Audit Information

Auditor
Auditor

Other Auditor

Person

Name

Company

Weather Conditions

Signature

Unauthorised Access

Any Damage

Rain

General Comment

Reservoir

Dam Information

Reservoir

Reservoir Level (m)

General Observations

Add Visual Aid

Photo
Drawing

Dam Wall

Dam Wall
Upstream Face

Other

Debris at Upstream Face

Crest

Other

Dam Survey Points

Damage Or Vandalism

Downstream Face

Other

Piezometer Readings

Piezometers 1 (m)

Piezometers 2 (m)

Comments

Add Visual Aid

Photo
Drawing

Spillway

Comments

Add Visual Aid

Photo
Drawing

Inlet/Outlet Works

Outlet
Outlet Valve

Comments

Add Visual Aid

Photo
Drawing

Downstream of Dam

Downstream Of Dam
Left and Right Banks

Other Issues

V-Notch Readings

V-Notch Readings

Downstream Toe (mm)

Comments

Add Visual Aid

Photo
Drawing

Summary

Sign Off
Add signature
Contacts

Mike O'Shea - Emergency Event Manager

Mobile : 0448 389 930
Email : Mike.OShe@tasmanianirrigation.com.au

David Wightman - Dam Safety Engineer

Work : (03) 6398 8414
Mobile : 0418 352 884
Email : David.Wightman@tasmanianirrigation.com.au

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.