Reinstatement Form - duplicate

• Document No.

• Property

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Location ie Main Track to tower site 12.

• Before reinstatement photograph.

  Media

Material.

• Imported material uplifted and removed from property and area re- contoured.

  Yes

  No

  N/A

• Imported material uplifted and stockpiled for use of LO at agreed dump site, and re-contoured.

  Yes

  No

  N/A

• Imported material uplifted and utilised as fill to re-contour.

  Yes

  No

  N/A

• Surface ripped to ensure drainage and re-contoured.

  Yes

  No

  N/A

• Tracks left with top soil bunds sediment controls removed

  Yes

  No

  N/A

• Dump Site:

Reinstated Area

• Grass seed sown by LO or TP

  LO

  TP

• Area to be fence off by LO or TP

  LO

  TP

• Seed Type:

• Additional Comments:

• After Reinstatement Photograph.

  Media

• All attendees understand the above information and acknowledge site works can commence in line with the above scope.

• Reinstatement Sign off.

Staff

• Add signature

  Sign