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

  • Works & Equipment

  • Are the required works Creation or Maintenence?

  • 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?

  • Is there any green waste or hard waste present?

  • If yes, has a Merit Request been raised?

  • Further Comments

  • Inspection Complete?

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