GENERAL WORK AREA ACCEPTANCE CHECKLIST

• Audit Title

• Document No.

• Client:

• Site:

  Select

• Conducted on

  Date

• Prepared by

  Select

• Site Area Location

  Select Gate 1 Gate 2 Gate 2.5 Gate 3 River House Zone 2 & 3 House Drop Off Lake Wetland Tip Cascades Marquee Field Helipad Spiral Mound Stables EWC 1 G3 South G3 North EWC 2 Service Area Walled Garden Substation Road 1 Road 2 Road 3 Road 4 Road 5 Road 6 Road 7a Road 7b

  • Gate 1
  • Gate 2
  • Gate 2.5
  • Gate 3
  • River
  • House Zone 2 & 3
  • House Drop Off
  • Lake
  • Wetland
  • Tip
  • Cascades
  • Marquee Field
  • Helipad
  • Spiral Mound
  • Stables
  • EWC 1
  • G3 South
  • G3 North
  • EWC 2
  • Service Area
  • Walled Garden
  • Substation
  • Road 1
  • Road 2
  • Road 3
  • Road 4
  • Road 5
  • Road 6
  • Road 7a
  • Road 7b

• Site Area Description

• Plan Location

  Media

1. General Condition

• Does the area require any vegetation management prior to works

  Yes

  No

  N/A

• Does it require Herbicide Application

  Yes

  No

  N/A

• Does it require Cutting

  Yes

  No

  N/A

• Does it require Cultivation and Grading

  Yes

  No

  N/A

• Please describe

• Has the area been left clean, tidy and well kept by others

  Yes

  No

  N/A

• Is there waste, rubbish or materials left by others

  Yes

  No

  N/A

• Please describe

• Provide photographic evidence

  Media
• Provide location
  Address

• Is there any Damage that requires repair?

  Yes

  No

  N/A

• Please describe Damage fully including locations

• Please describe remedial actions required

• Please show damage here

  Media

• Are there any excavations or spoil heaps left by others?

  Yes

  No

  N/A

• Describe and estimate volume

• Add media

  Media
• Mark approx location
  Address

• Have excavations been backfilled to specification and acceptable standard?

  Yes

  No

  N/A

• Describe condition and required remedial works.

• Is there suitable access for the required task

  Good

  Fair

  Poor

  N/A

• Is adequate storage area provided for the task

  Good

  Fair

  Poor

  N/A

• Work area is free of obstructions and slip resistant

  Yes

  No

  N/A

• Are there any other Risks or Factors that may affect the works

  Safe

  At Risk

  N/A

• Please describe

• Add media

  Media
• Give location
  Address

• Are there other Contractors working in or accessing through the work area

  Yes

  No

  N/A

• Will they be affected by the works

  Yes

  No

  N/A

• Describe how

2. Services, Structures and Existing Infrastructure

• Have Service Plans been provided

  Yes

  No

  N/A

• Has a CAT scan been undertaken

  Yes

  No

  N/A

• Are there any Overhead or Buried Services in or near the work area

  Yes

  No

  N/A

• Are these demarcated and Crossing Points to GS6 or other in place

  Yes

  No

  N/A

• Are the proposed works affected by or within GS6 or other easement distance

  Yes

  No

  N/A

• Are any works to be undertaken near roads, paving, kerbs, fences, buildings or other structures

  Yes

  No

  N/A

• What protective measures will be required

• Are any works to be undertaken near to hedges, trees established or new grass or any other landscaped area

  Yes

  No

  N/A

• What protective measures will be required

• Is the area acceptable for hand over for works to begin

  Yes

  No

  N/A

• Action required to make it acceptable

• Signed:

  Sign

• Date

  Date

• Area accepted by

  Sign

• Date:

  Date