Environment Contact Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Clearing

• Is there an Approval Permit in place and does the owner understand the conditions?<br>

  Yes

  No

  N/A

• Has the Approval Permit boundaries been surveyed/pegged?

  Yes

  No

  N/A

• Have the critical boundaries been walked by the Supervisor and Machinery Operator?

  Yes

  No

  N/A

• Was clearing conducted within the pegged boundaries?

  Yes

  No

  N/A

• Has the permit owner adhered to the Approval Permit conditions?

  Yes

  No

  N/A

• Was a clearing sheet completed and sent through to the Enviornmental Advisor?

  Yes

  No

  N/A

• Were topsoil and subsoil volumes provided to the Environmental Advisor?

  Yes

  No

  N/A

• Was the clearing and rehabilitation GIS files sent to the Envionmental Advisor?

  Yes

  No

  N/A

Top and Sub Soil

• Has topsoil and subsoil been recovered and stockpiled appropriately?<br><br><br><br>

  Ok

  At Risk

  Not Applicable

• Is the stockpile signed?

  Ok

  At Risk

  Not Applicable

• Yes

  No

  N/A

• Are there any weed species evident?

  Ok

  At Risk

  Not Applicable

Rehabilitation

• Is there any evidence of waste/litter?

  Ok

  At Risk

  Not Applicable

• Has the area been ripped as to not encourage erosion?

  Yes

  No

  N/A

• Are there weeds present?

  Yes

  No

  N/A

• Does water pool in a particular area?

  Ok

  At Risk

  Not Applicable

Corrective actions

Area sign off

• Work area owner / permit owner

  Sign

• Environment Representative

  Sign