Fly Tip log

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• How much removed

  Select Yes No N/A

  • Yes
  • No
  • N/A

• How many Staff attended

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please take pictures of items

  Media

• Signature of operative

  Sign

Time collected

• Select date

  Date