Title Page

  • Reserve Name

  • Date and time

  • Prepared by (initials)

  • Polygon ID

  • FMZ Type

  • Are the dimensions of the polygon on ground as per the map?

  • If NO, what works are required to align area to mapped polygon?

  • Is the Polygon within specification?

  • If FMZ not within specification, outline works required

  • Equipment required

  • Works methods required

  • Are the required works Creation or Maintenence?

  • Other works methods

  • Number of personnel required

  • Hours to complete

  • Will these works cause a visual impact in the local area?

  • If YES, what level of community consultation is required?

  • Further Comments

  • Inspection Complete?

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.