Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date & Time:

  • Application No:

  • Address:
  • LOT No: DP No:

  • The work inspected is:

  • Issue occupation certificate:

  • Council Officer:

  • "Yes" denotes compliance
    "No" denotes non-compliance
    "N/A" denotes not applicable

  • SITE CONTROLS - General

  • Installer Certificate certifying correct installation/clearences

  • Flue discharge point> 300mm above 3.6m clear horiz radius to roof

  • FREE STANDING UNITS (room inspection)

  • Hearth extends at least 400mm from stove wall

  • Hearth material is masonry, stone, concrete or similar

  • Hearth top is > 150mm above combustive materials

  • Hearth top flat or slopes to stove

  • Non-masonry wall clearence to stove >1.2m

  • Non-masonry wall to masonry heat shield clearance >25mm

  • Masonry heat shield >400mm from stove walls

  • Masonry walls/heat shield minimum 90mm thick

  • Flue > 400mm from non-masonry walls

  • Flue > 50mm from masonry walls

  • OPEN FIRE PLACE

  • INSERT FIRE PLACE

  • Complies with AS/NZS 2981

  • Inserted into a masonry fireplace and chimney

  • Hearth material is masonry, stone, concrete or similar

  • Hearth top is > 150mm above combustible materials

  • Hearth extends at least 300mm past the front of fireplace opening

  • Hearth extends at least 150mm each side of fireplace opening

  • Hearth top flat or slopes to opening

  • Flue must be double skin to AS/NZS 2918 OR

  • C.Iron, 9.5mm + RC Sheet, 1.2mm + Gal Steel or equivalent

  • Other instructions & 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.