Compliance report Postal Address PO Box 159 Caboolture QLD 4510 Building and Plumbing Ph: 07 3205 0555 Fax: 07 3205 0599 Internet www.moretonbay.qld.gov.au mbrc@moretonbay.qld.gov.au ABN: 92 967 232 136 Section 22 and schedule 5 of the standard plumbing and drainage regulations 2003 Approved person details: Name: Postal address: Business phone number: Note: Contact numbers which you provide may be used to update council’s records. Subject property information: Street address: Real property description: Lot: Plan: Compliance assessment number: Nature of plumbing and drainage work (e.g. dwelling, extension): Details of testing: Being the approved person I have tested and commissioned the plumbing and drainage at the above property in accordance with the Plumbing Code of Australia Being the approved person I have observed the testing and/or commissioning of the plumbing or drainage and the plumbing or drainage was tested or commissioned at the above property in accordance with the Plumbing Code of Australia State the extent to which you, the approved person have relied on tests, specifications, rules, standards, codes of practice or other publications. Testing and/or commissioning carried out on: Method of testing and/or commissioning Date of testing and/or commissioning Other method (please state) AS/NZ 3500 Water plumbing installation AS/NZS 3500.1 2003 sect 16 Hot water service AS/NZS 3500.4 2003 sect 11 Hot water <50° (class 1,2,3,4) AS/NZS 3500.4 2003 sect 1.9 Sanitary plumbing (e.g. Stackwork, elevated pipework) AS/NZS 3500.2 2003 sect 13.2 Sanitary drainage AS/NZS 3500.2 2003 sect 13.3 Floor waste gully branches AS/NZS 3500.2 2003 sect 13.3 Reticulated water static pressure tested ≤ 500kpa (other than fire service) AS/NZS 3500.1 2003 sect 3.3.4 Other: Customer summary: If the approved person tests or commissions the plumbing and drainage, the person must, within 5 business days after testing or commissioning the plumbing or drainage, give the responsible person a report about the testing or commissioning (a ‘compliance report’). The responsible person must give council the compliance report prior to council issuing a compliance certificate. Approved person: means for testing and commissioning of work: the person who carried out the compliance assessable work; or another person who in the opinion of the council, is competent to test or commission the plumbing or drainage; and if required under the act or another act to be registered or licensed to practise in the aspect of the work, is registered or licensed. Signature: R100 Date: Page 1 of 1 February 16