Title Page
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Contractor/ Site
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Site Engineer
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FCC SCIRT Site Safety Audit
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SCIRT No
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Conducted on
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Prepared by
Health & Safety
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Facilities conditions/equipment/toilets/water: clean, safe, secure and tidy?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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JSEA & Prestart forms relevant to current activities and signed by all staff ?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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TMP current and on site?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Emergency procedure: in place, understood by all staff, displayed?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Hazardous substances: storage, handling, use, labelled, MSDS available?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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"Permits (Dig/DoL/Hot works): appropriate, complete in full, sign-off obtained? Evidence of measures to protect utility services are being managed"
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Plant: Mobile equipment prestart inspections completed? Operator checklists completed daily? Stationary plant (pumps etc.)
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Health and safety information: notice boards, displayed and current?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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First aid equipment: complete, available and correct? Cut book in first aid kit?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Fire fighting equipment: secure, easy accessible, and current certification (yellow tag, annual check and 5yr pressure test)?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Electrical equipment: tested and tagged, suitable for task and safe? Equipment register
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Lifting equipment: tested and tagged, suitable for task and safe? Equipment register
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Power tools tested and tagged,suitable for task and safe? Equipment register, training register
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Protective clothing: equipment as required, maintained, available and being worn?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Perimeter Fencing, suitable, controlled?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Excavation support system: Shields & temporary works certified, suitable, safe and secure?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Edge/fall protection in place?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Access and egress: suitable, safe and secure to all areas? Ladders?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Lifting/rigging operations: correct and safe? Dogman adequately trained (unit standard 20875 or equivalent)? Training register
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Confined space entry: Permit, trained personnel, Certified Harness, Tripod and gas detector calibrated? Training register
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Scaffolding: suitable, design for working platforms, correct set-up, safe & secure?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
Environmental
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Are all environmental risks/hazards identified on HSE board?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Does the site have an FCC Site Environmental Folder?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is the site specific A3 EMP visible?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are all materials and equipment stored correctly?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are spill kits available and fully stocked?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are ACM and coal-tar being managed and disposed of appropriately?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are stockpiles located appropriately with stormwater diversion pipes?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are waterways adequately protected by appropriate measures?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are catchpits adequately protected?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is sediment tank(s) operating properly. Is there sediment build-up in the tank, and are 2 hour checksheets being completed?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are sediment/silt fences installed correctly and fit for purpose?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is the discharge path clean? Note: Discharged Water must be clean at point it enters catch pit
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is overpumping secure from traffic & vandalism? Fenced? Cable tied couplings? Pipe protected?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is the over pumping occurring consistent with the Wastewater Over pumping Best Practise Guide?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are trees properly fenced and drip lines free of plant and materials?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is dust nuisance being managed appropriately?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are pumps/generators appropriately located - with effective mitigation?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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If excavating in Cat 1 or Cat 2, is the Monitoring sheet being completed?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Are all heritage items on site adequately protected?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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If working in a High Risk Archaeology area, has a crew been briefed by an Archaeologist?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
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Provide comment of photo?
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Add media
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Is the standpipe CCC approved and been read and serviced in the last 3 months?
- Critical
- Unacceptable
- Marginal
- Acceptable
- Ideal
- N/A
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If response is not "Ideal" give reason. Provide follow up and set action
-
Provide comment of photo?
-
Add media