Title Page
1.0 Property Details
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Propery ID
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Property Address
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Take image of front elevation showing house number
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Prepared by
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Conducted on
2.0 Take 5
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Personal protective equipment {PPE} is appropriate ,in good condition and fitted correctly
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If No, stop and ensure PPE is appropriate ,in good condition and fitted correctly
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Is there access to inside the property?
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Conduct external components of the audit and refer to the Project Manager to reschedule time
Question Set and results
3.0 Water Meter Assembly
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Location of water meter
- Front left side
- Front right side
- Front central
- Rear left side
- Rear right side
- Rear central
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Is there clearance around the meter
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If NO refer section 12
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Is a pressure limiting valve installed at the outlet side of the meter?
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Take image of water meter from approx.1 m away
4.0 Front Tap
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Connect pressure guage to front tap outlet and provide image of the reading on the pressure guage
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Is water supply pressure sound?
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If NO refer section 12
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Is tap in working order?
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If NO refer section 12
5.0 Bathroom 1
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Shower -provide the flow rating from the outlet using a flow cup {Litres/min}
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Take images of tapware and shower rose
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Basin- provide the flow rating from the outlet using a flow cup {Litres/min}
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Provide images tapware and outlet
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Bath -provide the flow rating from the outlet using a flow cup {Litres/min}
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Provide images tapware and outlet
6.0 Ensuite
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Does the property have an Ensuite
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Shower -provide the flow rating from the outlet using a flow cup {Litres/min}
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Basin- provide the flow rating from the outlet using a flow cup {Litres/min}
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Will remedial works be required?
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What remedial works are required?
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Provide image
7.0 Kitchen
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Kitchen Sink -provide the flow rating from the outlet using a flow cup {Litres/min}
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Provide images tapware and outlet
8.0 Laundry
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Wash trough -provide the flow rating from the outlet using a flow cup {Litres/min}
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Provide images tapware and outlet
9.0 Water Closet
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Cistern type
- Low level
- Mid level
- Dual flush
- Single flush
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Pan type
- P trap pan
- S trap pan
- Skew pan
- Disabled pan
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Seat type - disabled or non std
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Provide image at the pan outlet and floor junction
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Provide image of pan and cistern showing isolation valve
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Will remedial works be required?
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Describe potential works
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Room size
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Provide image of surrounding internal and external ground structure- to identify paving or concrete
10.0 Hot water System
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Water heater type
- Gas instantaneous
- Electric Instantaneous
- Gas Continuous flow
- Electric Heat Pump
- Solar water heater
- Gas storage
- Electric storage
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Capacity {Litres}
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Provide images of water heater and valves
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Is the PDRV 01 {Hot) relief valve in working order
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If NO refer section 12
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Is the PDRV 02 {Cold) relief valve in working order
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If NO refer section 12
11.0 Rear hose cock
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Is tap in working order?
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If NO refer section 12
12.0 Miscellaneous
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Are P1 Works required?
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List issue and SOR/s if known
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Action taken
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Provide image of issue
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Are P2 Works required?
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List issue and SOR/s if known
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Notify region
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Provide Image of issue
13.0 Signature
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Full name