Title Page

  • Site conducted

1.0 Property Details

  • Property ID

  • Property Address

  • Take image showing reference to house number

  • Prepared by

  • Conducted on

2.0 Take 5

  • Personal protective equipment {PPE} is appropriate ,in good condition and fitted correctly

  • If No, stop and ensure PPE is appropriate ,in good condition and fitted correctly

  • Is there access to inside the property?

  • refer to the Project Manager to reschedule time

Question Set and results

3.0 Water Meter Assembly

  • Location of water meter

  • Is there clearance around the meter

  • Provide image from approx 1m away

4.0 Front Tap

  • if possible - Connect pressure guage to front tap outlet and provide image of the reading on the pressure guage

  • Is water supply pressure sound?

  • What is the pressure indicated

  • Is tap in working order?

  • Prrovide image of hose cock

5.0 Bathroom 1

  • Shower -provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images of tapware and shower rose

  • Basin- provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images tapware and outlet

  • Bath -provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images tapware and outlet

  • Is there a Water Closet in Bathroom?

  • Cistern Type

  • Cistern Capacity

  • Provide image of pan and cistern showing isolation valve

  • Pan Type

  • Provide image at the pan outlet and floor junction

  • Seat type- disabled or non std

6.0 Other fixtures - E.G. Ensuite

  • Are there other fixtures?

  • Shower -provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images of tapware and shower rose and identify location of fixture

  • Basin- provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images tapware and outlet

  • Water Closet

  • Identify location of fixture

  • Cistern type

  • Cistern Capacity

  • Provide image of pan and cistern showing isolation valve

  • Pan type

  • Provide image at the pan outlet and floor junction

  • Seat type- disabled or non std

7.0 Kitchen

  • Kitchen Sink -provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images tapware and outlet

8.0 Laundry

  • Wash trough -provide the flow rating from the outlet using a flow cup {Litres/min}

  • Provide images tapware and outlet

9.0 Other Water Closets

  • Is there another water closet?

  • Identify location of fixture

  • Cistern type

  • Cistern Capacity

  • Provide image of pan and cistern showing isolation valve

  • Pan type

  • Provide image at the pan outlet and floor junction

  • Seat type- disabled or non std

  • Is there a basin in the room ?

  • provide the flow rating from the outlet using a flow cup {Litres/min}

  • provide images of tapware and outlet

External Sink / trough

  • Is there an external sink / trough?

  • provide the flow rating from the outlet using a flow cup {Litres/min}

  • provide images of tapware and outlet

10.0 Hot water System

  • Water heater type

  • Capacity {Litres}

  • Provide images of water heater and valves

  • Is the PDRV 01 {Hot) relief valve in working order

  • Is the PDRV 02 {Cold) relief valve in working order

11.0 Rear hose cock

  • Is hose cock in working order?

  • Provide image of tap

Is there another hose cock?

  • Is there another hose cock?

  • Is hose cock in working order?

  • Provide image of tap

12.0 Miscellaneous

  • Are P1 Works required?

  • List issue and SOR/s if known

  • No action taken -Refered To Project Manager for actioning

  • Provide image of issue

  • Are P2 Works required?

  • List issue and SOR/s if known

  • No Action taken- details identified in report for Project Manager to action if required

Other Comments

  • undefined

13.0 Signature

  • Full name

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