Title Page

  • Licence #

  • CSR #

  • Business Name

  • Business Address

  • Prepared by

  • Conducted on

  • Type of Permit

  • Categories

  • Photos

  • Approved/Rejected

  • Special Conditons

  • Inspecting Officer


  • 1.8m clearance from premises

  • 0.5m clearance from kerbside

  • 2m clearance from corner

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.