CH Field Assessment

• Audit Title

• Project Activity Name/Location/Section/Area

• Conducted on

  Date

• Prepared by

General Information

• Assessment Type

  Internal Field Assessment

  Field Assessment with Aboriginal Party

• Name of Aboriginal Party and representatives

Area information

• General description of location:

• Vegetation Type

  Select Grassland Woodland Open Forest Closed Forest Herbland Shrubland Scrub

  • Grassland
  • Woodland
  • Open Forest
  • Closed Forest
  • Herbland
  • Shrubland
  • Scrub

• Remnant or non-Remnant vegetation

  Remnant

  Non-Remnant

• Vegetation Changes

  Select Logged Cleared Stick raked Burnt Blade ploughed Regrowth Pasture Cultivation Other

  • Logged
  • Cleared
  • Stick raked
  • Burnt
  • Blade ploughed
  • Regrowth
  • Pasture
  • Cultivation
  • Other

• If other:

• Ground surface visibility - average %

• Landform Type

  Select Downs Plains Alluvial Floodplain Gilgai Gully Channel Beds Hill Slope Mountain Ridge Plateau Undulating Other

  • Downs
  • Plains
  • Alluvial Floodplain
  • Gilgai
  • Gully
  • Channel Beds
  • Hill Slope
  • Mountain Ridge
  • Plateau
  • Undulating
  • Other

• If other:

• Soil descriptor

  Select Silt Sand Loam Clay Gravel Bedrock (no soil) Cobbles Boulders Other

  • Silt
  • Sand
  • Loam
  • Clay
  • Gravel
  • Bedrock (no soil)
  • Cobbles
  • Boulders
  • Other

• If Other:

• Distance to natural waterway (m):

• Photos of the general area

  Media

Cultural Heritage Assessment

• Was any cultural heritage identified?

  Yes

  No

  N/A
• Enter Coordinates and you may also select location from map by pressing LOCATE
  Address

• Description of site

Mud map

• Draw mud map if required

  Drawing

Cultural Heritage Management Stategy

• What are the recommendations?

• Can project works proceed?

  YES - no CH impediment

  NO - move activity area

  YES - CH restrictions apply

Sign off for the recommendations (CHMS)

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

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  Sign

• Arrow Energy representative

• Add signature

  Sign