Development Application Site Assessment Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

APPLICATION & PROPERTY LOCATION DETAILS

• Date and Time of Inspection

  Date

• Application Number

• Proposal Description:

SITE INSPECTION RISK ASSESSMENT CHECKLIST

• Travelling to site - vehicle

  Yes

  No

  N/A

• Moving vehicles or machinery on site

  Yes

  No

  N/A

• Unrestrained dogs on site

  Yes

  No

  N/A

• Puncture wounds or cuts - sharp objects

  Yes

  No

  N/A

• Remote area

  Yes

  No

  N/A

• Aggressive or abusive people

  Yes

  No

  N/A

• Uneven or slippery ground

  Yes

  No

  N/A

• Equipment malfunction/misuse

  Yes

  No

  N/A

• Confined spaces

  Yes

  No

  N/A

• Electric fencing

  Yes

  No

  N/A

• Contact with irritant causing vegetation

  Yes

  No

  N/A

• Other Hazards:

  Yes

  No

  N/A

• Excavated holes or trenches on site

  Yes

  No

  N/A

• Contractors working overhead

  Yes

  No

  N/A

• Inspections at levels above ground floor level

  Yes

  No

  N/A

• Working outdoors, solar/UV radiation, heat stress, snake or insect bite

  Yes

  No

  N/A

• Excessive noise

  Yes

  No

  N/A

• Entering/existing vehicle

  Yes

  No

  N/A

• Manual Handling

  Yes

  No

  N/A

• Flying objects or materials

  Yes

  No

  N/A

• Dusty conditions

  Yes

  No

  N/A

• Attack by livestock

  Yes

  No

  N/A

• Flowing watercourse or waterbody

  Yes

  No

  N/A

• Control measures

  SWMS No:DE006- Inspection of Sites

• Asbestos

  Yes

  No

  N/A

• Control measures

  SWMS No:DE006- Inspection of Sites

• Comments / Issues

SITE REPORT

• Uncontrolled land fill or filling required

  Yes

  No

  N/A

• Ground levels shown on the plans representative of levels on site

  Yes

  No

  N/A

• Surface water or subsurface water problems evident from the inspection

  Yes

  No

  N/A

• Likely effects of proposed works on surface or subsurface stormwater drainage on adjoining sites

  Yes

  No

  N/A

• Flood prone land or subject to inundation

  Yes

  No

  N/A

• Visual evidence of landslip or subsidence

  Yes

  No

  N/A

• Topography of site

  Flat Site

  Gradual fall to rear

  gradual fall to street

  Significant fall to rear

  Significant fall to street

• Likely impact on any existing trees on the site

  Yes

  No

  N/A

• Number of street trees

  Select 1 2 3 4 5 6 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • N/A

• Reticulated sewer available

  Yes

  No

  N/A

• Compliance with Councils Building over Sewers Policy

  Yes

  No

  N/A

• On-site effluent disposal

  Yes

  No

  N/A

• Modifications to existing plumbing or drainage

  Yes

  No

  N/A

• Reticulated water supply available

  Yes

  No

  N/A

• Kerb Type

  Roll Kerb

  Standard Kerb

• Kerb & guttered

  Yes

  No

  N/A

• Concrete vehicular layback or piped crossing

  Yes

  No

  N/A

• Damage to existing kerb & gutter or vehicle layback & cross over

  Yes

  No

  N/A

• Stormwater disposal from the proposed development to:

  Street

  Existing Interallotment Drainage

  Absorption trench

• Vehicular access to the site

  Yes

  No

  N/A

• Is proposed driveway gradient satisfactory

  Yes

  No

  N/A

• Driveway Location

  LHS Block

  Centre Block

  RHS Block

• Is disabled access required

  Yes

  No

  N/A

• Removal/lopping of existing trees or likely affect the root system of any trees (including trees on adjoining properties)

  Yes

  No

  N/A

• Bushfire prone land

  Yes

  No

  N/A

• Threatened species issues

  Yes

  No

  N/A

• Likely effect the amenity of adjoining properties through loss of visual/aural privacy, loss of views, overshadowing or noise

  Yes

  No

  N/A

• Is the proposed development sympathetic to the existing streetscape

  Yes

  No

  N/A

• Photos of Issues / Comments

  Media

• Officers Name and Accreditation Number

  Select Bob Goldspring BPB1615 Robert Christlo BPB1161 Chris Vince BPB1226 Matthew Shannon BPB1246 Patrick McLoughlin BPB1508 Edo Smits BPB1491 David Anstiss BPB1162 John Price BPB1290 Garon Irwin BPB1285 Malcolm Dillon BPB1286 Gavin McKenzie BPB1283 Warwick Papworth BPB1160 David Anderson BPB1314 Michael Musson BPB1523 Richard Murphie BPB1159 Gareth Jenkins BPB1284

  • Bob Goldspring BPB1615
  • Robert Christlo BPB1161
  • Chris Vince BPB1226
  • Matthew Shannon BPB1246
  • Patrick McLoughlin BPB1508
  • Edo Smits BPB1491
  • David Anstiss BPB1162
  • John Price BPB1290
  • Garon Irwin BPB1285
  • Malcolm Dillon BPB1286
  • Gavin McKenzie BPB1283
  • Warwick Papworth BPB1160
  • David Anderson BPB1314
  • Michael Musson BPB1523
  • Richard Murphie BPB1159
  • Gareth Jenkins BPB1284

• Signature

  Sign