Title Page
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Inspection Date
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Location
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Enforcement Number:
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Proposed Work Inspecting
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Inspecting Officer/s
- Rhiannon Bullock
- Rhiannon Baines
- Emma Smith
- Haylee Crowe
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Property Owners
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Owners Contacts
Risk Reduction Measures (internal)
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Potential dangerous person or animal on site:
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DO NOT ATTEND SITE
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All inspecting officers wearing PPE?
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Jacket or vest
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Boots
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Council Identification
Arrival Details:
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Arrival time;
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Site Hazards; are there any site specific physical hazards you can identify at the premise that risk reduction measures need to be implemented for, including potential dangerous dogs?
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What is the risk?
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What risk reduction measures have you implemented
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Is anyone onsite?
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Left business card
Caution
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Identify yourself as Council Permit Authority and Show ID
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Caution required?
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CAUTION: in relation to any questions that I ask you, you have the right to remain silent.
This means you do not have to answer any question that I ask unless you wish to do so. Anything you say may be later used as evidence. -
Name of person/s onsite and caution provided too (if applicable)?
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Phone number:
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Email:
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ID provided:
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Person on site the owner
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Name
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Relation to owner
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Phone number
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Email
Planning items on site
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Any recent removal of trees and shrubs
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Any vehicular crossing updates
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Any recent earth works undertaken
Structure 1
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Type of Structure
Measurements
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Height
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Width
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Length
Setbacks
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Front
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Rear
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Right side
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Left side
Decks
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Is there a deck onsite
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Highest part of deck
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Lowest part of deck
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Does the deck have a privacy screen
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What is the height of the privacy screen
Habitable buildings
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Is the building being used for habitable purposes?
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Is there dwelling on site
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Is the habitable floor area over 60m2
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Are smoke alarms visible
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Does the building have its own car parking space/s
Notes
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Notes
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Additional Photos
Structure 2
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Is there another structure onsite
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Type of Structure
Measurements
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Height
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Width
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Length
Setbacks
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Front
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Rear
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Right Side
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Left Side
Decks
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Is there a deck onsite
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Highest part of deck
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Lowest part of deck
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Does the deck have a privacy screen
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What is the height of the privacy screen
Habitable Buildings
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Is the building being used for habitable purposes
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Is there a dwelling onsite
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Is the habitable floor area over 60m2
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Are there smoke alarms visible
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Is there any direct access to an adjoining storage/shed area
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Does the building have its own car parking space/s
Notes
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Notes
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Photos
Permit Authority
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Time inspection concluded
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Permit Authority Signature
Notes
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Notes
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Photos
Permit Authority
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Add signature
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Habitable Building
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Is the building being used for habitable purposes
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Is there a dwelling on site
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Is the habitable floor area over 60m2
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Is there smoke alarms visible
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Is there any direct access to an adjoining storage/shed area
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Does the building have its own car parking space/s
Permit Authority
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Time inspection completed
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Permit Authority Signature