Dam safety assurance programme
The dam safety assurance programme consists of this form, the attached documents, and any other referenced documents.
Dam
Dam name*:
*If 2 or more dams are owned by the same owner and form a single reservoir, state the names of all of those dams to which the dam safety assurance programme applies and add a statement to the effect that those dams are owned by the same owner and form a single reservoir. In the case of a canal, if the whole canal is not owned by a single owner, specify the dams to which the dam safety assurance programme applies. See sections 148A and 148B of the Act. |
Relevant regional authority:
Potential impact classification
Potential impact classification(s):
Dam classification certificate(s): [date and regional authority number (if any)]
Owner
Chief executive of owner or equivalent (if owner is a body corporate)*:
*If there is no chief executive, specify a person with an equivalent position in the body corporate. |
Contact details (phone number, business address, and postal address (if different from business address)):
Summary of compliance with criteria and standards
Attach a brief summary of how each of the criteria and standards set out in regulations 10 to 18 of the Building (Dam Safety) Regulations 2022 have been addressed and indicate where these are addressed in the dam safety assurance programme. This should include brief descriptions of the following:
how the general requirements for dam safety assurance programmes have been met (see regulation 11):
the procedures for the operation and maintenance of dams and reservoirs (see regulation 12):
the procedures for the inspection and maintenance of appurtenant structures (see regulation 14):
the procedures for the inspection, maintenance, and testing of gate and valve systems with dam or reservoir safety functions (see regulation 14):
the procedures for intermediate dam safety reviews (see regulation 15):
the procedures for comprehensive dam safety reviews (see regulation 16):
the procedures for emergency planning and response (see regulation 17):
the procedures for identifying and managing dam safety issues (see regulation 18).
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: [Specify location(s). See section 148(a) of the Act for where the programme must be kept.]
The documents (other than those listed in item 1 above) that form the dam safety assurance programme are attached as follows: [List documents.]
Appurtenant structures
Full list of the dam’s appurtenant structures as determined by the recognised engineer:
Certificate of recognised engineer
I certify that the dam safety assurance programme prepared for the above dam—
meets the criteria and standards for dam safety prescribed by regulations 10 to 18 of the Building (Dam Safety) Regulations 2022; and
contains a full list of the dam’s appurtenant structures that I have determined.
I am a recognised engineer in accordance with section 149 of the Building Act 2004 because I—
have the qualification and competency prescribed under regulation 23 of the Building (Dam Safety) Regulations 2022.
I have attached evidence that I am a recognised engineer.
Date:
Signature of recognised engineer:
Full name of recognised engineer:
Chartered professional engineer registration number: