Title Page
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Type of Document
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Project Name
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Location
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Contractor
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Site Contactor Representative
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Site Contactor Representative Phone
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Council Project Manager
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Council Project Manager Phone
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Conducted On
Weather
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Weather Conditions
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Rain Received (mm)
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Temperature C
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Is there rain at the time of Inspection?
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Site Conditions
Project Notes
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Type of Project
Plant on Site
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Plant or Equipment Description
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Number
Trades on Site
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Trades on Site
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Type of Work
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Description
Works Being Completed
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Works Being Completed
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Materials on Site
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Controls
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Trades on Site
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How Many Concreters?
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How Many Electricians?
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How Many Plumbers?
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How Many Labourers?
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How Many Plant Operators?
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Plant on Site
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Tonnage (t)
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How Many Excavators?
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Volume (m3)
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How Many Concrete Trucks?
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How Many Concrete Pumps?
Other Plant
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Other Plant
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Tonnage (t)
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How Many?
Site Safety and Environmental
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Is Traffic Control in place and Satisfactory?
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Do all contractors have appropriate PPE?
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Are Sediment Controls in place and Effective?
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Are excavations safe?
Contamination Management
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Are works being undertaken which require contamination/asbestos controls?
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Is exclusion area and signage in place?
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Is air monitoring in place
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Is a licensed asbestos removal contractor/supervisor managing the works
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Are workers within the exclusion zone wearing correct PPE
Plant or Equipment operating within the exclusion zone
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Plant type
Trades and Staff operating within the exclusion zone
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Staff type
What contamination management works are occurring?
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Describe works being undertaken
Site Instructions
- Site Instructions
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Instruction Required?
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Issued By
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Possible Delay?
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Possible Variation?
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Extent of Works
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Estimated Cost
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Contractors Representative Name and Signature
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Councils Representative Name and Signature
Site Photos
- Site Photos
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Site Photos
