Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Officers Name

  • Time of Inspection/ Date of Inspection

  • DA Number

Inspection Checklist

  • 1. Sediment Control in place

  • a) non-existent (issue fine/cleanup notice)

  • b) ineffective (issue fine/cleanup notice)

  • c) effective

  • 2. Concrete Pump Permit

  • Infringement Notice

  • 3. Skip Waste Bin Filteration system in place for discharge into storm water

  • Bins inspected

  • Change of bins required

  • Infringement Notice

  • 4. Crane Permits

  • Infringement Notice

  • 5. Hoarding Permit Current

  • Letters Sent

  • Infringement Notice

  • 6. Obstructions and encroachments on pedestrian access

  • Public road/nature strip/footpath

  • Photos taken

  • Photo

  • Letters sent

  • Infringement Notice

  • Permits Current

  • Vehicles on nature strip

  • 8. Skip Bins

  • Bin permit current

  • Place ON road ( Exemption for NO nature strip)

  • Place OFF road

  • Lighting provided

  • Barriers required

  • Infringement Notice

  • 9. Is the site secured to restrict public access

  • Letters sent

  • Infringement Notice

  • 10. Signage (for vacant building site/demolition

  • Certifiers sign

  • Builders details

  • After hours number provided

  • Letters Sent

  • 11. Significant trees exclusion zone fencing erected

  • Letters Sent

OFFICE USE ONLY:

  • Full name of contact person (person/site Forman/contractor/spoken to during Inspection

  • Company Name:

  • Phone number:

  • Mobile number:

  • Fax number:

  • Postal Address:

  • Questions:

  • Other comments:

  • Photos taken:

  • Clean up/ Prevention Notice to be Served:

  • Infringements to be issued:

  • Referral Action

  • Other

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.