Information

  • Conducted on

  • Photo of site

  • Document number

  • Lot/house number

  • Location
  • Prepared by

  • Personnel

Builders details

  • Add media

  • Phone contact:

PCA

  • Add media

Site fence

  • What is the condition of site fence?

  • Is the fence located within boundary?

Road Reserve

  • Concrete footpaths

  • Grassed Verge

  • Gutters

Waste

  • Is waste stored in a designated area?

  • Has recycling been appropriately sorted?

  • What items are cause for concern?

Sediment control

  • Ensure 150mm-200mm is buried in the ground. Ensure stakes are no more than 2000mm apart

  • Has Geotextile fabric sediment fences been put into place?

  • Is the sediment fence failing causing water pollution?

  • Is there stabilised access with aggregate installed?

  • Does access require maintenance?

  • Has sediment been tracked out by tyres?

Amenities

  • Is there a toilet on site?

  • Is the toilet within the site boundary?

Response

  • Issue warning advisory letter

  • Show cause required

Review and Sign-off

  • Reviewed By

  • Approved By

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.