Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Officers Name
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Time of Inspection/ Date of Inspection
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DA Number
Inspection Checklist
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1. Sediment Control in place
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a) non-existent (issue fine/cleanup notice)
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b) ineffective (issue fine/cleanup notice)
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c) effective
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2. Concrete Pump Permit
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Infringement Notice
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3. Skip Waste Bin Filteration system in place for discharge into storm water
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Bins inspected
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Change of bins required
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Infringement Notice
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4. Crane Permits
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Infringement Notice
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5. Hoarding Permit Current
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Letters Sent
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Infringement Notice
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6. Obstructions and encroachments on pedestrian access
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Public road/nature strip/footpath
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Photos taken
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Photo
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Letters sent
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Infringement Notice
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Permits Current
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Vehicles on nature strip
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8. Skip Bins
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Bin permit current
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Place ON road ( Exemption for NO nature strip)
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Place OFF road
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Lighting provided
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Barriers required
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Infringement Notice
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9. Is the site secured to restrict public access
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Letters sent
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Infringement Notice
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10. Signage (for vacant building site/demolition
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Certifiers sign
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Builders details
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After hours number provided
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Letters Sent
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11. Significant trees exclusion zone fencing erected
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Letters Sent
OFFICE USE ONLY:
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Full name of contact person (person/site Forman/contractor/spoken to during Inspection
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Company Name:
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Phone number:
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Mobile number:
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Fax number:
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Postal Address:
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Questions:
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Other comments:
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Photos taken:
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Clean up/ Prevention Notice to be Served:
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Infringements to be issued:
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Referral Action
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Other