Information

File Name

  • File Name

Conducted On

  • Conducted on

Document No.

  • Document No.

Dam Info

Auditor

  • Auditor

  • Other Auditor
  • Name

  • Company

  • Signature

General Information

  • Weather Conditions

  • Are there any signs of unauthorised entry?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

Water Quality

  • Blue-green algae - visual evidence?

  • Blue-green algae - odour?

  • If yes, has sample been collected?

Fencing

  • Are the stock proof fences in poor condition?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

Reservoir

Key Dam Information

  • Full Supply Level = 195.3m
    Dam Height at FSL = 6.19m
    Storage Capacity at FSL = 93.6 ML

  • Dam Storage Rating

  • LHD Storage Rating

Reservoir

  • Dam Level (RL)

  • Dam Volume (ML)

  • Storage Remaining (ML)

  • Is there any erosion around the banks of the reservoir?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

Spillway

Spillway

  • Is the dam spilling

  • Are there any blockages or debris along the spillway?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Is there any erosion of the grass or rock lining?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Any signs of erosion in the floor and sides?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • During flood events, was the spillway capacity exceeded?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

Dam Wall - Crest, Upstream & Downstream Slopes

Dam Wall - Crest, Upstream & Downstream Slopes

  • Is the crest uneven and any signs of settling, sinking or erosion?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any wheel ruts or depressions that may allow water to accumulate?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any signs of erosion, slumping, bulging or collapse?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any large cracks?

  • Record size of Cracks

  • Crack Measurement
  • Chainage (m)

  • Crack width (mm)

  • Crack Length (mm)

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any trees and shrubs growing on dam?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there animal burrows?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Is any coverage of grass or rocks on the dam wall in poor condition?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Is there any seepage - indicated by green, dark coloured or wet patches?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Is there any water pooling around the toe of the downstream embankment?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

Outlet Pipe

Outlet Pipe

  • Is access around the pipe restricted?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any erosion, cracks or leaks around the outlet pipe?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any blockages in the outlet pipe?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Is there any corrosion of valves, pumps or other equipment and fixtures?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Are there any problems with valves, pumps or gates?

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

  • Comment

  • Add Visual Aid

  • Add Photo

  • Add Drawing

Summary

Summary Of Required Actions

  • Are there any items which require more detailed monitoring?

  • Comment

  • Is an inspection required by specialist personnel?

  • Comment

  • Is further advice required?

  • Comment

Sign Off

  • Add signature

Contacts

  • Brett Bennett - Scheme Manager

  • Mobile : 0457 700 590
    Email : Brett.Bennett@tasmanianirrigation.com.au

  • Mike O'Shea - Emergency Event Manager

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

  • David Wightman - Dam Safety Engineer

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

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.