Dam safety assurance programme
The dam safety assurance programme consists of this form, the attached documents, and any other referenced documents.
Dam
Resource consent number or identification (if applicable):
Height of dam (in metres):
Reservoir maximum capacity (in cubic metres):
Description of spillway or flood control facility:
Flood capacity (in cubic metres per second):
Changes in design or operation since construction:
Potential impact classification:
Relevant regional authority:
Owner
Name of operator (if different from owner):
Summary of compliance with criteria and standards
Please attach a brief summary of how each of the criteria and standards set out in regulation 8 of the Building (Dam Safety) Regulations 2008 have been addressed and indicate where these are addressed in the dam safety assurance programme.
- 1
Describe briefly and/or reference how each of the following have been adequately addressed for the dam:
- (a)
surveillance requirements, including accurate records detailing the safety performance of the dam and that appropriate actions are taken when potential deficiencies or adverse data trends are identified:
- (b)
the frequency for routine visual inspections:
- (c)
instrument monitoring and data evaluation:
- (d)
reporting to the dam owner.
- 2
Describe and/or reference the requirements for annual dam safety reviews of the dam.
- 3
Describe and/or reference the requirements and frequency for comprehensive dam safety reviews of the dam.
- 4
Summarise and/or reference your emergency action plan including—
- (a)
- (b)
emergency identification procedures:
- (c)
notification procedures and contact lists:
- (d)
dam breach inundation maps.
- 5
Describe and/or reference the requirements to inspect appurtenant structures, including testing of gates and valves that contribute to reservoir safety.
- 6
Describe and/or reference the procedures for the investigation, assessment, and resolution of dam safety deficiencies.
Documentation of dam safety assurance programme
- 1
List the location of all documentation, manuals, and publications referred to in the dam safety assurance programme if applicable: [list]
- 2
State the location(s) of the dam safety assurance programme: [location(s)]
- 3
State the appropriate contact person with respect to the dam safety assurance programme and supporting referenced material—
The documents that form the dam safety assurance programme are attached as follows: [list documents]
Certificate of recognised engineer
I certify that the dam safety assurance programme prepared for the above dam meets the methodology for classifying a dam set out in regulation 4 of the Building (Dam Safety) Regulations 2008.
I am a category A recognised engineer in accordance with section 149 of the Building Act 2004.
I have attached evidence that I am a category A recognised engineer.
Date:
Signature of recognised engineer:
Full name of recognised engineer:
CPEng registration number: