SYDNEY WATER

INSPECTION AND TEST PLAN WATER/RECYCLED WATER MAIN LAYING

ALL WORKS TO BE CARRIED OUT TO SYDNEY WATER STANDARDS
Developer: Water Servicing Coordinator: WSC Site Representative:
$ Constructor: Constructor Site Representative:
Case No: Accredited Driller: Witness, Hold & Surveillance points added to ITP
Works classification: Licensed Plumber RPZD:
Licensed Plumber Property Service (Main to Meter):
Plumbers Licence Number:
Works description: Field Tester:
ITP Prepared by: Reviewed by: Sydney Water Representative
Date / / Date / / Date / /
No Construction/Inspection Inspection Procedure & Acceptance Criteria Const- WSC** Sydney Record Comment
Activity ructor Water*
1 Pre-start/Site establish Visual check. Checklist completed. X H S Checklist
1
2 Approved materials on Visual check approved materials. Quantity and condition. Checklist completed X W S Checklist
2 Site/delivered
3 Installation of cut-in Visual and dimensional check to Sydney Water Standards H H H Water Main
3 Connection
Report
4 RPZD installation by an Visual and dimensional check of backflow equipment and fittings X H H Checklist
4 appropriate licensed
plumber
5 DTC/Special Design Visual and dimensional check to DTC or Engineers certification X W S Checklist/plan
6 Excavation and pipe laying Visual and dimensional check to Sydney Water Standards. Checklist completed. X W S Checklist
5
7 Chambers Visual and dimensional check to Sydney Water Standards. Checklist completed X H S Checklist
6
8 Survey of main in easement Survey of pipe location before backfill X H S
7
9 Surface fittings Visual and dimension check to Sydney Water Standards. Checklist completed X X S Checklist
9
10 Pressure test when water is Pressure test to Sydney Water Standards. Swabbing of main and pre-disinfection X W S Test Results
12 required prior to disinfection testing ie odour, clarity and turbidity test.
11 Testing Pressure test, Compaction test to Sydney Water Standards X W S Test Results
13
12 Disinfection Disinfection to Sydney Water Standards X H H Test Results
14
13 Pre-connection inspection Visual inspection to Sydney Water Standards. Checklist completed H H H Checklist
15 Main
BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015
Document Name: PI_Template_06A Issue Number: 18
Document Owner: Acceptance & Compliance Manager Page 1 of 8
 SYDNEY WATER

14 Removal of RPZD by Visual and dimensional check to Sydney Water Standards X H H Water Main
16 appropriately licensed Connection
plumber Report
15 Connection to System Visual and dimensional check to Sydney Water Standards. X H W Water Main
17 Connection
Report
16 Property Water Connection Visual and dimensional check to Sydney Water Standards. Checklist completed. W S S Checklist
17 (Drilling)
17 Installation of property Visual and dimensional check to Sydney Water Standards. Checklist completed. W S S Checklist
17 service (main to meter)
18 Dual Water Flow Test Flow test of drinking water system. Lock and tag meter ball valve. X W H Water Main
17 property service/s (main to Flow test of recycled water system. Lock and tag meter ball valve. Connection
meter) Report
19 Restoration and Post Visual inspection against photographs. Clearance letter from Council/property owner X H H Clearance
17 Connection Inspection letter
20 Validation No Amendment Date Reviewed Symbol Legend
17
I certify that the works have been X Inspection by
constructed in accordance with
Sydney Water Standards and the H Mandatory Hold Point
Inspection and Test Plan
W Option given to inspect
Water Servicing Coordinator S Surveillance
Date / /
* Sydney Water reserves the right to vary these requirements at any time ** Sydney Waters written approval MUST be obtained prior to varying these requirements

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18
Document Owner: Acceptance & Compliance Manager Page 2 of 8
 SYDNEY WATER

WATER CONSTRUCTION CHECKLIST

* Clause and Drawing No. refer to the # Refer to Provider Instructions

Water Supply Code of Australia ** Refer to Technical Requirements & Work Instructions
WSA 03-2011-3.1 for Water Service Connections (DRILLING)
(Sydney Water Edition) ## Refer to Property Service (Main to meter)
Installations Technical Requirements
Case Number Main layer Name:

Location Pipe Size:

Line No:

WSC Rep Chainage Laid:

Date:

No. Description
Minimum Standard
1.1 Photographic record #

1.2 Council fees paid Council requirements

1.3 Property entry agreement #, *Cl 11.4.1/11.5.4

1.4 Current plan on site #, WSC to confirm

1.5 Current Main laying Specifications on #, WSC to confirm,

site *Cl 11.1
1.6 Kerb/footway to finished levels #

1.7 Sydney Water listed constructor on #, WSC to confirm,

site *Cl 10.2
1.8 Safe Work Plan on site & #, WSC to confirm,
implemented *Cl 11.5
1.9 Environmental Management Plan on #, WSC to confirm,
site & implemented *Cl 11.5.5.1
1.10 Inspection and Test Plan on site one #
working copy
1.11 Traffic Management Plan on site & Industry practice,
implemented * Cl 11.5.4
1.12 Job set out #, WSC to confirm

1.13 Services Authorities contacted 48 Design Plan

hours notice
1.14 All services located #

1.15 All services marked #

2.1 Approved materials on site *Cl 12.1/12.4

2.2 Delivery Inspection *Cl 12.4

2.3 Pipe type and size to current plan Current Plan

2.4 Polyethylene sleeving & accessories * Cl 12.1

2.5 Marking tape * Cl 12.1

2.6 Bedding material * WAT-1250-S/1251-S,

* Cl 12.1
2.7 Trench fill * WAT-1250-S/1251-S,
* Cl 12.1

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18

Document Owner: Acceptance & Compliance Manager Page 3 of 8

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ATTACHMENT 5C
SYDNEY WATER

WATER CONSTRUCTION CHECKLIST

* Clause and Drawing No. refer to the # Refer to Provider Instructions

Water Supply Code of Australia ** Refer to Technical Requirements & Work Instructions
WSA 03-2011-3.1 for Water Service Connections (DRILLING)
(Sydney Water Edition) ## Refer to Property Service (Main to meter)
Installations Technical Requirements
2.8 Fittings * Cl 12.1

2.9 Surface Fittings * Cl 12.1

2.10 Pre Cast chambers * Cl 12.1

2.11 Pipe laying accessories * Cl 12.1

3.1 Installation of cut-in Relevant standards

3.2 Appropriate Fittings and ancillaries to Relevant standards

stand on site
4.1 RPZD Installation - Water Main Connection
Cut-In valve locked and tagged Report Part 1
4.2 Approval to install RPZD Water Main Connection
Report Part 1 signed off
4.3 Accredited licensed plumber to install Sydney Water Back Flow
and provide RPZD test results Prevention Programme
Accreditation
4.4 Back Flow prevention device, and As per design plan and
fittings installation and location. AS/NZS3500 Section 4.6
4.5 Constructors site rep. On site

4.6 Pressure test results satisfactory

4.7 Traffic control, and other Safety

procedures/plans in place to address
special conditions.
4.8 Site specific EMP and SWP # WSC 5. Project Specific
implemented on site Quality Plan
4.9 All Fittings and ancillaries on site

4.10 Inspection and Test Plan up to date

4.11 Standards on site AS/NZS3500

4.12 Procedures and plans to address Flow Management and

special conditions are in place i.e. Isolation of Hydraulic Assets
Asset Isolation Plan Procedure (HSP- 070)
4.13 Approved to connect for construction Water main Connection
water (if no give details) Report Part 1(a) signed off
4.14 Cut-In valve unlocked and tag
removed
4.15 Metered standpipe installed Sydney Water Registered
Stand Pipe
5.1 DTC/Special Design #

6.1 Services marked Dial Before You Dig,

*Cl 11.5.1
6.2 Services exposed with appropriate *Cl 11.5.1
clearance
6.3 Trench width to standard *WAT-1250-S/1251-S

6.4 Trench depth to standard *WAT-1250-S/1251-S

6.5 Shoring (S) Benching (BN) Battering *Cl 13.1/13.5/13.6

(BT)

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18

Document Owner: Acceptance & Compliance Manager Page 4 of 8

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ATTACHMENT 5C
SYDNEY WATER

WATER CONSTRUCTION CHECKLIST

* Clause and Drawing No. refer to the # Refer to Provider Instructions

Water Supply Code of Australia ** Refer to Technical Requirements & Work Instructions
WSA 03-2011-3.1 for Water Service Connections (DRILLING)
(Sydney Water Edition) ## Refer to Property Service (Main to meter)
Installations Technical Requirements
6.6 Pipe joints * Cl 15
Witness mark * Cl 15.1.4
Deflection limits * WAT-1250-S/1251-S
Restrained joints * WAT-1208, * CL 15.7
6.7 Valves, Hydrants and Surface fittings * Cl 15.4
installed
Shroud assembly * WAT-1301-V
Valve anchorage * WAT-1207
6.8 Bulkheads and Trench Stops to *WAT-1209/1210, *Cl
standard 15.6/15.9
6.9 Thrust blocks to standard *WAT-1205/1207/ 1252-S,
*Cl 15.5
6.10 Pipe embedment (bedding, surround * WAT-1201/1202
& overlay) to standard
6.11 Concrete encasement to standard * Cl 16.6
(CH-CH)
6.12 Marking tape to standard and * WAT-1201, Cl 15.12
correctly fitted
6.13 Trench fill Appd material only & *WAT-1201/1250-S, *Cl 17.1
layered
6.14 Compaction to standard *Cl 17.1.3

6.15 Jointing to standard *Cl 15.2.2

6.16 Sleeving to standard *Cl 15.11

6.17 Barricades, fencing, trench plates in OHS

place & secured
7.1 Chambers to standard: in-situ (IS) *WAT-1308-V/1309 / 1350-
Precast (PC) S/1351-S,
*Cl 15.13.1
8.1 Survey of main in easement Relevant standard

9.1 Valves, Hydrants & Surface fittings to *WAT-1303-V/1305-V

standard
9.2 Surface boxes and surrounds to * WAT-1303-V/1305-V
finished levels
9.3 Surface box lids hinged in direction of * WAT-1303-V/1305-V
traffic flow
9.4 Shroud pipes assembled to Standards * WAT-1301-V

9.5 Fitting bolts protected to Standards * WAT-1313

9.6 Correct depth to Spindle tops * WAT-1301-V

9.7 Correct depth to Hydrant lugs * WAT-1301-V

9.8 Spindle retaining disc in place * WAT-1301-V

9.9 Indicator plates in place * WAT-1352-S/1353-S

9.10 Excavation to standard NSW Code of Practice

2.218.1

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18

Document Owner: Acceptance & Compliance Manager Page 5 of 8

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ATTACHMENT 5C
SYDNEY WATER

WATER CONSTRUCTION CHECKLIST

* Clause and Drawing No. refer to the # Refer to Provider Instructions

Water Supply Code of Australia ** Refer to Technical Requirements & Work Instructions
WSA 03-2011-3.1 for Water Service Connections (DRILLING)
(Sydney Water Edition) ## Refer to Property Service (Main to meter)
Installations Technical Requirements
9.11 Approved products and materials ** 5 Approved Products and
Correct Tapping Band Materials
Taptite
Milnes
Gunmetal
Other
9.12 Approved products and materials ** 5 Approved Products and
Correct Plastic Bush Materials
White Imperial
Black - Metric
9.13 Appropriate Tools ** 12.2 Install Drilling
Wad Cutter PVC only
Twist Drill DICL/CICL only
Plastic Sleeving Blue Sleeve
10.1 Pressure test when water is required * Cl 19.4
prior to disinfection
11.1 Compaction test NATA Certified lab,
*Cl 19.3
12.1 Disinfection, sample & test *Cl 20

13.1 Site restored *Cl 11.5.4.1, 11.5.5/ 23

13.2 Pre connection inspection #

13.3 Pre connection inspection Main #

> DN 250 (Isolation
procedure as per Job
Specific Letter)
13.4 Work As Constructed compiled #, *Cl 24
connection assumed
14.1 Removal of RPZD by appropriately Water Main connection
licensed plumber
15.1 Connection Safe Work Plan on site & #, WSC to confirm
implemented
15.2 Connection to live system under *WAT-1105, Cl 22.2
pressure connection
15.3 Connection to live system existing *Cl 22.1/22.2
system shut down
15.4 Thrust block to standard *WAT-1105/1205

16.1 Install Property service connection ** 12.2 Install Drilling

(Drilling)
16.2 Drilling in main correct ** 12.2 Install Drilling

16.3 Location of drilling as per standard ** 12.1

16.4 Pipe Size within accreditation ** 2. Scope of Water Service

<200mm Connection (Drilling)
16.5 Pipe type within accreditation: ** 2. Scope of Water Service
DICL/CICL/PVC only Connection (Drilling)
16.6 Dual Water Flow Test property Water Main Connection
services (main to meter) Report
16.7 Fittings disinfected *Cl SW20.1

16.8 Property Water Connection (Drilling) Listed Accredited Driller

Driller holding relevant accreditation
on site

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18

Document Owner: Acceptance & Compliance Manager Page 6 of 8

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ATTACHMENT 5C
SYDNEY WATER

WATER CONSTRUCTION CHECKLIST

* Clause and Drawing No. refer to the # Refer to Provider Instructions

Water Supply Code of Australia ** Refer to Technical Requirements & Work Instructions
WSA 03-2011-3.1 for Water Service Connections (DRILLING)
(Sydney Water Edition) ## Refer to Property Service (Main to meter)
Installations Technical Requirements
16.9 Installation of property service AS/NZS3500
(main to meter)
Plumber holding relevant accreditation
on site
16.10 Property boundaries located ## 10. Installation of
Property services: (Installers
Responsibility), 10.1.16
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.11 Install property service (main to ## 10. Installation of
meter) Drinking Water Property services: (Installers
Responsibility)
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.12 Install property service (main to ## 10. Installation of
meter) Recycled Water Property services: (Installers
Responsibility)
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.13 Drinking water riser is plain copper ## 10. Installation of
Property services: (Installers
Responsibility)
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.14 Recycled water riser is coloured lilac ## 10. Installation of
Property services: (Installers
Responsibility)
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.15 Drinking water riser has correct ball ## 10. Installation of
valve Property services: (Installers
Responsibility)
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.14 Recycled water riser has correct ball ## 10. Installation of
valve Property services: (Installers
Responsibility)
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.15 Risers are a minimum 300mm apart Meter Fit Policy

16.16 Drinking Water non-return valve fitter

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18

Document Owner: Acceptance & Compliance Manager Page 7 of 8

Page 7 of 3

ATTACHMENT 5C
SYDNEY WATER

WATER CONSTRUCTION CHECKLIST

* Clause and Drawing No. refer to the # Refer to Provider Instructions

Water Supply Code of Australia ** Refer to Technical Requirements & Work Instructions
WSA 03-2011-3.1 for Water Service Connections (DRILLING)
(Sydney Water Edition) ## Refer to Property Service (Main to meter)
Installations Technical Requirements
16.17 Termination of property service as per ## 10.1.2 10.1.3
standard AS/NZS3500
16.18 Embedment and trench fill drinking AS/NZS3500
water property services
16.19 Embedment and trench fill recycled AS/NZS3500
water property services
16.20 Clearance from other services ## 10. Installation of
Property services: (Installers
Responsibility), 10.1.7
Current NSW Code of
Practice for Plumbing
and Drainage
AS/NZS3500
16.21 Drinking water property services
locked & tagged
16.22 Recycled water property services
locked & tagged
17.1 Site clear & final restoration *Cl 23

17.2 Road/Footpath Opening ** 6.2 Work Site Assessment

17.3 Dial Before You Dig ** 6 Excavation, 6.1

18.1 Safe Work Plan On Site ** 12.1

18.2. Safe Work Plan Implemented ** 12.1

18.3 Environmental Management Plan on ** 12.1

site
18.4 Environmental Management Plan ** 12.1
implemented/site prepared
19.1 Validation #

20.1 Inspection & Test Plan signed off #

This is to certify that excavation & installation of

infrastructure has been in compliance with
Sydney Water Standards and in accordance with Signed:.. Date:
Company OHS & Environmental Policies (Sydney Water listed constructor responsible for construction)

BMIS Document Number: ACDP0176 Provider Instructions 20 January 2015

Document Name: PI_Template_06A Issue Number: 18

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ATTACHMENT 5C