Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PROJECT DETAILS
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Project Name:
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Job/Contract Number:
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Surveillance Officer:
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Contractor:
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Contact:
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Date:
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Arrival Time:
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Departure Time:
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Exact Location:
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Work Item(s) Being Inspected:
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General Site Observations; Defective Work and Materials; Non-Compliances; Test Results; Plant & Labour on Site; Hold/Witness Points Reached:
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Quality of Work:
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Delays:
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Environmental; OH&S; Industrial Relations Issues:
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Verbal Directions Given to Contractor:
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Is a Notice of Proposed Variation, Variation Order or Site Instruction Required?: (If Yes, Provide Details:)
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Further Inspection and/or Testing Required on Work Item(s) Listed Above:
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Photographs Taken: (If Yes, Provide Details:)
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Ground Conditions (Add any Action Required)
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Contractors Verification Records:(Add any Action Required)
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Weather Conditions:
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Other Comments:
TRIM REFERENCES
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Select date
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Trim Number:
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Trim Folder:
SIGNATURES
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Add signature
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Add signature