Critical Control Inspection - Clearance of Protected Areas

• Work Activity

• Workplace/Location
  Address

• Conducted on

  Date

• Verifier (Name) and Signature

  Sign

Verification Requirements

• 1. Review and verify that the Vegetation Disturbance Permit (DA-ZH-FM149.1) or equivalent is - <br>a) approved<br>b) all aspects required to be implemented have been implemented prior to commencing work

  Yes

  No

  N/A

• 2. Inspect the worksite to verify protected areas are clearly marked (isolated with a physical barrier), with appropriate signage erected.

  Yes

  No

  N/A

• 3. Interact with the workforce to verify they understand:<br>a) where their protected areas are located<br>b) their specific markings<br>c) their limits of clearance <br>d) why the area is protected<br>

  Yes

  No

  N/A

Critical Control Effectiveness

• Indicate the overall level of effectiveness of the Critical Control

  Effective

  Generally Sound

  Improvement Required