External Works - Compliance Inspection & Observation Template v1.0

• Date of Inspection including arrival time

  Date

• Job Name

• Location
  Address

• Weather conditions (Forecasted Temp °C)

Current Temp °C

• From the vehicle

• Forecast Conditions

  Select Fine Cloudy Sunny Showers Rain Thunderstorm Fog Snow Smoke Haze Windy

  • Fine
  • Cloudy
  • Sunny
  • Showers
  • Rain
  • Thunderstorm
  • Fog
  • Snow
  • Smoke Haze
  • Windy

Current Conditions

• Observed site condtions

  Select Fine Cloudy Sunny Showers Rain Thunderstorm Fog Snow Smoke Haze Windy

  • Fine
  • Cloudy
  • Sunny
  • Showers
  • Rain
  • Thunderstorm
  • Fog
  • Snow
  • Smoke Haze
  • Windy

• Have you completed a Take 5 Risk Assessment?

  Yes

  No

• Is there traffic management in place?

  Yes

  No

• Do they have a MOA/TGS?

  Yes

  No

• Is the signage set out as per TGS?

  Yes

  No

• What works are taking place?

  Select Earthworks Pavement placement Concrete Asphalt Sealing Structures Other

  • Earthworks
  • Pavement placement
  • Concrete
  • Asphalt
  • Sealing
  • Structures
  • Other

• Describe what earthworks are taking place

• What material is being placed?

• What concrete works are taking place?

• What asphalt works are taking place?

• What sealing works are taking place?

• What structure construction is taking place?

• Are any ITPs or HPs released?

  Yes

  No

  N/A

• Please explain reason for not releasing ITP/HP?

• undefined

• Please note any conversations and or other discoveries?

• Date and time of departure from site?

  Date