• Internal Audit – Recycled Water Scheme

    Internal audit form for all recycled water schemes, including scoring, risk rating, corrective actions. The Department of Health conditions of approval require an Internal Audit of recycled water schemes every three years from the date of approval.
  • Please refer to the link below for the Internal Audit Scoring Guide and further information. recycled water schemes audit tool

  • General Information

  • Audit Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Previous Audit Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • 1. Management responsibility

  • 0 - Yes – They are aware of the Guidelines and standards and have a sound understanding
    1 - Yes – They are aware of the Guidelines and Standards but are unsure how to interpret them or do not have a complete understanding
    3 - No – They are not aware of the Guidelines and Standards

  • 0 -Yes – They are aware of the Department of Health conditions of approval for this scheme and have a sound understanding (Department of Health conditions have been sighted) 
    3 - Yes – They are aware of the Department of Health conditions of approval for this scheme and have a sound understanding (Department of Health conditions have not been sighted) 
    3 - Yes – They are aware of the Department of Health conditions of approval for this scheme but are unsure how to interpret them or do not have a complete understanding 
    5 - No – They are not aware of the Department of Health conditions of approval for this scheme 


  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • 2. Document & Data Control

  • 0 - Yes – RWQMP has been sighted and is current
    1 - RWQMP has been sighted but is in the process of being updated
    1 - RWQMP has been sighted but it is incomplete, inappropriate or in draft form
    1 - No – RWQMP has not been sighted because the recipient does not have a copy or does not know where it is kept
    3 - No – RWQMP does not exist (but one is required for this scheme)
    0 -N/A – An RWQMP is not required for this scheme

  • 0 - Yes – Operations and Maintenance manual has been sighted
    1 - Yes – Operations and Maintenance manual has been sighted but is in the process of being updated
    1 - Yes – Operations and Maintenance manual has been sighted but it is incomplete, inappropriate or in draft form
    1  - No – Operations and Maintenance manual has not been sighted because the recipient does not have a copy or does not know where it is kept
    3 - No – Operations and Maintenance manual does not exist (but one is required for this scheme)
    0 - N/A – An Operations and Maintenance manual is not required for this scheme

  • 0 - Yes – The RWSA/MOU is current and has been sighted
    1 - No – The RWSA/MOU is not current and needs to be updated or is in the process of being updated
    3 - No – In cases where the End User supplies to a third party, there is a RWSA/MOU with the Supplier but not between the End User and the third party being supplied
    3 - No – A RWSA/MOU does not exist for this system (but is required for this scheme)
    0 - N/A – A RWSA/MOU is not required for this scheme

  • 0 -Yes – All changes and extensions to the reuse scheme have been included in the Department of Health Approval OR No changes or extensions have occurred to the scheme since last issued Department of Health Approval
    0 - No – Not all changes and extensions to the reuse scheme have been included in the Department of Health Approval but the recipient has informed Department of Health of any changes and the Approval is in the process of being updated 
    10 - No – Not all changes and extensions to the reuse scheme have been included in the Department of Health Approval 
    10 - No – There is no Department of Health Approval for the reuse scheme


  • 0- Yes – ERA Licence was sighted but it is not up to date
    1 - Yes – ERA Licence is currently being updated or an application is pending (or an exemption is currently being sought)
    1 - No – ERA Licence does not exist (though one is required)
    0 - N/A – An exemption from an ERA Licence has been given to this scheme (see correspondence)
    0 - N/A – An ERA Licence is not required for this scheme


  • 0 - Yes – Complaints register was sighted 
    1 - Yes – Complaints register was sighted but improvement is required 
    3 - No – Complaints register does not exist (though one is required)



  • 0 - Yes – Annual Reports were sighted 
    1 - Yes – Annual Reports were sighted but improvement is required (e.g. information is missing) 
    1 - No – Annual Reports do not exist, however the scheme is less than 18 months old 2L 
    3 - No – Annual Reports are required but do not exist (scheme is more than 18 months old) 




  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • 3. Reuse scheme sampling

  • 0 - Yes – Sampling is taken from locations that are representative of the water quality being used for irrigation (and correspond to required sampling locations in the Approval)
    3 - *Yes – Sampling is taken from locations that are representative of the water quality being used for irrigation but do not correspond to the required sampling locations in the Approval
    0 - *No – Sampling is not taken from locations that are representative of the water quality being used for irrigation but complies with sampling stated in the DOH Approval
    5  - No – Sampling is not taken from locations representative of irrigated areas (and do not correspond with sampling locations specified in the Approval)
    N/A – Sampling is not required for this scheme or is not the responsibility of the End User

  • 0 - Yes – All required recycled water quality parameters are being monitored
    0 - *No – Water quality monitoring differs from the approval but changes have been endorsed by the DOH (e.g. through an endorsed PCT or binding protocol)
    3 - No – Some recycled water quality parameters are not being monitored (e.g. pH and/or suspended solids) but chlorine and E. coli are monitored if required for this scheme
    5 - No – Chlorine and/or E. coli are not monitored and are required for this scheme
    5 - No – No recycled water quality parameters are being monitored bur are required for this scheme
    0 - N/A – Monitoring is not required or is not the responsibility of the End User

  • 0 - Yes – All recycled water quality parameters are being monitored at the required frequency
    0 - *No – Water quality monitoring differs from the approval but changes have been endorsed by the Department of Health (e.g. through an endorsed PCT or binding protocol)
    3 - No – Some recycled water quality parameters are not being monitored at the required frequency (e.g. pH and/or suspended solids) but chlorine and E. coli are monitored at the correct frequency if required for this scheme
    5 - No – Chlorine and/or E. coli are not monitored at the required frequency (if applicable for this scheme)
    5 - No – No recycled water quality parameters are being monitored at the required frequency
    0 - N/A – Monitoring is not required or is not the responsibility of the End User

  • 0- Yes – Correct sample codes are used
    3 - No – Incorrect sample codes are used and do not comply with the sample codes stated in the DOH Approval
    0 - N/A – Monitoring is not required or is not the responsibility of the End User

  • 0- Yes – All laboratory methods are NATA accredited or use a method approved by Department of Health (sight results as evidence)
    1 - No – Only some laboratory methods are NATA accredited or use a method approved by Department of Health
    3 - No – Laboratory methods are not NATA accredited or use a method approved by Department of Health
    N/A – Monitoring is not the responsibility of the End User

  • 0 - Yes – Samples are being forwarded to Department of Health (as required)
    1 - Yes – Samples are being forwarded to Department of Health but not all information is provided or the process requires some improvement
    3 - No – Samples are not being forwarded to Department of Health
    0 - N/A – Monitoring is not the responsibility of the End User

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • 4. Treatment, Storage & Irrigation

  • 0- Yes – All relevant areas are clearly designated with appropriate signs
    3 - Yes – All relevant areas are clearly designated with signs but the signs are not in accordance with AS1319
    3 - Yes – Most relevant areas are clearly designated with appropriate signs but some improvement is required
    5 - No – Relevant areas are not clearly designated with appropriate signs

  • 0 - Yes – All above ground fittings are readily identifiable
    5 - Yes – Most above ground fittings are readily identifiable but some improvement is required
    10 - No – Above ground fittings are not readily identifiable
    0 - NA – There are not an alternative water supply for this scheme

  • 0 - Yes – All above ground pipes are clearly identifiable a coloured purple
    5 - Yes – Most above ground pipes are clearly identifiable and coloured purple but some improvement is required
    10 - No – Above ground pipes are not clearly identifiable or coloured purple

  • 0 - Yes – All outlets are labelled, purple and fitted with suitable locks
    5 - Yes – Most outlets are labelled, purple and fitted with suitable locks but some improvement is required
    10- No – Outlets are not labelled, purple and fitted with suitable locks

  • 0 - Yes – Physical barriers are in place to restrict public access to irrigated areas until areas are dry (e.g. fencing with lockable gates)
    0 - Yes – There are appropriate physical barriers with designated entry points (e.g. partial fencing, vegetation)
    3 - Yes – There are some physical barriers but improvement is required
    5 - No – There are no physical barriers and the irrigation area is accessible
    0 - N/A – Not required for this system (e.g. subsurface irrigation)

  • 0 - No – There are no sensitive areas within the irrigation zone
    0 - Yes – There are sensitive areas within the irrigation zone but there are steps in place to prevent recycled water from making contact (e.g. subsurface irrigation, potable water close to sensitive areas)
    5 - Yes – There are sensitive areas within the irrigation zone however spray drift is unlikely to make contact.
    10 - Yes – There are high risk sensitive areas within the irrigation zone that are likely to have contact with spray drift

  • 0 - Yes – Chlorinated or UV treated schemes have adequate fail-safe system with alarm system upon failure OR adequate continuous on-line monitoring
    5 - Yes – Chlorinated or UV treated schemes have a fail-safe system with alarm system upon failure OR continuous on-line monitoring but it does not fully comply with DOH requirements
    10 - No – Chlorinated or UV treated schemes do not have adequate fail-safe system with alarm system upon failure OR continuous on-line monitoring
    0 - N/A – The scheme is not chlorinated or use a UV treatment system

  • 0 - Yes – All chlorination assets are fitted with alarms and interlocks (as required)
    3 - Yes – All chlorination assets are fitted with an alarm or an interlock but not both
    5 - No – Chlorination assets are not fitted with alarms or interlocks
    0 - N/A – There are no chlorination assets

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • 5 Inspection & Maintenance

  • 0 - Yes – All storage facilities are maintained as required
    3 - No – Some storage facilities require minor remediation to ensure the security of supply and/or reduce public health risk
    5 - No – Some storage facilities require major remediation to ensure the security of supply and/or reduce public health risk
    0 - N/A – There are no storage facilities or they are not the responsibility of the End User

  • 0 - Yes – All relevant assets are calibrated regularly to ensure reliability
    1 - Yes – Most but not all relevant assets are calibrated regularly to ensure reliability or are calibrated at a longer frequency than recommended
    3 - No – Relevant assets are not calibrated regularly
    0 - N/A – There are no assets requiring regular calibration

  • 0 - Yes – There are suitable inspections at an acceptable frequency (sights record)
    3 - Yes – There are suitable inspections at an acceptable frequency (no record sighted)
    3 - Yes – There are suitable inspections but they are not at a suitable frequency
    3 - Yes – There are inspections at an acceptable frequency but inspections need to be more thorough
    5 - No – There are no inspections
    0 - N/A – Inspections are not required

  • 0 - Yes – There are suitable inspections at an acceptable frequency (sights record)
    3 - Yes – There are suitable inspections at an acceptable frequency (no record sighted)
    3 - Yes – There are suitable inspections but they are not at a suitable frequency
    3 - Yes – There are inspections at an acceptable frequency but inspections need to be more thorough
    5 - No – There are no inspections
    0 - N/A – Inspections are not required (e.g. subsurface irrigation)

  • 0 - Yes – There are suitable inspections at an acceptable frequency (sights record)
    3 - Yes – There are suitable inspections at an acceptable frequency (no record sighted)
    3 - Yes – There are suitable inspections but they are not at a suitable frequency
    3 - Yes – There are inspections at an acceptable frequency but inspections need to be more thorough
    5 - No – There are no inspections
    0 - N/A – Inspections are not required (e.g. subsurface irrigation)

  • 0 - Yes – There are suitable inspections at an acceptable frequency (sights record)
    3 - Yes – There are suitable inspections at an acceptable frequency (no record sighted)
    3 - Yes – There are suitable inspections but they are not at a suitable frequency
    3 - Yes – There are inspections at an acceptable frequency but inspections need to be more thorough
    5 - No – There are no inspections
    0 - N/A – Inspections are not required (e.g. subsurface irrigation)

  • 0 - Yes – There are suitable inspections at an acceptable frequency (sights record)
    3 - Yes – There are suitable inspections at an acceptable frequency (no record sighted)
    3 - Yes – There are suitable inspections but they are not at a suitable frequency
    3 - Yes – There are inspections at an acceptable frequency but inspections need to be more thorough
    5 - No – There are no inspections
    0 - N/A – Inspections are not required (e.g. subsurface irrigation)

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • 6 Corrective Actions

  • 0 - Yes – DOH has been notified of any cessation of supply (sight record)
    1 - Yes – DOH has been notified of any cessation of supply but there is no record to prove this
    3 - No – There are instances when DOH has not been notified of cessation of supply
    0 - N/A – There have been no instances of cessation of supply

  • 0 - Yes – Corrective actions are being taken and recorded should water quality parameters be exceeded. DOH has been notified
    3 - Yes – Corrective actions are being taken and recorded internally, but DOH has not been notified
    3 - Yes – Corrective actions are being taken but there is no record to prove this
    5 - No – Corrective actions are not being taken should water quality parameters be exceeded but DOH has been notified of non-compliant results
    5 - No – Corrective actions are not being taken should water quality parameters be exceeded and DOH has not been notified
    0 - N/A – There have been no exceedances of water quality parameters

  • 0- Yes – DOH has been notified within 24 hours of any sewage spills (sight record)
    5 - Yes – DOH has been notified within 24 hours of any sewage spills but there is no record to prove this
    5 - Yes – DOH has been notified of any sewage spills but sometimes it was not within the 24 hour period
    10 - No – DOH is not being notified of all sewage spills
    0 - N/A – There have been no instances of sewage spills

  • 0 - Yes – DOH has been notified within 24 hours of any algal bloom event (sight record)
    3 - Yes – DOH has been notified within 24 hours of any algal bloom event but there is no record to prove this
    3 - Yes – DOH has been notified of any algal bloom event but sometimes it was not within the 24 hour period
    5 - No – DOH is not being notified of all algal bloom event
    0 - N/A – There have been no algal bloom events

  • 0 - Yes – All improvement requirements have been completed
    0 - Yes – All improvement requirements have been completed or are in the process of completion (e.g. budget allocation)
    5 - No – Most but not all improvement requirements have been completed
    10 - No – There are significant outstanding improvement actions to be completed with no suitable works schedule in place
    10 - No – Improvement actions have not been completed and there has been no formal correspondence between DOH and Recipient acknowledging improvement requirements.
    0 - N/A – There are no improvement actions

  • 0 - Yes – The End User has notified DOH of all completed improvement actions
    3 - No – The End User has not notified DOH of all completed improvement actions
    0 - N/A – Improvement actions are yet to be completed
    0 - N/A – There are no improvement actions

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • 7. Training

  • 0 - Yes – Sampling is conducted correctly and personnel are trained appropriately
    1 - Yes – Sampling is mostly conducted correctly but more training is required
    3 - No – Samples are taken using an unapproved technique
    0 - N/A – Sampling is not required by the End User for this scheme

  • 0 - Yes – Personnel have been sufficiently trained (sight training records)
    1 - Yes – Personnel have been sufficiently trained but cannot demonstrate this in an audit environment (e.g. no training records available)
    1 - No – Personnel require more training
    3 - No – Training has not been provided
    0 - N/A – Sampling is not required by the End User for this scheme

  • 0 - Yes – Personnel have been sufficiently trained (sight training records)
    1 - Yes – Personnel have been sufficiently trained but cannot demonstrate this in an audit environment (e.g. no training records available)
    3 - No – Personnel require more training

  • 0 - Yes – There are appropriate induction materials available for reuse sites (sight induction material)
    1 - Yes – There are induction material available for reuse sites but they are incomplete or improvement is required (sight induction material)
    3 - No – There are no induction materials available for reuse sites

  • 0 - Yes – All staff are competent in OHS requirements for operating chlorinators (sights record)
    3 - Yes – All staff are competent in OHS requirements for operating chlorinators but cannot demonstrate competence in an audit environment (e.g. no training records available)
    3 - No – Further training is required
    5 - No – No training has been conducted
    0 - N/A – The End User does not operate any chlorinators

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Take Photo
  • AuditAssessment Table

  • Audit Assessment Summary - Administration

  • 1. Management Responsibilities

  • 2. Document and Data Control

  • 6. Corrective & Preventative Action

  • 7. Training

  • Audit Assessment Summary - total score administration

  • Audit Assessment Summary - Operations

  • 3. Reuse Scheme Sampling

  • 4. Reuse Scheme Treatment, Storage and Irrigation

  • 5. Inspection Procedures and Maintenance of Assets

  • Audit Assessment Summary - Total score operations

  • Audit Assessment Summary - Total audit score

  • Post audit implementation plan

  • Post-audit implementation plan: This section may be completed after submitting the audit. Following submission, you will receive an email containing a link that allows you to return to and update this section.

  • *
    Rows
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: