Title Page

  • Prepared by

  • Conducted on

  • Location - GPS coordinates (lat/long) - drop pin
  • Date of landslide/rockfall/washout

  • Road name and classification

  • Location (Nearest village)

Event categorisation

  • The event is categorised as:

  • Take a photo of the Landslide, Rockfall/Washout on the slope/road and annotate

Record details of the event - for landslides or washouts. For rockfall refer to next page.

  • Width (m)

  • Length (m)

  • Height (m)

  • Width at road level (m)

  • Estimated volume (m3)

Record details of the event - for a rockfall

  • Number of rocks

  • Largest rock (maximum diameter m)

  • Range of rock size (m)

  • Runout distance (m)

  • Distance from source (m)

Recording of details

  • Composition and description of soil/rock

  • Water observed on slope (seepage/surface water):

  • Recent events (at this location) - has there been any other landslides at this location in the past?

  • Any events nearby (within 20km)

  • General description of the event, including damage to road and associated infrastructure

  • Is there risk of this occurring again in the future due to more intense storm events associated with climate change?

  • Are there areas of similar topography and geology where a similar failure could occur nearby?

  • Photos

Temporary works checklist

  • Road closure/partial road closure

  • Length of road closure/partial road closure

  • Estimated volume of debris to be removed (m3 or NA)

  • Estimated volume of backfill (m3 or NA)

  • Damage to bridges or culverts nearby

Permanent works checklist

  • Further investigation required

  • Engagement of Geotechnical Engineer

  • Likely remedial works (retaining wall/soil nails/rock bolts and mesh/rockfall catch fence)

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.