Title Page
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Reserve Name
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Date and time
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Prepared by (initials)
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Polygon ID
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FMZ Type
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Are the dimensions of the polygon on ground as per the map?
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If NO, what works are required to align area to mapped polygon?
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Is the Polygon within specification?
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If FMZ not within specification, outline works required
- undertake lateral seperation
- undertake vertical seperation
- undertake canopy seperation
- undertake works to realign FMZ width
- undertake selective slashing
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Works & Equipment
- truck and chipper
- 4x4 ute
- chainsaw
- brush cutter
- quickspray
- knapsack
- tractor
- outfront
- cut, paint, remove
- frill & fill
- cut & stack (forestry mulcher)
- forestry mulcher
- one off slash
- hand tools
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Are the required works Creation or Maintenence?
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Number of personnel required
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Hours to complete
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Will these works cause a visual impact in the local area?
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If YES, what level of community consultation is required?
- Fire Management Works Signs
- Signs plus a Mail Out
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Is there any green waste or hard waste present?
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If yes, has a Merit Request been raised?
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Further Comments
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Inspection Complete?