Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Bore Hole Identification number?

  • what does the landscape surrounding of the drill site look like?

Surface of drill site

  • Is the drill site free of litter?

  • Is there any evidence of oil or fuel spills at the site?

  • Is all Hazardous waste removed from site?

  • No open hole next to the casing?

  • Is there any evidence that fire was made on the site?

  • Is the soil leveled to it to soften and be more conducive to revegetation?

  • How large is the excavation area on the site? (squire meter)

  • Perimeter of the site? (meters)

  • Road constructed to get accesses to the site?

  • Is the drill site conducted within 1 kilometer from a residential area?

  • Was the site more then 75 meters away from the nearest fence / windmill / house / dam / built structure that is in use?

  • Are there any graveyards or old house or sites of historic significants within 1 kilometer of the site?

  • Territorial photo of the site

Casing on site

  • is the casing of the bore hole closed down for safety purposes?

  • Bore hole marked on the casing with unique identification number?

  • level of the casing?

  • No sharp edges on casing?

Equipment / chips / core

  • Is the temporary equipment removed off site?

  • Is temporary facilities removed off site?

  • Are all drilling core removed off site?

  • Are all cuttings removed from site?

  • All survey pegs and flagging tape removed where necessary?

  • chips disposed as approved by landowner

  • What is the estimate depth of the water table on site? (meters)

  • Zoomed photo of the casing

Improvements

  • is there any improvements made on the site or on the farm?

  • Type of improvements?

Rehabilitation

  • Do Aquila steel (S Africa) need to do any more rehabilitation on this site?

  • Additional comments / recommendations

  • Signature

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.