SPC Sewage Management Facility Assessment Sheet

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Facility Details

• Site Ref

• Type of System

  Select RBC Septic Cess Aeration Pump Filtered

  • RBC
  • Septic
  • Cess
  • Aeration
  • Pump
  • Filtered

Location

• Tank or trenches/irrigation soakaway

• Type

  Soakaway

  River

  Ditch

  Ground

• Nearest watercourse

Risk Assessment

• Does the disposal area pose a risk of contamination?

  Yes

  No

  N/A

• Does the system pose a risk to neighbouring properties?

  Yes

  No

Tank Inspection

• Is there sufficient crust on the anaerobic chamber?

  Yes

  No

  N/A

• Is the tank and surrounds free of odour?

  Yes

  No

  N/A

• Is the layout of tanks and irrigation as per approval?

  Yes

  No

• Is the tank and surrounding areas free of damage?

  Yes

  No

• Is the tank lid elevated at least 100mm - 200mm above ground level or vegetation? If no, advise to clear vegetation/grass/roots/soil or create a diversion bank.

  Yes

  No

  N/A

• Is the sub-surface irrigation area/trenches free of damping and overgrown?

  Yes

  No

  N/A

• Is there at least two 'reclaimed water, do not drink' warning signs posted?

  Yes

  No

  N/A

Approval

• Are all conditions of approval complied with? EA Consent<br><br>Notes<br><br><br>

  Yes

  No

  N/A

• Sample taken

  Yes

  No

• Any recommendations for next inspection, ie dogs/padlocks?

  Yes

  No

  N/A

Site Images

• Photo1

  Media

• Photo2

  Media

• Drawings

  Drawing

Officer Approval

• Officer 1

  Sign

• Trade Staff

  Sign

• Date and Time of Approval

  Date

IA-04-32