UHSC Onsite Sewage Management System - Compliance Inspection

• Address / Council ID

• Conducted on

  Date

• Prepared by

• Location
  Address

Property/Owner

• Property Name

• Property Owner

• Date & Time

  Date

• Entry available?

  Yes

  No

  N/A

• Safe to enter?

  Yes

  No

  N/A

• Owner/tenant available?

  Yes

  No

  N/A

• Comments

• Type of Inspection

  ATO inspection

  Reinspection

  High Risk

• Type of system

  Septic

  AWTS

  Other

• Bedrooms servicing

• Occupants?

• Tank structure

  Select Satisfactory Vegetation in tank Vegetation around tank Replace inspection lid Tank health unsatisfactory Repairs required Gaps, cracks Replacement required

  • Satisfactory
  • Vegetation in tank
  • Vegetation around tank
  • Replace inspection lid
  • Tank health unsatisfactory
  • Repairs required
  • Gaps, cracks
  • Replacement required

• Comment

• T-piece?

  Yes

  No

  N/A

• Prevents the spread of disease by micro-organisms?

  Yes

  No

  N/A

• Prevents persons coming into contact with untreated sewage or effluent?

  Yes

  No

  N/A

• No smell present?

  Yes

  No

  N/A

• Prevents insects and vermin from entering system?

  Yes

  No

  N/A

• Add media

  Media

• Type of disposal

  Select ETA Trench Surface irrigation Subsurface irrigation Reedbed Other

  • ETA
  • Trench
  • Surface irrigation
  • Subsurface irrigation
  • Reedbed
  • Other

Surface irrigation

• Sprinkler head meets AS/NZS (1547:2012)?

  Yes

  No

  N/A

• How many sprinklers?

• Does the effluent hose meet AS/NZS (1547:2012)?

  Yes

  No

  N/A

• Are effluent sprinklers within approved area?

  Yes

  No

  N/A

• No pooling present?

  Yes

  No

  N/A

• No smell present?

  Yes

  No

  N/A

• Correct signage?

  Yes

  No

  N/A

• >6m up-gradient & >3m down-gradient of driveways/property boundaries

  Yes

  No

  N/A

• >6m to swimming pools

  Yes

  No

  N/A

• >15m to dwellings

  Yes

  No

  N/A

• Satisfactory?

  Yes

  No

  N/A

• Comment

ETA bed/Trench

• Can you identify the ETA bed/Trench?

  Yes

  No

  N/A

• Size?

• No signs of failure?

  Yes

  No

  N/A

Buffer distances

• Distance to permanent water source

  >100m

  <100m

• Distance to ground water well

  >250m

  <250m

• Distance to other water sources (dams, intermittent waterways, drainage channels)

  >40m

  <40m

• Comments

• Add media

  Media

• Satisfactory?

  Yes

  No

  N/A

• Risk rating

  High

  Medium

  Low

• Fees

  Inspection fee

  Reinspection fee

  No fee

• Comment

• Date of reinspection if applicable

  Date