGH RISK: Score of 13-16

• MEDIUM RISK: Score of 10-12

• LOW RISK: Score of 7-9

• NEGLIGIBLE: Score of 5-6

• OVERALL RISK RATING:

• EF:

• +

• SF:

• =

• LICENSE