Registration - Experience Statement - Building Surveyor ... · Part L: Experience Statement for...

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1 PRACTITIONER FORM Part L: Experience Statement for Building Surveyor (Limited) Limited to all classes of buildings up to three storeys in height and with a floor area of up to 2000 square metres How to fill out this statement STEP 1 Read about the skills, knowledge and experience that you need to demonstrate if you are applying for registration in the category of Building Surveyor (Limited). STEP 2 Fill out: · table 1 to tell us about your experience in assisting a building surveyor to assess applications for building and other permits, and · table 2 to tell us about your experience in carrying out inspections of building work for all classes of building. Remember Please include as much detail as possible, because this statement will be used to work out whether you have enough experience for registration. In your application, you will need to provide references to confirm you have completed this work. It is an offence under section 246 of the Building Act 1993 to give any false or misleading statement or information in your application. We will return your application if this statement is incomplete or doesn’t have enough detail, and ask you for more information. STEP 3 Read table 3 and table 4. It explains the types of evidence that you should use to demonstrate the experience noted in table 1 and table 2. You need to present your evidence portfolio when you lodge your application. If you are seeking consideration based on a practical experience restricted to class 1 and 10 buildings, please leave blank all sections relating to class 2-9 buildings. Version 2 Statement of Experience for Building Surveyor (Limited) work - Page 1/44

Transcript of Registration - Experience Statement - Building Surveyor ... · Part L: Experience Statement for...

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Part L: Experience Statement for Building Surveyor (Limited)

Limited to all classes of buildings up to three storeys in height and with a floor area of up to 2000 square metres

How to fill out this statement

STEP 1

Read about the skills, knowledge and experience that you need to demonstrate if you are

applying for registration in the category of Building Surveyor (Limited).

STEP 2

Fill out:

· table 1 to tell us about your experience in assisting a building surveyor to assess applicationsfor building and other permits, and

· table 2 to tell us about your experience in carrying out inspections of building work for allclasses of building.

Remember

Please include as much detail as possible, becausethis statement will be used to work out whether youhave enough experience for registration.

In your application, you will need to providereferences to confirm you have completed this work.

It is an offence under section 246 of the Building Act1993 to give any false or misleading statement orinformation in your application.

We will return your application if this statement isincomplete or doesn’t have enough detail, and askyou for more information.

STEP 3

Read table 3 and table 4. It explains the types of evidence that you should use to demonstrate the experience noted in table 1 and table 2. You need to present your evidence portfolio when you lodge your application.

If you are seeking consideration based on a practical experience restricted to class 1 and 10 buildings, please leave blank all sections relating to class 2-9 buildings.

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STEP 1. Learn about skills, knowledge and experience that you need

Knowledge

If you have successfully completed one of the following qualifications, you will satisfy the knowledge requirements for registration in the category of Building Surveyor (Limited):

· Bachelor of Building Surveying from Holmesglen Institute· Bachelor of Building Surveying from Victoria University

If you have successfully completed a Diploma of Building Surveying (CPC50108), you will satisfy some of the knowledge required for registration in the category of Building Surveyor (Limited). This qualification covers the knowledge requirements for building surveying work for residential buildings and domestic scale buildings.

Experience

To be registered as a Building Surveyor (Limited), you must demonstrate you have two years of relevant experience in:

· assessing applications for building permits, occupancy permits andtemporary occupation of commercial and residential buildings

· carrying out initial and advanced construction inspections for residentialand commercial buildings

· identifying and reporting on non-compliance with building controllegislation, building regulations and the building permit issued in relationto the building work

· preparing building notices and building orders on behalf of the relevantbuilding surveyor

for buildings up to three storeys in height and with a floor area of up to 2000 square metres.

To assist in our assessment of whether you have the required experience for registration in this category of building practitioner, you must provide a portfolio of evidence that demonstrates your experience.

This portfolio of evidence should demonstrate your capacity to undertake all of the activities associated with the category of Building Surveyor (Limited) in a competent manner and to a professional standard.

Your portfolio should include documentation evidence (table 3 and table 4) of your experience in the areas that you tick in table 1 and table 2.

Finally, it must also demonstrate that you have at least two years of relevant experience.

‘Class’ refers to the class of building as classified in the Building Code of Australia (see Part A3 of Volume 1).

‘Type of construction’ refers to the type of fire-resisting construction required for different building classes by the rise in storeys, as specified in the Building Code of Australia (see Part C1 of Volume 1).

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· Advanced Diploma of Building Surveying (CPC60115).

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STEP 2. Complete table 1 and table 2

Table 1. Fill out this table to describe all building surveying work that you have done under the supervision of a registered Building Surveyor (Limited) or Building Surveyor (Unlimited).

What type of work have you done? Tick the box.

How many times have you done this work under the supervision of a registered Building Surveyor? 1 Tick the box.

What were your exact responsibilities? List in point form.

For application assessment work, you may write ‘as above’ if you need to repeat your responsibilities for multiple items in column 1

Assisted a registered building surveyor to assess an application for a building permit to:

construct a Class 1a building without a basement ☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 1a building with a basement ☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 2 or 3 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

1 To carry out building surveying work under supervision, your supervisor must have been registered as a Building Surveyor when you carried out the work, and you must have carried out the

work in their presence and at their direction.

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construct a Class 2 or 3 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 2 or 3 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 2 or 3 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 2 or 3 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 2 or 3 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 5, 6, 7 or 8 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 5, 6, 7 or 8 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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construct a Class 5, 6, 7 or 8 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 5, 6, 7 or 8 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 9 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 9 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 9 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 9 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 9 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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construct a Class 9 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 10a structure ☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 10b structure being a swimming pool (including pool safety barriers)

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 10b structure being a fence ☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 10b structure being a retaining wall

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 10b structure being a free standing wall

☐ 1 – 5

☐ 6 – 10

☐ 11 +

construct a Class 10b structure being a mast or antenna

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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construct a class 10c structure being a private bushfire shelter

☐ 1 – 5

☐ 6 – 10

☐ 11 +

alter an existing building where the proposed alterations, together with any other alterations completed or permitted within the previous three years, represent more than half the original volume of the building

☐ 1 – 5

☐ 6 – 10

☐ 11 +

alter an existing Class 2, 3, 5, 6, 7, 8 or 9 building where the proposed alteration would adversely affect any exit or path of travel to an exit

☐ 1 – 5

☐ 6 – 10

☐ 11 +

demolish or remove an existing Class 1 building ☐ 1 – 5

☐ 6 – 10

☐ 11 +

demolish or remove an existing Class 2, 3, 5, 6, 7, 8 or 9 building

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Building permits

Confirmed if the report and consent of a relevant service authority had been obtained in support of an application for a building permit to construct a building over an easement vested in that service authority

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Confirmed if the report and consent of the chief officer (of the Metropolitan Fire Brigade or the Country Fire Authority) had been obtained in support of an application for a building permit that involved prescribed fire safety matters if those matters did not meet the deemed-to-satisfy provisions of the Building Code of Australia

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Considered whether protection work may be required to ensure an adjoining property is not affected by proposed building work

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Carried out an assessment of whether proposed protection works are appropriate

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Made a written recommendation to the relevant building surveyor about the appropriateness of proposed protection work

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Carried out an inspection of building work to assess whether required protection works were in place

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a written request to an applicant for a building permit requesting further information or documents in support of the application

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Prepared a written request to an applicant for a building permit requesting they amend the application (including design or other supporting documentation)

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Made a written recommendation to the relevant building surveyor to grant or refuse an application for a building permit, and the reasons for the recommendation

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a written notice to an applicant advising them of the relevant building surveyor’s decision to refuse the application for a building permit, and the reasons for the decision

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a building permit in the prescribed form for the relevant building surveyor to issue

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Provided a copy of a building permit, plans and other documents prescribed by the regulations to the applicant within seven days of the permit being issued

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Provided a copy of a building permit, plans and other documents prescribed by the regulations to the relevant council within seven days of the permit being issued

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a monthly return to the VBA on behalf of a building surveyor on building permits issued; building work that has commenced, been completed or abandoned; and any building work that lapsed in the previous month

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Building permit levy

Calculated the cost of the building permit levy to be paid by the applicant for the building permit

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a written notice to the applicant for a building permit, advising of the building permit levy payable

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Maintained records of amounts of the building permit levy received by a building surveyor and paid to the VBA

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a monthly return to the VBA on behalf of a building surveyor, setting out building permit levy amounts received and forwarded to the VBA

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Certificates of final inspection

Prepared a certificate of final inspection for the relevant building surveyor in the prescribed form

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Provided a copy of a certificate of final inspection and approval dates for mandatory inspections to the relevant council within seven days of the relevant building surveyor issuing the certificate

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Occupancy permits required by a building permit

Assisted the relevant building surveyor to assess an application for an occupancy permit required by a building permit

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Made a written recommendation to the relevant building surveyor to grant or refuse an application for an occupancy permit required by a building permit, and the reasons for the recommendation

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a written notice to an applicant advising them of the relevant building surveyor’s decision to refuse the application for an occupancy permit required by a building permit, and the reasons for the decision

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared an occupancy permit required by a building permit in the prescribed form for the relevant building surveyor to issue

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Provided a copy of the occupancy permit, certificate of final inspection and approval dates for the mandatory inspections to the relevant council within seven days of the relevant building surveyor issuing the occupancy permit

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Provided a copy of the occupancy permit required by a building permit to the applicant within seven days of the relevant building surveyor issuing the occupancy permit

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Provided the occupancy permit to the owner of the land/structure within seven days of the relevant building surveyor issuing the occupancy permit

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Temporary occupation of buildings

Assisted a building surveyor to assess an application to occupy temporarily a building for which an occupancy permit appropriate to the use of the building is not or cannot be issued

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Made a written recommendation to a building surveyor to grant or refuse an application for temporary occupation of a building, and the reasons for the recommendation

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a written notice to an applicant advising them of a building surveyor’s decision to refuse the application for temporary occupation of a building, and the reasons for the decision

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared an approval for temporary occupation of a building in writing for a building surveyor to issue, specifying conditions (if any) and the period for which it applies

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Provided a copy of the approval of temporary occupation of a building to the relevant council within seven days of the building surveyor issuing the approval

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Provided a copy of the approval of temporary occupation of a building to the owner of the building within seven days of the building surveyor issuing the approval

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Enforce safety and building standards

Prepared a building notice to be served on an owner of a building or land on which building work is being or is proposed to be carried out.

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Assessed (on behalf of the relevant building surveyor) representations made by the person served with a building notice in relation to carrying out building work, protection work or other work

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Made a recommendation to the relevant building surveyor to cancel or amend a building notice after considering representations made by the owner

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a building order in the prescribed form for the relevant building surveyor to make, requiring the owner to carry out building work, protection work or other work

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a building order in the prescribed form for the relevant building surveyor to make, requiring the owner to stop building work

☐ 1 – 5

☐ 6 – 10

☐ 11 +

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Assessed a request from an owner who is required to comply with a building order to amend or cancel the building order

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Carried out an inspection of building work to assess whether a building order has been complied with

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Made a recommendation to the relevant building surveyor to amend or cancel a building order

☐ 1 – 5

☐ 6 – 10

☐ 11 +

Prepared a referral to the VBA on behalf of the relevant building surveyor when a person failed to comply with a building order made by the relevant private building surveyor

☐ 1 – 5

☐ 6 – 10

☐ 11 +

(Please continue)

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Table 2. Fill out this table to tell us about your experience in carrying out inspections of building work for buildings of all classes up to three storeys in height and with a floor area of up to 2000 square metres if:

you are not currently registered as a Building Inspector (Limited) or Building Inspector (Unlimited) in Victoria, or

you are currently registered as a Building Inspector (Limited) in Victoria, but you are not authorised to inspect all classes of buildingand/or buildings up to three storeys in height and/or buildings with a floor area up to 2000 square metres

What type of work have you done? Tick the box.

How many times have you done this work under the supervision of a registered Building

Inspector or Building Surveyor? 2 Tick the box.

How many times have you done this work as a registered Building Inspector (Limited)?3

Tick the box.

Carried out an inspection of building work before a footing is placed for the following classes and types of building

Class 1a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 1a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

2 To carry out an inspection of building work under supervision, the supervising Building Inspector or Building Surveyor must be authorised to carry out such an inspection, and you must have

carried out the inspection in their presence and at their direction. 3 Tick a box in the third column only if you are already registered in Victoria in the category of Building Inspector (Limited) (or an interstate equivalent), and only for those classes and types of

building within the scope of your registration. If, for example, you are limited to inspecting class 1, 2 and 10 buildings up to two storeys in height, then you cannot carry out an inspection of

building work for a class 9 building, so you should not indicate that you have carried out this work as a registered Building Inspector (Limited).

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Class 2 or 3 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 5, 6, 7 or 8 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 9 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 10b structure being a swimming pool (including pool barriers)

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a fence ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a retaining wall ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a free standing wall ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a mast or antenna ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10c structure being a private bushfire shelter ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Carried out an inspection of building work before an in situ reinforced concrete member nominated by the relevant building surveyor is poured for the following classes and types of building

Class 1a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 1a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 2 or 3 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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PRACTITIONER FORM

Class 5, 6, 7 or 8 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 9 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a swimming pool (including pool barriers)

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a fence ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a retaining wall ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a free standing wall ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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PRACTITIONER FORM

Class 10b structure being a mast or antenna ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10c structure being a private bushfire shelter ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Carried out an inspection of building work on completion of the framework for the following classes and types of building

Class 1a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 1a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 2 or 3 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of more than 500 and up to 200 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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PRACTITIONER FORM

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 9 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

(Please continue)

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PRACTITIONER FORM

Carried out an inspection of building work on completion of all building work for the following classes and types of building

Class 1a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 1a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type B Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 2 or 3 building of Type A with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 2 or 3 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 5, 6, 7 or 8 building of Type B Construction with a floor area of more than 500 and up to 200 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 5, 6, 7 or 8 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type C Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction and with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type B Construction and with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 9 building of Type A Construction with a floor area of more than 500 and up to 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 9 building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10a building with a basement ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a swimming pool (including pool barriers)

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a fence ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a retaining wall ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10b structure being a free standing wall ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

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Class 10b structure being a mast or antenna ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Class 10c structure being a private bushfire shelter ☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Carried out an inspection of protection work in relation to an adjoining property before or during the carrying out of building work

Carried out an inspection of protection work for an adjoining property for building work in relation to any class of building and with a floor area of up to 500 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Carried out an inspection of protection work for an adjoining property for building work in relation to any class of building with a floor area of more than 500 square metres but less than 2000 square metres

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

(Please continue)

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Prepared inspection records and directions to fix building work for buildings up to three storeys in height and with a floor area of up to 2000 square metres

Prepared a written inspection record of building work inspected

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

After inspecting building work, reported to the relevant building surveyor on building work that fails to comply with the Building Act 1993, building regulations and building permit issued in relation to the building work

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

Gave an oral direction to fix non-compliant building work (to the builder and/or the person who was apparently in charge of the site on which the building work was being carried out), when authorised to do so by the relevant building surveyor

Not applicable ☐ 1 – 10

☐ 11 – 20

☐ 21+

Assisted the relevant building surveyor in preparing a written direction to fix building work

☐ 1 – 10

☐ 11 – 20

☐ 21+

☐ 1 – 10

☐ 11 – 20

☐ 21+

(Please continue)

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STEP 3. Use table 3 and table 4 to create your evidence portfolio

Table 3. Use this table to create an evidence portfolio that supports your experience in table 1 in carrying out building surveyor work under the supervision of a registered building surveyor.

Area of experience Documentation that you could provide to demonstrate your experience. Tick the box if you have provided the documentation in your application.

Assess an application for a building permit

Provide a portfolio of evidence that demonstrates your experience in assisting a registered building surveyor to assess an application for a building permit to:

☐ construct two Class 1a buildings in different climatic, geographic or planning zones

☐ construct two Class 2 or 3 buildings up to three storeys in height and with a floor area of up to 2000 square metres, indifferent climatic, geographic or planning zones, of which:

one is of Type A Construction, and

one has a floor area of more than 500 square metres

☐ construct two Class 5, 6, 7 or 8 buildings up to three storeys in height and with a floor area of up to 2000 square metres, indifferent climatic, geographic or planning zones, of which

one is of Type B Construction, and

one has a floor area of more than 500 square metres

☐ construct two Class 9 buildings up to three storeys in height and with a floor area of up to 2000 square metres, in differentclimatic, geographic or planning zones, of which:

one is of Type A Construction, and

one has a floor area of more than 500 square metres

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☐ construct one of each the following Class 10b structures:

a swimming pool (including the safety barrier)

a fence

a retaining wall

a free standing wall

a mast or antennae

☐ alter one existing building where the proposed alterations, together with any other alterations completed or permittedwithin the previous three years, represented more than half the original volume of the building

☐ demolish or remove two buildings, of which:

one is a Class 1 building, and

one is a Class 2, 3, 5, 6, 7,8 or 9 building.

For each building permit application that you assisted a building surveyor to assess, your evidence could include a copy of the following documentation:

the application for the building permit

the checklist(s) that you used to guide your assessment of the application for the building permit

your file notes on your assessment of the application

correspondence that you prepared to the applicant, requesting further information in support of the application, orrequesting that they amend the application (including design and other supporting documents)

correspondence that you prepared to the applicant, advising of the building permit levy payable

your written recommendation to the building surveyor about the appropriateness of proposed protection work

your written recommendation to the building surveyor to grant or refuse the application

the building permit that you prepared and that the relevant building surveyor issued

a copy of the reasons for the decision – that you prepared for the building surveyor – to refuse an application for a buildingpermit

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Enforce safety and building standards

Provide a portfolio of evidence that demonstrates your experience in assisting a registered building surveyor to enforce safety and building standards for the following classes and types of building:

☐ two building notices that you prepared for a registered building surveyor in relation to a Class 1a building indifferent climatic, geographic or planning zones

☐ two building notices that you prepared for a registered building surveyor in relation to a Class 2, 3, 5, 6, 7, 8 or 9building up to three storeys in height and with a floor area of up to 2000 square metres, of which:

one is of Type A or Type B Construction, and

one has a floor area of more than 500 square metres

☐ two building orders that you prepared for a registered building surveyor to make in relation to a Class 1a building indifferent climatic, geographic or planning zones

☐ two building orders that you prepared for a registered building surveyor in relation to a Class 2, 3, 5, 6, 7, 8 or 9building up to three storeys in height and with a floor area of up to 2000 square metres, of which:

one is of Type A or Type B Construction, and

one has a floor area of more than 500 square metres

For each building notice or building order, your evidence could include a copy of the following documentation:

your file notes on your recommendation to the building surveyor to serve a building notice or make a building order

correspondence that you prepared in relation to the building notice or building order

the building notice that you prepared for the building surveyor

the building order that you prepared for the building surveyor to make

evidence that you inspected the building work to which the building notice or building order relates (for example,photos, written inspection record, file notes)

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Table 4. Use this table to create an evidence portfolio that supports your experience in table 2 in carrying out inspections of building work for buildings up to three storeys in height and with a floor area of up to 2000 square metres.

Area of experience Documentation that you could provide to demonstrate your experience. Tick the box if you have provided the documentation in your application.

Carry out construction inspections across the range of classes of building and types of construction

☐ Provide a log book detailing building work inspections that you have carried out (including those carried out undersupervision if you are not registered as a Building Inspector), and include the following information for each inspection:

date of inspection

location of inspection (site address)

building permit number

description of the building work inspected – for example, Class 3, Type C construction

type of inspection – for example, before a footing is placed, on completion of framework

outcome of inspection

name and registration category of the registered building inspector or building surveyor that supervised yourcarrying out of the inspection – for example, John Smith, Building Inspector (Unlimited).

Carry out initial construction inspections ‒ for buildings of up to three storeys in height and with a floor area of up to 2000 square metres

Written inspection records that you personally prepared for all of the classes and types of building specified below, at each of the following inspection stages:

before a footing is placed, and

before the pouring of an in situ reinforced concrete member nominated by the relevant building surveyor in the building permit.

☐ three Class 1a buildings in different climatic, geographic or planning zones, of which one includes a basement

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☐ three Class 2 or 3 buildings with a floor area of up to 500 square metres, including one of each of the following typesof construction:

Type C Construction

Type B Construction

Type A Construction

☐ three Class 2 or 3 buildings with a floor area of more than 500 and up to 2000 square metres, including one of eachof the following types of construction:

Type C Construction

Type B Construction

Type A Construction

☐ one Class 2 or 3 building with a basement

☐ two Class 5, 6, 7 or 8 buildings with a floor area of up to 500 square metres, including one of each of the followingtypes of construction:

Type C Construction

Type B Construction

☐ two Class 5, 6, 7 or 8 buildings with a floor area of more than 500 and up to 2000 square metres, including one ofeach of the following types of construction:

Type C Construction

Type B Construction

☐ one Class 5, 6, 7 or 8 building with a basement

☐ three Class 9 buildings with a floor area of up to 500 square metres, including one of each of the following types ofconstruction:

Type C Construction

Type B Construction

Type A Construction

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PRACTITIONER FORM

☐ three Class 9 building with a floor area of more than 500 and up to 2000 square metres, including one of each of thefollowing types of construction:

Type C Construction

Type B Construction

Type A Construction

☐ one Class 9 building with a basement

☐ two of each the following Class 10b structures in different climatic, geographic or planning zones:

a swimming pool

a fence

a retaining wall

a free standing wall

a mast or antenna

Carry out advanced construction inspections ‒ for buildings of up to three storeys in height and with a floor area of up to 2000 square metres

Written inspection records that you personally prepared for all of the classes and types of building specified below, at each of the following inspection stages:

on completion of framework, and

on completion of all building work.

☐ three Class 1a buildings in different climatic, geographic or planning zones, of which one includes a basement

☐ three Class 2 or 3 buildings with a floor area of more than 500 and up to 2000 square metres, including one of eachof the following types of construction, of which one includes a basement:

Type C Construction

Type B Construction

Type A Construction

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PRACTITIONER FORM

☐ two Class 5, 6, 7 or 8 buildings with a floor area of up to 500 square metres, including one of each of the followingtypes of construction:

Type C Construction

Type B Construction

☐ two Class 5, 6, 7 or 8 buildings with a floor area of more than 500 and up to 2000 square metres, including one ofeach of the following types of construction of which one includes a basement:

Type C Construction

Type B Construction

☐ three Class 9 buildings with a floor area of up to 500 square metres, including one of each of the following types ofconstruction:

Type C Construction

Type B Construction

Type A Construction

☐ three Class 9 buildings with a floor area of more than 500 and up to 2000 square metres, including one of each of thefollowing types of construction, of which one includes a basement:

Type C Construction

Type B Construction

Type A Construction

☐ two of each the following Class 10b structures in different climatic, geographic or planning zones (only forinspections carried out on completion of all building work):

a swimming pool

a fence

a retaining wall

a free standing wall

a mast or antenna

Statement of Experience for Building Surveyor (Limited) work - Page 40/44

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PRACTITIONER FORM

Identify and report on non-compliance with building permit, Act and regulations ‒ for buildings up to three storeys in height and with a floor area of up to 2000 square metres

Written inspection records that you personally prepared where non-compliance with the building permit, Building Act 1993 or building regulations was identified at the following types of inspection:

☐ a minimum of three written records of building work inspections that you undertook before a footing is placedthat collectively identified at least three of the following:

incorrect siting/location

incorrect configuration

incorrect depth, width or size

excavation not clean and free of debris and/or water

☐ a minimum of two written records of building work inspections that you undertook before a footing is placedthat collectively identified all of the following:

incorrect spacing and depth of retention piles

incorrect size or fitting of holding down bolts for pad footings associated with a steel portal frame

☐ a minimum of three written records of building work inspections that you undertook before the pouring of anin situ reinforced concrete member that collectively identified at least four of the following:

insufficient cover to reinforcement

membrane not positioned, lapped and sealed around pipes

insufficient lapping of steel reinforcement

incorrect steel reinforcement size and/or type

incorrect positioning of steel reinforcement and support

steel reinforcement not tied to position

☐ a minimum of two written records of building work inspections that you undertook before the pouring of anin situ reinforced concrete member that collectively identified all of the following:

incorrect positioning of post tension ductwork

incorrect size of lift pit

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PRACTITIONER FORM

☐ a minimum of three written records of building work inspections that you undertook on completion of theframework that collectively identified at least four of the following:

incorrect positioning of roof trusses

incorrect fixing of roof trusses

incorrect timber size and/or stress grade and/or type and/or durability

incorrect positioning and/or fixing of wall or roof bracing

insufficient support to load bearing elements

incorrect timber spacing/span

☐ a minimum of two written records of building work inspections that you undertook on completion of the frameworkthat collectively identified all of the following:

incorrect steel size (beam, column)

incorrect connections (bolt, weld)

☐ a minimum of three written records of building work inspections that you undertook on completion of allbuilding work that collectively identified at least four of the following:

incorrect positioning of smoke alarms

missing bushfire requirements (for example, seals on garage doors)

storm water system not connected to the point of discharge

incorrect gradient on ramps and access ways

incorrectly fitted/positioned sanitary facilities for people with a disability

non-climbable zone of swimming pool barrier not maintained

incorrect height of handrails and balustrades

incorrect stair dimensions

no single hand level action to exit doors

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PRACTITIONER FORM

☐ a minimum of three written records of building work inspections that you undertook on completion of allbuilding work that collectively identified at least three of the following:

incorrect positioning of hydrant and hose reels resulting in insufficient coverage

incorrect sprinkler head positioning and/or layout

smoke alarms not interlinked

penetrations through fire resistant elements not sealed

insufficient signage

incorrect exit signage installed

incorrect mounting height of exit signage

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Remember: The information provided in this form must be true and correct. It is an offence under section 246 of the Building Act 1993 to give false or misleading information in relation to an application for registration, and this offence carries a maximum penalty of 120 penalty units.

I declare that the information contained in this form is complete and true to the best of my knowledge. And I understand that the VBA may make enquiries to verify any of the information I have given on this form, and I consent for the information provided in this form to be shared with any other third party for that purpose.

Applicant name

Applicant signature

Date

Statement of Experience for Building Surveyor (Limited) work - Page 44/44

(must be a handwritten signature)