General observations
General weather conditions

Approximate Temperature

Amount of rainfall
Safety, environment and quality

OHS daily check completed? Checklist and general observations do not identify breach or hazard?

Nature of non compliance

Incident report required?

Incident notified to TI safety manager?

Incident report to be completed by

Incident report to be completed by:

Compliance with CEMP, EPG's

Details of non compliance issues

Incident report required?

To be completed by
To be reported by

Quality standards being adhered

Provide further information

ITP compliance

ITP checked

Hold point released

Detail hold points

Released by
Select date

Contract under review

Person conducting review

ITP reviewed

Compliant or non compliant

General notes and observations


Landholder interactions

Landholder :

Landholder name


Issues discussed

Enter any diagrams to assist
Contractual issues

Contractural issues of note


Is the issue variation, extension of time or other?


Date to be actioned by

Have instructions been given or are instructions required?

Detail instructions provided and reference to written correspondence provided or required.

Instruction given to
Select date

Is the issue a non conformance?

Incident details - provide short description through reference to written correspondence required

Add drawing

Incident report required?

Incident to be reported by
Select date

Incident reference number

Design / Request For Instruction? (RFI)

Evidence of potential or actual RFI

Technical, commercial, other

Provide description

General photos of works
Add media

Work fronts

Work front observed

Work areas visited

Work site
Alignments or locations visited


Add location
Time entered
Time left
Trades working


General observations, extent of works completed, extent of placement, installation of plant and equipment

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.