Information

  • Site Conducted

  • Observation Report Number

  • Contract Number

  • Date and Time

  • Location
  • Contractor

  • Enter The Contractor Name Here

  • Subcontractor(s)

  • Enter The Subcontractor Name(s) Here

  • VicRoads Business Area

  • Prepared by

Site Details

  • Weather

  • http://www.bom.gov.au/vic/forecasts/towns.shtml

  • Current Temperature (c)

  • Forecast Temperature (c)

  • Rainfall (mm)

  • Other site conditions (eg. site very wet)

  • Photo

Observations

Site Observations

  • Enter a description of your observation

  • Add photo's to support your observation

  • Plant, staff and equipment items observed on site

  • Add photo's of people, plant & equipment

  • Traffic management observations Including MOA and TMP

  • Add photo's of the Traffic Management used

  • Other Observation Notes

Discussions with the Contractor

  • Items discussed with the contractor

  • Add photo's of items discussed with the contractor

  • Add a sketch of items discussed with the contractor

Hold Points, Adverse Weather & Quality Issues

  • Hold points released

  • Adverse Weather granted / not granted and reasons

  • Quality issues observed / raised

  • Add any photo's of hold points, quality issues or inclement weather

Incidents, Non-Conformances, Non-Compliances and Claims

  • Incidents (Safety, OH&S, Environmental, Community etc.)

  • Any non-compliances issued

  • Any non-conformances received / noted

  • Any potential claims noted on site

  • Add photo's of any incidents, non-conformance, non-compliance or potential claims

Other Items for Discussion or of Note

  • Other (if required)

  • Add any other photo's

  • Add a sketch of the site if you wish and highlight problem areas or areas of discussion

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.