Environmental Inspection

• Inspection area

• Conducted on

  Date

• Prepared by

• Location
  Address

• Inspection team

• Weather

  Select Fine Showers Rain

  • Fine
  • Showers
  • Rain

• Wind speed

  Select Strong Light Still

  • Strong
  • Light
  • Still

• Wind direction

  Select North Northeast East Southeast South Southwest West Northwest

  • North
  • Northeast
  • East
  • Southeast
  • South
  • Southwest
  • West
  • Northwest

Sediment Pond 14

• Clean discharge from pond?

  Yes

  No

  N/A

• Chemical treatment set up?

  Yes

  No

  N/A

• Maintenance required?

  Yes

  No

  N/A

• Flow path to pond un obstructed

  Yes

  No

  N/A

Pukeko Sediment Pond

• Clean discharge from pond?

  Yes

  No

  N/A

• Chemical treatment set up?

  Yes

  No

  N/A

• Maintenance required?

  Yes

  No

  N/A

• Flow path to pond un obstructed

  Yes

  No

  N/A

Sediment Pond Boomerang

• Clean discharge from pond?

  Yes

  No

  N/A

• Chemical treatment set up?

  Yes

  No

  N/A

• Maintenance required?

  Yes

  No

  N/A

• Flow path to pond un obstructed

  Yes

  No

  N/A

Sediment Pond Teardrop

• Clean discharge from pond?

  Yes

  No

  N/A

• Chemical treatment set up?

  Yes

  No

  N/A

• Maintenance required?

  Yes

  No

  N/A

• Flow path to pond un obstructed?

  Yes

  No

  N/A

Sign off

• Environmental advisor sign off

  Sign

• Area supervisor/superintendent

  Sign

• Location
  Address

General

• Dust risk managed?

  No dust risk

  Dust controlled (watercart etc)

  Action required

• Is concrete washout being used correctly?

  Yes

  No

  N/A

• Dewatering as per Pump permit?

  Yes

  No

  N/A

• Are archeological sites isolated?

  Safe

  At Risk

  N/A

• Is tree protection in place?

  Safe

  At Risk

  N/A

• Are ecological areas clearly isolated?

  Safe

  At Risk

  N/A

• Staging over creek clean?

  Yes

  No

  N/A

• Site tidy and rubbish free?

  Yes

  No

  N/A

• Site access clean?

  Site kept clean

  Wheel wash in place

  Tracking dirt, action required

• No evidence of spills or leaks?

  Safe

  At Risk

  N/A

• Spill kit available?

  Yes

  No

  N/A

Sediment Controls

• Is catch pit protection maintained?

  Yes

  No

  N/A

• No evidence of sediment discharge in receiving environment?

  Yes

  No

  N/A

• Silt fences in sound condition?

  Yes

  No

  N/A

• Are socks in good condition?

  Yes

  No

  N/A

• Diversion bunds in place?

  Safe

  At Risk

  N/A

• Maintenance required?

  Yes

  No

  N/A

Erosion Control

• Unworked areas stabilised?

  Yes

  No

  N/A

• Cut and cover well managed?

  Safe

  At Risk

  N/A

• Steep or erosive channels stabilised?

  Safe

  At Risk

  N/A

• Cloth well secured against wind & water.

  Safe

  At Risk

  N/A

Sign off

• Environmental advisor sign off

  Sign

• Area supervisor/superintendent

  Sign

• Location
  Address

General

• Dust risk managed?

  No dust risk

  Dust controlled (watercart etc)

  Action required

• Is concrete washout being used correctly?

  Yes

  No

  N/A

• Dewatering as per Pump permit?

  Yes

  No

  N/A

• Are archeological sites isolated?

  Safe

  At Risk

  N/A

• Is tree protection in place?

  Safe

  At Risk

  N/A

• Are ecological areas clearly isolated?

  Safe

  At Risk

  N/A

• Staging over creek clean?

  Yes

  No

  N/A

• Site tidy and rubbish free?

  Yes

  No

  N/A

• Site access clean?

  Site kept clean

  Wheel wash in place

  Tracking dirt, action required

• No evidence of spills or leaks?

  Safe

  At Risk

  N/A

• Spill kit available?

  Yes

  No

  N/A

Sediment Controls

• Is catch pit protection maintained?

  Yes

  No

  N/A

• No evidence of sediment discharge in receiving environment?

  Yes

  No

  N/A

• Silt fences in sound condition?

  Yes

  No

  N/A

• Are socks in good condition?

  Yes

  No

  N/A

• Diversion bunds in place?

  Safe

  At Risk

  N/A

• No maintenance required?

  Safe

  At Risk

  N/A

Erosion Control

• Unworked areas stabilised?

  Yes

  No

  N/A

• Cut and cover well managed?

  Safe

  At Risk

  N/A

• Steep or erosive channels stabilised?

  Safe

  At Risk

  N/A

• Cloth well secured against wind & water.

  Safe

  At Risk

  N/A

Sign off

• Environmental advisor sign off

  Sign

• Area supervisor/superintendent

  Sign

• Location
  Address

General

• Dust risk managed?

  No dust risk

  Dust controlled (watercart etc)

  Action required

• Is concrete washout being used correctly?

  Yes

  No

  N/A

• Dewatering as per Pump permit?

  Yes

  No

  N/A

• Are archeological sites isolated?

  Safe

  At Risk

  N/A

• Is tree protection in place?

  Safe

  At Risk

  N/A

• Are ecological areas clearly isolated?

  Safe

  At Risk

  N/A

• Site tidy and rubbish free?

  Yes

  No

  N/A

• Site access clean?

  Site kept clean

  Wheel wash in place

  Tracking dirt, action required

• No evidence of spills or leaks?

  Yes

  No

  N/A

• Spill kit available?

  Yes

  No

  N/A

Sediment Controls

• Is catch pit protection maintained?

  Yes

  No

  N/A

• No evidence of sediment discharge in receiving environment?

  Safe

  At Risk

  N/A

• Silt fences in sound condition?

  Yes

  No

  N/A

• Are socks in good condition?

  Yes

  No

  N/A

• Diversion bunds in place?

  Safe

  At Risk

  N/A

• No maintenance required?

  Yes

  No

  N/A

Erosion Control

• Unworked areas stabilised?

  Yes

  No

  N/A

• Cut and cover well managed?

  Safe

  At Risk

  N/A

• Steep or erosive channels stabilised?

  Safe

  At Risk

  N/A

• Cloth well secured against wind & water.

  Safe

  At Risk

  N/A

Sign off

• Environmental advisor sign off

  Sign

• Area supervisor/superintendent

  Sign

• Location
  Address

General

• Dust risk managed?

  No dust risk

  Dust controlled (watercart etc)

  Action required

• Is concrete washout being used correctly?

  Yes

  No

  N/A

• Dewatering as per Pump permit?

  Yes

  No

  N/A

• Are archeological sites isolated?

  Safe

  At Risk

  N/A

• Is tree protection in place?

  Safe

  At Risk

  N/A

• Are ecological areas clearly isolated?

  Safe

  At Risk

  N/A

• Site tidy and rubbish free?

  Yes

  No

  N/A

• Site access clean?

  Site kept clean

  Wheel wash in place

  Tracking dirt, action required

• No evidence of spills or leaks?

  Safe

  At Risk

  N/A

• Spill kit available?

  Yes

  No

  N/A

Sediment Controls

• Is catch pit protection maintained?

  Yes

  No

  N/A

• No evidence of sediment discharge in receiving environment?

  Yes

  No

  N/A

• Silt fences in sound condition?

  Yes

  No

  N/A

• Are socks in good condition?

  Yes

  No

  N/A

• Diversion bunds in place?

  Safe

  At Risk

  N/A

• No maintenance required?

  Yes

  No

  N/A

Erosion Control

• Unworked areas stabilised?

  Yes

  No

  N/A

• Cut and cover well managed?

  Safe

  At Risk

  N/A

• Steep or erosive channels stabilised?

  Safe

  At Risk

  N/A

• Cloth well secured against wind & water.

  Safe

  At Risk

  N/A

Sign off

• Environmental advisor sign off

  Sign

• Area supervisor/superintendent

  Sign