Title Page

  • Conducted on

  • Prepared by

  • Location
  • weather

Vic shaft 1

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

Vic shaft 2 (OMS)

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

Wellesley shaft

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

Swanson shaft 1

  • site zone

  • External inspection

  • contractor/ subcontractor

Plant, Staff and Equipment

  • Truck

  • loader

  • Labour

  • Foreman

  • Excavator

  • Operator

  • Stock

  • site set up photo

Work completed

  • milestone

  • notes

  • photos

work in progress

  • target milestone

  • notes

  • photos

construction issues

  • notes:

Site instructions given

  • notes:

Programme & Progress

  • notes:

site compliance - h&s, tmp, environment

  • confined space entry permit

  • AAA/ JSEA

  • toolbox mtg held/ minutes sited

  • on site h&s comments:

  • photos:

  • on site tmp - as per approved

  • tmp/ ped access comments:

  • photos:

  • environmental set up compliance review

  • silt control, tree protection, noise monitoring etc comments:

  • photos :

other comments

  • notes:

  • Signed:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.