CH Monitoring Form

• Audit Title

• CMO ID No

• LAR no

• Project Activity Name/Location/Section/Area

• Conducted on

  Date

• Prepared by

General Information

• Name of Aboriginal Party and representatives

• Procon Contract Reference No:

Area information - fill in if there is no previous survey form

• 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

• 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 Other

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

  Media

Cultural Heritage Monitoring/Mitigation

• Was any cultural heritage identified?

  YES

  NO

• Have you collected CH data and GPS location using Collector?

  YES

  NO

• Add photos of the CH, if not taken with Collector

  Media

• Did the Aboriginal Party mitigate the cultural heritage?

  YES

  NO

• Have you recorded the location of the mitigated cultural heritage on Collector?

  YES

  NO

Is monitoring/mitigation complete?

• Is monitoring/mitigation complete?

  YES

  NO

• Are there any further recommendations?

• If any further ground disturbing or other works are required in this location, will monitoring be required?

  YES

  NO

• As per legislative requirements and CH agreements, if any suspected cultural heritage is identified in this area in the future, the relevant Aboriginal Party will be contacted.

Mud map

• Draw mud map if required

  Drawing

Sign off for the recommendations (CHMS)

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Arrow Energy representative

• Add signature

  Sign