Water

• Document No.

• Client

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Water supply

• Does the property have its own water meter

  Yes

  No

  N/A

• Water meter reading

• Water meter number

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  Media

• Cold water supply inlet pressure in KPA

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  Media

• Results of mains water pressure test

  Yes, water leak detected

  No water leak detected

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  Media

• Is the water meter moving with all the taps turned off?

  Yes

  No

  N/A

External taps and rain water

• Number of garden taps

  Yes

  No

  N/A

• Condition of garden taps

  Yes

  No

  N/A

• Is there a rain water tank

  Yes

  No

  N/A

• Is tank connected to plumbing fixture

  Yes

  No

  N/A

• What plumbing fixtures are connected to rain water

  Select cold water supply with mains back up toilet washing machine hot water unit

  • cold water supply with mains back up
  • toilet
  • washing machine
  • hot water unit

Hot water unit

• Type of hot water unit

  Select Gas instantaneous Gas storage Gas boosted solar Electric storage Electric boosted solar Gas gravity unit Electric gravity unit

  • Gas instantaneous
  • Gas storage
  • Gas boosted solar
  • Electric storage
  • Electric boosted solar
  • Gas gravity unit
  • Electric gravity unit

• Relief valve condition

  Select Cold valve leaking hot valve leaking good condition not leaking n/a

  • Cold valve leaking
  • hot valve leaking
  • good condition not leaking
  • n/a

• What is the pressure rating

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• Hot water unit age

• Star rating

  Select 6 5 4 3 2 1

  • 6
  • 5
  • 4
  • 3
  • 2
  • 1

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Bathroom

Bathroom

• Shower flow rate

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Shower taps condition

  Yes

  No

  N/A

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• Toilet star rating

  4 star 4.5lt dual flush

  3 star 6lt dual flush

  2 star 9lt dual flush

  1 star single flush

• Toilet condition

  Yes

  No

  N/A

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• Vanity taps

  Yes

  No

  N/A

• flow rate

  Select 5 star 4.5-6 l/m 4 star 6-7.5 l/m 3 star 7.5-9 l/m 2 star 9-12 l/m 1 star 12-16 l/m 0 star over 16 l/m

  • 5 star 4.5-6 l/m
  • 4 star 6-7.5 l/m
  • 3 star 7.5-9 l/m
  • 2 star 9-12 l/m
  • 1 star 12-16 l/m
  • 0 star over 16 l/m

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• Bath taps

  Good condition, no repairs needed

  Leaking, repairs needed

  Poor condition, replacement recommended

• flow rate

  Yes

  No

  N/A

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Kitchen/laundry

• Laundry taps

  Yes

  No

  N/A

• flow rate

  Select 5 star 4.5-6 l/m 4 star 6-7.5 l/m 3 star 7.5-9 l/m 2 star 9-12 l/m 1 star 12-16 l/m 0 star over 16 l/m

  • 5 star 4.5-6 l/m
  • 4 star 6-7.5 l/m
  • 3 star 7.5-9 l/m
  • 2 star 9-12 l/m
  • 1 star 12-16 l/m
  • 0 star over 16 l/m

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• Kitchen taps

  Good condition, no repairs needed

  leaking, repairs needed

  poor condition, replacement recommended

• flow rate

  Yes

  No

  N/A

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  Media

• Overall condition and recommendations