UHL - Stormwater / Sewer Quality Assurance Check

• Document No.

• Client / Site

• Conducted on

  Date
• Location
  Address

• Checked By

  Select Vaughan Pearce Dane Robinson Trevor Purcell Cam Townsend Nicola Marii Paul Cronin Raymond Oosterbeek Trevor Grant Minesh Lal

  • Vaughan Pearce
  • Dane Robinson
  • Trevor Purcell
  • Cam Townsend
  • Nicola Marii
  • Paul Cronin
  • Raymond Oosterbeek
  • Trevor Grant
  • Minesh Lal

Drainage Inspection

• Weather Conditions

  Sunny

  Raining

  Overcast

• Site Conditions

  Tidy

  Untidy

  Unsafe

Work Carried Out As Per Plan Specifications And Building Act

• Has The Drainage Work Met The Plan Specifications And Building Act

  Yes

  No

  N/A

Drain Layers Information

• Drain Layers Name

• Drain Layers Registration Verified

  Yes

  No

  N/A

• Drain Layers Registration Number

Document Confirmation

• Progressive As-Built Available

  Yes

  No

  N/A

• Drains Laid As Per Plan

  Yes

  No

  N/A

• As-Built Plans Received

  Yes

  No

  N/A

Physical And Visual Layout

• PCV 1Mtr 100mm PVC Approved Pipe/Iplex/Marley

  Yes

  No

  N/A

• Drain Depth (300mm Minimum)

• Inspection Fittings (Correct Positioning)

  Yes

  No

  N/A

• ORG or Gully Trap (Correct Positioning)

  Yes

  No

  N/A

• Drain Vent (Correct Positioning)

  Yes

  No

  N/A

• Gradient 16mm over 1 Metre

  Yes

  No

  N/A

• Granular Bedding ( Is The Pipe supported ?)

  Yes

  No

  N/A

• Drain Tested, Air or Water

  Yes

  No

  N/A

• Connection To Council Drain

  Yes

  No

  N/A

• Septic Tank and Effluent Field

  Yes

  No

  N/A

• Drain Depth. (300mm Minimum)

• Inspection Fittings

  Yes

  No

  N/A

• Reflux Valves

  Yes

  No

  N/A

• Manhole, Chamber Construction

  Yes

  No

  N/A

• Retention Or Detention Tanks

  Yes

  No

  N/A

• Orifice Size

• Gradient %

• Has council inspection passed

  Yes

  No

  N/A

Build Quality Assurance Sign Off

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