Information

  • Audit Title

  • Project Site

  • Project Number

  • Stage

  • Location
  • Client

  • Conducted on

  • Prepared by

Site Condition

  • Weather

  • Site Condition

1.0 - OH&S & Environment

  • 1.1 - Any incidents, near misses or hazards?

  • Provide details of incident, near miss or hazard;

  • 1.2 - EMP Observations -

  • 1.2.1 - Noise & Vibration<br>

  • Description -

  • 1.2.2 - Air Quality/Dust Control

  • Description -

  • 1.2.3 - Stockpiling of Materials

  • Description -

  • 1.2.4 - Erosion and Sediment Control

  • Description -

  • 1.2.5 - Stormwater Management

  • Description -

  • 1.2.6 - Vegetation Protection

  • Description -

  • 1.2.7 - Solid Waste Management

  • Description -

  • 1.2.8 - Traffic Management

  • Description -

2.0 - Contractor Progress

  • 2.1 - Road and Drainage

  • Current Progress -

  • - Stripping Works

  • - Bulk Earthworks

  • - Drainage Trenching Works

  • - Drainage Pipe Laying and Jointing Works

  • - Road Boxing

  • - Subgrade Improvement Works

  • - Pavement Sub-Base Course

  • - AGI Drains Installation

  • - Road Crossing Conduits Installation

  • - Pavement Sub-Base Course Works

  • - Kerb and Channel Works

  • - Pavement Base Course Works

  • - Concrete Footpath and Vehicle Crossings Works

  • - Asphalt Prime

  • - Asphalt Base Course

  • - Asphalt Wearing Course

  • - Line Marking

  • - Traffic and Street Signs Installation

  • - Topsoiling Works

  • 2.2 - Sewer Reticulation

  • Current Progress -

  • - Sewer Trenching Works

  • - Sewer Pipe Laying and Jointing Works

  • - Backfilling of Pipe

  • - Maintenance Shaft and Manhole Construction

  • - Property Connection Installation

  • - Finished Covers

  • - Pre-testing (Ovality, Vacuum/Pressure)

  • - Asset Recording

  • - Test Audits (with Authority)

  • - Date of Authority Audit to Testing

  • - Target/Anticipated Authority Audit to Testing Date

  • - Final Connection

  • - Connection date

  • - Target/Anticipated Connection date

  • 2.3 - Water Reticulation

  • Current Progress -

  • - Water Reticulation Trenching Works

  • - Water Reticulation Pipe and Jointing Works

  • - Backfilling of Pipes

  • - Property Connection Installation

  • - Finished Covers

  • - Pre-testing (Pressure)

  • - Asset Recording

  • - Swab Test (with Authority)

  • - Date of Swab Test (with Authority)

  • - Pressure Test (with Authority)

  • - Date of Pressure Test (with Authority)

  • - Target/Anticipated Date of Pressure Test (with Authority)

  • - Hydrant Post and Pavement Markers

  • - Flushing

  • - Flushing Date

  • - Target/Anticipated Flushing Date

  • - Water Quality Test

  • - Water Quality Sampling Date

  • - Target/Anticipated Water Quality Sampling Date

  • - Chlorination (mains >225mm dia)

  • - Chlorination Date

  • - Target/Anticipated Chlorination Date

  • - Final Connection

  • - Connection Date

  • - Target/Anticipated Connection Date

  • 2.4 - Electrical and Telecommunications Reticulations

  • Current Progress -

  • - Electrical and Telecommunications Trenching Works

  • - Trench Embedment Works

  • - Electrical Conduit and Cable Installation Works

  • - Telecommunication Conduit and Cable Installation Works

  • - Warning Tape and Backfilling

  • - Electrical Trench Audit

  • - Trench Audit Date

  • - Target/Anticipated Trench Audit Date

  • - Electrical Pit Installation

  • - Telecommunication Pit Installation

  • - Electrical Property Connection Conduits Installation

  • - Telecommunication Property Connection Conduits Installation

  • - Kerb Markings (Road Crossings)

  • - Light Pole Installation

  • - Electrical Compliance Audit

  • - Compliance Audit Date

  • - Target/Anticipated Compliance Audit Date

  • - Electrical Pre-commissioning Audit

  • - Pre-commissioning Audit Date

  • - Target/Anticipated Pre-commissioning Audit Date

  • - Electrical Connection

  • - Connection Date

  • - Target/Anticipated Connection Date

  • - Telecommunication Compliance Audit

  • Telecommunication Audit Date

  • - Target/Anticipated Telecommunication Audit Date

  • 2.5 - Main Drain/Outfall (Melbourne Water)

  • Current Progress -

  • - Bulk Earthworks

  • - Drainage Trenching Works

  • - Main Drain Pipe Laying and Jointing Works

  • - Pit Construction

  • - Outfall Treatment Works

  • - Clay Liner Works

  • - Rock Beaching Works

  • - Connection to Existing Infrastructure/Water Body

  • - Asset Recording

  • - PC Inspection with Melbourne Water

  • - PC Inspection Date

  • - Target/Anticipated PC Inspection Date

  • 2.6 - Major Roads

  • Current Progress -

  • Type of Works

  • - Existing Services Proving Works

  • - Bulk Earthworks

  • - Drainage Works

  • - Saw-cut Existing Pavement

  • - Road Boxing

  • - Subgrade Improvement Works

  • - Pavement Capping Layer

  • - Pavement Sub-Base Course

  • - AGI Drains and Road Crossing Conduits Installation

  • - Kerb and Channel Works

  • - Pavement Base Course

  • - Concrete Infill and Footpath Works

  • - Asphalt Prime

  • - Asphalt Base Course

  • - Asphalt Wearing Course

  • - Line Marking Works

  • - Traffic Sign Installation

  • - Make Good Existing (e.g. crack seal, removal existing line marking, topsoiling etc.)

  • - Existing Services Proving Works

  • - Bulk Earthworks

  • - Drainage Works

  • - Saw-cut Existing Pavement

  • - Road Boxing

  • - Subgrade Improvement Works

  • - Pavement Capping Layer

  • - AGI Drains and Conduits Installation

  • - Kerb and Channel Works

  • - Pavement Base Course

  • - Electrical and Telecommunications Supply Pit Installation

  • - Traffic Signal Poles Installation

  • - Street Lighting Installation

  • - Traffic Signal Controller Box Installation

  • - Asphalt Prime

  • - Asphalt Base Course

  • - Asphalt Wearing Course

  • - Detector Loop Saw-cut and Install

  • - Lighting and Traffic Signalisation Electrical Works

  • - Lighting and Traffic Signalisation Electrical Connection and Commissioning

  • - Commissioning and Connection Date

  • - Target/Anticipated Commissioning and Connection Date

  • - Existing Services Proving Works

  • - Existing Services Relocation Works

  • - Bulk Earthworks

  • - Drainage Works

  • - Saw-cut Existing Pavement

  • - Road Boxing

  • - Subgrade Improvement Works

  • - Pavement Capping Layer

  • - Pavement Sub-base Course

  • - AGI Drains and Road Crossing Conduits Installation

  • - Kerb and Channel Works

  • - Pavement Base Course

  • - Concrete Infill and Footpath Works

  • - Asphalt Prime

  • - Asphalt Base Course

  • - Asphalt Wearing Course

  • - Line Marking Works

  • - Traffic Signs Installation

  • - Make Good Existing (e.g. crack seal, removal existing line marking, topsoiling etc.)

3.0 - Current Works Status Against Construction Programme

  • 3.1 - Current Works Status versus Construction Programme

  • 3.2 - Construction programme comments

4.0 - Miscellaneous

  • Miscellaneous Comments -

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.