Title Page

  • Project:

  • Company:

  • Conducted on

  • Prepared by:

  • Location:
  • Personnel

  • Approval Type:

  • Other Approval type:

Site Conditions

  • Weather Conditions (Fine, cloudy, rain etc...):

  • Current Task:

Documents and Records

  • Environmental documents on site e.g. EIA (REF/TBEIA) / EMP?

  • Permits/licenses/Approvals on site?

  • Have site personnel undertaken environment site induction on environmental management and site specific issues?

Site Office and Amenities

  • Are offices and amenities located a suitable distance from sensitive receivers and environmentally sensitive areas?

  • Has weed growth around offices and amenities being adequately controlled?

  • Has pedestrian and private access been maintained?

  • Is appropriate signage in place for pedestrians and road users?

Air Quality

  • Are dust control measures being implemented where applicable?

  • Have materials been stored appropriately to minimise dust emissions?

  • Are site access tracks being watered down as appropriate?

  • Is vehicle use restricted to designated access tracks?

  • Are truck loads covered?

Erosion and Sediment

  • Are erosion and sediment controls in place around the work site?

  • Do the erosion and sediment controls require repair or maintenance?

  • Has topsoil been stockpiled separately from subsoil?

  • Are stockpiles of suitable height and have they been stabilised?

  • Is clean water diverted around exposed or disturbed areas?

  • Has any dirty or sediment laden water transferred off-site?<br><br><br>

  • Are there any areas of scour or erosion?

  • Has sediment tracking onto public roads been minimised?

Water Quality and Watercourse Protection

  • Has dewatering occurred (from pits or basins) and has water been treated prior to flowing off-site?

  • Have concrete washout pits been lined and established away from drainage depressions and watercourses?

  • Are materials stored more than 40m from watercourses?

Land and Water Contamination

  • Are material storage areas free from discolouring or staining?

  • Are refuelling, maintenance and wash-down areas bunded or adequately protected?

  • Are fuels, oils and chemicals stored within bunded areas (minimum 110% of the volume of the volume stored)?

  • Are bund areas clean and free of water/liquid?

  • Are spill kits located near fuel storage and refuelling areas?

  • Are spill kits stocked and maintained?

Waste

  • Is waste (including asbestos) being appropriately managed (segregation, storage and removal)?

  • Is the work site clean and tidy (free of waste and personal rubbish including cigarette butts)?

  • Is suitable excavated material fit for reuse used onsite?

  • Is waste, oils and chemicals collected and disposed by a licensed contractor to a licensed facility?

Indigenous and Non-Indigenous Heritage

  • Indigenous Heritage areas or objects signposted and protected?

  • Non-Indigenous Heritage items signposted and protected?

Flora and Fauna

  • Has the site boundary and areas of sensitive vegetation been delineated and protected?

  • Are protection barriers in place to protect retained vegetation?

  • Are the drip line of retained vegetation free from stored materials or plant/equipment?

  • Weed controls in place to prevent the transport of identified noxious weeds offsite?

Noise, Vibration and Light

  • Are fixed noise sources positioned to minimise potential impact on sensitive receivers?

  • Is plant and equipment shutdown to prevent idling unnecessarily?

  • Have activities been planned and undertaken within project and regulatory permitted hours?

  • Have community notification requirements been managed?

  • Is lighting appropriately located to avoid light spill to sensitive receivers?

Site Specific Requirements

  • Are there any further site specific requirements?

Inspection: Findings and Actions

  • General Observations/ Comments:

  • Inspector:

  • Project Manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.