Title Page

  • Site conducted

  • Date of Pre Site Assessment

  • Assessment completed by

  • Site Supervisor

  • Job Address

SITE

  • ● Have three or more re-estab pegs been located?

  • ● Is there an electricity pit on either boundary or center of the block?

  • ● Are overheads clear of powerlines so as not to require an elec permit to work?

  • ● Has all tree protection requirements been put in place if applicable ?

  • ● Has the owner provided a clean and clear site ready for work?

  • ● Has all footpath & crossover damage been recorded and photographed?

  • ● Is all boundary fencing restricting access from neighbours and pedestrians?

  • ● Has perimeter fencing been photographed and documented for damage?

  • ● Has a traffic management plan been put in place? (If required)

  • ● Is an Dome Coordination plan sign clearly visible and filled in on front fence?

  • ● Is an Dome advertising sign clearly visible and filled in on front fence?

  • ● Has adequate toilet amenities been organised?

  • ● Is a retaining wall required?

COMPLETION

  • Additional Comments

  • Name and Signature

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