Information
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Property Address
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Suburb
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Works Conducted on
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Scope of Work performed?
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Prepared by
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Works Performed By?
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PID
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Title Reference number
Pre-Works Photos
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Photos of property prior to works being performed
TasWater Endorsed Plans & CCW (Certificate of Certifiable Work)
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Upload photo/s of the TasWater Endorsed Plans used to perform the customer connection
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Upload photo/s of CCW (Certificate of Certifiable Work) *where applicable
Safety
Safety
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Traffic Management /control needed?
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Any Hazards on site have been added to SWMS spreadsheet & SWMS completed?
Fire Service Connection Details (RA)
Fire Service Connection information for Revenue Assurance
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Was a Fire Service installed?
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Fire Service Details
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What size is the new Fire Service Connection size?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
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What size is the Bypass Meter size?
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How was the Fire service installed?
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Bypass meter serial number
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Bypass meter radio number
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Clear close-up photo showing the Bypass meter serial number & meter reading
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Clear close-up photo showing the Bypass meter radio number
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Date the Fire service was installed
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Serviced Property (e.g. unit 1 or Lot 1) - Fire Service
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Description of land at time of Connection - Fire Service
Domestic Meter Assembly Details (RA)
Domestic Meter Assembly information for Revenue Assurance
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Was a domestic meter assembly installed?
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Domestic Meter Details
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What size is the Domestic meter?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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What size is the New Water Connection?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
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How was the Domestic Meter situated?
- Above ground assembly
- Below ground in boundary boxes
- Below ground in trafficable boxes
- Cabinet arrangement
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Domestic meter serial number
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Domestic meter radio number
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Clear close-up photo showing the Domestic meter serial number & meter reading
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Clear close-up photo showing the Domestic meter radio number
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Date of Domestic meter install
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Serviced Property (e.g. unit 1 or Lot 1) - Domestic
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Description of land at time of Connection - Domestic
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Is meter installation Complete?
Water Connection on TasWater Infrastructure photos & location details
Water connection photos
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Was a new water connection installed?
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Photos showing the excavation works
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Photo showing TasWater Mains
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Photo showing the TPFNR installation
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Photos showing pipework installation
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Photos showing the meter assembly
Reinstatement of Connection Works photos
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Photos showing backfill
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Photos showing the installation of metallic detector tape
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Photos showing reinstatement of excavation area
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Photos showing the meter assembly
Location of new meter assembly
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The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary
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The length (in metres) of the connecting pipework from the mains connection point
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The depth (in millimetres) of the pipe work at the connection point and termination of the meter assembly
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Northerly bearing for plan
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Was the existing water connection upgraded?
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Was the existing connection downsized?
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Was the existing connection used to install new meter assembly?
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Photos showing existing connection used for the meter installation
Reinstatement of Connection Works photos
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Photos showing backfill
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Photos showing reinstatement of excavation area
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Photos showing the meter assembly
Location of new meter assembly
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The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary
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The length (in metres) of the connecting pipework from the mains connection point
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The depth (in millimetres) of the pipe work at the connection point and termination of the meter assembly
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Northerly bearing for plan
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Photos showing the excavation works
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Photos showing pipework installation
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Photos showing the downsize
Location of new meter assembly and water works performed
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The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)
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The length (in metres) of the connecting pipework from the mains connection point.
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The depth (in millimetres) of the pipe work at the connection point.
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Northerly bearing for plan
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Photos showing the excavation works
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Photos showing the existing TPFNR
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Photos showing the installation of the pipework
Reinstatement of Connection Works photos
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Photos showing backfill
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Photos showing the installation of metallic detector tape
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Photos showing reinstatement of excavation area
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Photos showing the meter assembly
Location of new meter assembly
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The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary
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The length (in metres) of the connecting pipework from the mains connection point
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The depth (in millimetres) of the pipe work at the connection point and termination of the meter assembly
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Northerly bearing for plan
Details of Existing Water Connection/Meter Details (RA)
Details of Existing Water Connection/Meter Details information for Revenue Assurance
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Was an existing water connection capped & sealed?
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How many existing water connections were capped and sealed?
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Disconnected Service details
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
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What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.1
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
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What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.2
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
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What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.1
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
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What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.2
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
-
What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.3
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
-
What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.4
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
-
What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.1
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
-
What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.2
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
-
What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
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Disconnected Service details no.3
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What size is the existing water connection that was disconnected?
- ID20mm
- ID25mm
- ID32mm
- ID40mm
- ID50mm
- ID65mm
- ID80mm
- ID100mm
- ID150mm
- ID200mm
-
What size was the existing Meter that was removed?
- DN20mm
- DN25mm
- DN32mm
- DN40mm
- DN50mm
- DN65mm
- DN80mm
- DN100mm
- DN150mm
- DN200mm
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Meter serial number
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Clear close-up photo showing the meter serial number & meter reading
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Clear close-up photo showing the meter radio number
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Date of meter removal
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Serviced Property (e.g. unit 1 or Lot 1)
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Description of property at time of works being performed?
Disconnection of Existing Water Connection photos & location details
Disconnection of Existing Water Connection photos
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Was a water disconnection performed?
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Was the pipe work removed?
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Photo showing the existing connection
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Photo showing the cap and seal of existing connection
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Photos showing backfill
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Photos showing reinstatement of excavation area
Location of Disconnected Water Connection
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The measurements from the property boundaries to disconnection point on TasWater main.
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Northerly bearing
New Fire Plug installation photos & location details
New Fire Plug installation photos
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Was a new fire plug installed?
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Photos showing the excavation works
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Photos showing the installation of a new fire plug
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Photos showing the backfill of excavation works
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Photos showing reinstatement
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Photos showing fire plug road markings
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Has a flow test been completed?
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If you don't have flow testing equipment, please contact TasWater on 13 6992 to arrange a flow test and send a copy of the flow test results with the completion sheet pack.
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Please upload load a copy of the flow test results.
Fire Plug Location Details
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The measurements from the property boundaries
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The measurements from the nearest public road
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The length (in metres) of the connecting pipework from the mains connection point to the fire plug
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The depth (in millimetres) of the pipe work at the connection point and termination of the fire plug
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Northerly bearing for plan
New Fire Hydrant Installation photos & location details
New Fire Hydrant Installation photos
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Was a new hydrant installed?
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Photos showing the excavation works
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Photos showing the installation of a new hydrant
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Photos showing the backfill of excavation works
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Photos showing reinstatement
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Photos showing hydrant road markings
Location of New Fire Hydrant
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The measurements from the property boundaries
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The measurements from the nearest public road
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The length (in metres) of the connecting pipework from the mains connection point to the hydrant
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The depth (in millimetres) of the pipe work at the connection point and termination of the hydrant
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Northerly bearing for plan
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Has a flow test been completed?
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If you don't have flow testing equipment, please contact TasWater on 13 6992 to arrange a flow test and send a copy of the flow test results with the completion sheet pack.
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Please upload load a copy of the flow test results.
AsCons
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Upload photo/s of map showing the locations on works performed, including water disconnections and connection work.
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Upload a photo/s of the completed Fire Domestic Water Disconnection & Connection Completion Form
Panel Member Sign off of Works Completed
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Full name of Panel Member onsite Supervisor (type full name and sign)
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Full name of Panel Member onsite Plumber (type full name and sign)
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Comments
