Information

  • TasWater - Water/Sewer/Fire & Domestic Connection/Disconnection Completion Sheet - Advanced

  • NC Number

  • Street number / Lot number

  • Street Name

  • Suburb

  • Works Conducted on

  • Prepared by

  • Works Performed By? Provide Panel Member Company Name

  • PID

  • Title Reference number

  • Pre-Works Site Photos

Safety

Safety

  • Traffic Management /control needed?

  • Photo of the Traffic Guidance Scheme (TGS)

  • Photo/s showing traffic management in place

  • Who was your traffic management designer?

  • Why was no traffic control/management need?

  • SWMS completed?

  • Any Hazards Identified?

  • What are the hazards?

Works Performed - Details & Photos

    Water Works Performed
  • Scope of work - What type of water works were performed?

  • Meter Details - repeat this section for every meter installed on a manifold (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Meter install

  • What size is the new water connection?

  • What is the meter size?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Meter install

  • What size is the new water connection?

  • What is the meter size?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Meter install

  • What size is the existing water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in New Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in New Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed on a manifold (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Meter install

  • What size is the existing water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Meter install

  • What size is the existing water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Upgrade was completed

  • What size is the existing water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Meter Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Date of Downsize was completed

  • Water Connection & Meter details (CIB)

  • What size is the water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the fire plug

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of Relocation was completed

  • What size is the water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Fire Plug Install photos - repeat this section for every new Fire Plug installed
  • Upload Photos of Fire Plug install

  • Photos must show the excavation works, installation of new fire plug, backfill of excavations works, reinstatement, fire plug road markings.

  • Fire plug location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the hydrant

  • The depth (in millimetres) of the pipe work at the connection point and termination of the hydrant

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Has a flow test been completed?

  • 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.

  • Please upload load a copy of the flow test results.

  • Fire Hydrant Install photos - repeat this section for every new Fire Hydrant installed
  • Upload Photos of Fire Hydrant install

  • Photos must show the excavation works, installation of new fire hydrant, backfill of excavations works, reinstatement, fire hydrant road markings.

  • Fire Hydrant location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the hydrant

  • The depth (in millimetres) of the pipe work at the connection point and termination of the hydrant

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Has a flow test been completed?

  • 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.

  • Please upload load a copy of the flow test results.

  • What work was performed?

  • Meter Details - repeat this section for every meter installed (for CIB)
  • Water Connection & Meter details (CIB)

  • Date of meter install

  • What size is the new water connection?

  • What is the meter size?

  • Was the existing meter reused?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Water Connection photos and location details
  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Meter Details - repeat this section for every meter removed (for CIB)
  • Water Disconnection & Meter Removal details (CIB)

  • Date of Meter Removal

  • What size was the water connection?

  • What was the water meter size?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Description of land at time of Connection

  • Water Disconnection photos and location details
  • Was the pipe work removed?

  • Upload Photos of Disconnection Works performed

  • Photos must show the excavation works, cap & seal on TasWater infrastructure, backfill of excavations works, reinstatement.

  • Water Disconnection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Upload Photos of Fire Hydrant Disconnection

  • Photos must show the excavation works, cap & seal of fire hydrant, backfill of excavations works, reinstatement.

  • Fire Hydrant location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Upload Photos of Fire Plug Disconnection

  • Photos must show the excavation works, cap & seal of fire plug, backfill of excavations works, reinstatement.

  • Fire plug location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Date of Fire Service install

  • What size is the Fire Service Connection size?

  • What size is the Bypass Meter size?

  • Type in Bypass Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Bypass Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the fire service installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Water Connection & Meter details (CIB)

  • Date of Meter install

  • What size is the new water connection?

  • What is the meter size?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the meter installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Date of Fire Service install

  • What size is the Fire Service Connection size?

  • What size is the Bypass Meter size?

  • Type in Bypass Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Bypass Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the fire service installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, installation of pipework, backfill of excavations works, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Date of Fire Service install

  • What size is the Fire Service Connection size?

  • What size is the Bypass Meter size?

  • Type in Bypass Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Bypass Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the fire service installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Domestic Meter Details (for CIB)

  • Date of Domestic meter install

  • What size is the Domestic meter?

  • What size is the New Water Connection?

  • Type in Domestic Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Domestic Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the domestic meter assembly installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, installation of pipework, backfill of excavations, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Date of Fire Service install

  • What size is the Fire Service Connection size?

  • What size is the Bypass Meter size?

  • Type in Bypass Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Bypass Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the fire service installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Domestic Meter Details (for CIB)

  • Date of Domestic meter install

  • What size is the Domestic meter?

  • What size is the Water Connection?

  • Type in Domestic Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Domestic Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Is meter installation Complete?

  • Description of land at time of Connection

  • How was the domestic meter assembly installed?

  • Upload photos showing trafficable meter box was installed, meter is self draining in meter box & completed meter installation

  • Upload photos showing boundary meter box was installed, meter is self draining in meter box & completed meter installation

  • Photos showing completed meter installation

  • Photos showing completed meter installation

  • Serviced Property (e.g. unit 1 or Lot 1) - Domestic

  • Description of land at time of Connection - Domestic

  • Is meter installation Complete?

  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Water Meter Removal details (for CIB)

  • Date of Meter Removal

  • What size was the water connection?

  • What was the water meter size?

  • Type in Meter Serial number & upload photo showing meter serial number & meter reading.

  • Type in Meter radio number & upload photo showing meter radio number.

  • Meter serviced (e.g. unit 1)

  • Description of land at time of Connection

  • Upload Photos of Meter Removal Works performed

  • Photos must show the excavation works, backfill of excavations works, reinstatement.

  • Water Meter Removal location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Water Connection photos and location details
  • Date work was performed

  • Upload Photos of Connection Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, *metallic detector tape (*where applicable), reinstatement.

  • Water Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the water connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the water connection

  • Northerly bearing

  • What is the water main material type?

  • If 'Other' is chosen please provide the material type

  • Sewer Works Performed
  • Scope of work - What type of Sewer Works were performed?

  • Date of 100mm Sewer Connection work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • How was the new sewer connected to our infrastructure?

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to new connection being installed & after the install is completed.

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • What type of fitting was used to install the sewer connection on our infrastructure? e.g. stainless-steel wang fitting

  • Photos showing the fitting installed on our sewer main

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • How was the sewer connection installed? e.g. via existing stub

  • Upload photos showing the connection point on TasWater infrastructure, excavation works, IO install, pipework installation, backfill, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Date of 150mm Sewer Connection work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • How was the new sewer connected to our infrastructure?

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to new connection being installed & after the install is completed.

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • What type of fitting was used to install the sewer connection on our infrastructure? e.g. stainless-steel wang fitting

  • Photos showing the fitting installed on our sewer main

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • How was the sewer connection installed? e.g. via existing stub

  • Upload photos showing the connection point on TasWater infrastructure, excavation works, IO install, pipework installation, backfill, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • Date of 150mm Sewer Upgrade work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • How was the new sewer connected to our infrastructure?

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to new connection being installed & after the install is completed.

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • What type of fitting was used to install the sewer connection on our infrastructure? e.g. stainless-steel wang fitting

  • Photos showing the fitting installed on our sewer main

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • How was the sewer connection installed? e.g. via existing stub

  • Upload photos showing the connection point on TasWater infrastructure, excavation works, IO install, pipework installation, backfill, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Date of 100mm Sewer Relocation work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • How was the new sewer connected to our infrastructure?

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to new connection being installed & after the install is completed.

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • What type of fitting was used to install the sewer connection on our infrastructure? e.g. stainless-steel wang fitting

  • Photos showing the fitting installed on our sewer main

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • How was the sewer connection installed? e.g. via existing stub

  • Upload photos showing the connection point on TasWater infrastructure, excavation works, IO install, pipework installation, backfill, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Date of Sewer Relocation work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • How was the new sewer connected to our infrastructure?

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to new connection being installed & after the install is completed.

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • What type of fitting was used to install the sewer connection on our infrastructure? e.g. stainless-steel wang fitting

  • Photos showing the fitting installed on our sewer main

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • How was the sewer connection installed? e.g. via existing stub

  • Upload photos showing the connection point on TasWater infrastructure, excavation works, IO install, pipework installation, backfill, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Date of Sewer Disconnection work (For CIB)

  • What size was the existing sewer connection?

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • How was the sewer disconnected on TasWater infrastructure?

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to the disconnection being performed & after it is completed.

  • Photos must show the excavation works, backfill of excavations works, reinstatement.

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, cap & seal on TasWater infrastructure, backfill of excavations works, reinstatement.

  • How was the sewer disconnected?

  • Photos must show the excavation works, backfill of excavations works, reinstatement.

  • Was the pipe work removed?

  • Sewer Disconnection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • Northerly bearing

  • Date of 100mm Sewer IO work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO installation, backfill of excavations works, metallic detector tape, reinstatement, IO boundary cover or trafficable IO cover install.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Date of 150mm Sewer IO work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO installation, backfill of excavations works, metallic detector tape, reinstatement, IO boundary cover or trafficable IO cover.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Photos of new Manhole installation - repeat this section for every new Manhole installation
  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, manhole install on TasWater infrastructure, backfill of excavations works, reinstatement.

  • Manhole location details

  • The measurements from the property boundaries

  • The measurements from the property boundaries to the new Manhole on TasWater mains.

  • Northerly bearing

  • Photos of new Maintenance Shaft installation - repeat this section for every new Maintenance Shaft installation
  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, Maintenance Shaft install on TasWater infrastructure, backfill of excavations works, reinstatement.

  • Maintenance Shaft location details

  • The measurements from the property boundaries

  • The measurements from the property boundaries to the new Manhole on TasWater mains.

  • Northerly bearing

  • Date of PSU Sewer work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, Boundary kit install and reinstatement.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Date of PSU Sewer work was installed (For CIB)

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, backfill of excavations works, metallic detector tape, Boundary kit install, PSU tank install, and reinstatement.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Has the PSU been commissoned?

  • Please make arrangements to have the unit commissioned and send in a copy of the PSU commissioning certificate with your completion sheet pack to Connections@taswater.com.au

  • Upload a photo of the PSU commissioning certificate

  • Upload a photo of the electrical commissioning certificate

  • What Sewer Work was performed? (For CIB)

  • What size is the sewer connection?

  • Date of sewer work was performed

  • Is sewer installation complete?

  • Serviced Property (e.g. unit 1 or Lot 1)

  • Description of property at time of works being performed?

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO installation,, backfill of excavations works, metallic detector tape, reinstatement, IO boundary cover or trafficable IO cover.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

  • Upload Photos of Sewer Works performed

  • Upload photos showing the inside & outside of manhole prior to new connection being installed & after the install is completed.

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • What type of fitting was used to install the sewer connection on our infrastructure? e.g. stainless-steel wang fitting

  • Photos showing the fitting installed on our sewer main

  • Upload Photos of Sewer Works performed

  • Photos must show the excavation works, connection on TasWater infrastructure, installation of pipework, IO install, backfill of excavations works, *metallic detector tape (where applicable), reinstatement.

  • Upload photos showing the connection point on TasWater infrastructure, excavation works, IO install, pipework installation, backfill, metallic detector tape, reinstatement & boundary IO cover or trafficable IO cover install.

  • Sewer Connection location details

  • The measurements from the property boundaries (e.g. 5mtrs from left boundary & 500mm from front boundary)

  • The measurements from the nearest public road

  • The length (in metres) of the connecting pipework from the mains connection point to the sewer connection

  • The depth (in millimetres) of the pipe work at the connection point and termination of the sewer connection

  • Northerly bearing

AsCons & Endorsed plans

  • Combine or add a copy of the Endorsed plans, CCW (Certificate for Certifiable Work) *where applicable), signed copy of the MSA Statement of Works & Ascon drawings to the Auditor report and save as a PDF. This can be done by saving each document as a separate PDF, then merging all PDF documents together into one combined PDF. Then send that one merge PDF document to Connections@taswater.com.au for processing. Thank you

Panel Member Sign off of Works Completed

  • Full name of Panel Member onsite Supervisor (type full name and sign)

  • Full name of Panel Member onsite Plumber (type full name and sign)

  • Comments

  • Was any loose supply items given to the site contact? e.g. lock & pin

  • What items were given to the site contact?

  • Please provide Full Name of person who was given the loose supply items

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.