Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

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APPROVALS

  • SECM/ EIS (If prepared) in work pack?

  • Approvals Checklist completed and in work pack?

  • Environmental Site Induction delivered and recorded in Induction/ Visitor log? Based on SECM/ EIS

FLORA AND FAUNA

  • Has the need to remove trees been avoided/ minimised through site/ work designs?

  • Has vegetation been appropriately flagged or marked according to the SECM (including TPZ considerations)?<br>[NB LOPPING refers to lopping of branches, not the main trunk. If more than 1/3 of the canopy is lopped, ensure the tree is offset]

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  • Have all fish revocations been done in accordance with EMP?

  • Prior to any tree removal, have they been inspected for resident fauna and has the fauna been relocated by a trained wildlife handler or in accordance with the relevant permit?

  • Where relevant, have animal escapes/ ladders been installed on HDPE channels?

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  • Have all relevant forms been filled in (and reported to GMW as per EMP)?<br>- Fish and Fauna relocation, translocation or death form<br>- Incident form<br>- If native vegetation has been removed, mark on SECM to verify

CULTURAL HERITAGE MANAGEMENT

  • If applicable, is the site specific CHMP on site?

  • If applicable, have all the areas of Cultural Heritage been marked for protection (as per the CHMP)?

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  • If applicable, have 'Stop Works Contingency Protocols' been followed in the event that Cultural Heritage was discovered?

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WEED AND DISEASE MANAGEMENT

  • Was borrow material sourced from a weed and disease free area?

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  • Is traffic keeping to the designated access tracks?

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  • Are appropriate vehicle and plant clean down practices being followed?

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  • Have plant/vehicle clean down forms been filled in and retained on file?

WATER QUALITY

  • Have Acid Sulfate Soils been appropriately identified and managed?

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  • Have runoff pathways been appropriately controlled to prevent runoff into drains and waterways i.e. silt fences, sand bags, sediment traps?

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  • Are all stockpiles within the construction footprint as outlined in the SECM?

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  • Are concrete washouts appropriately designed (and bunded)?

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  • If applicable, in the event of an incident (water quality/ contamination OR acid sulfate soil) has the incident form been filled out and reported?

CHEMICAL AND FUEL MANAGEMENT

  • Are current MSDS's onsite and up to date(current to 5 years)?

  • Are chemicals fuels and oils appropriately bunded?<br><br>EPA guidelines recommend a distance from the bund crest of half the height of a drum/ stack with enough capacity to contain a full spill plus extra.<br>For sites where only a few drums are stored (less than 1200 litres) it is generally satisfactory to provide alternatives to a bund. The drums should be stored such that:<br>- recovery of spill material is possible;<br>- they are undercover and on an impervious base;<br>- they are away from stormwater drains and pits;<br>- good operational proceduresare used; and absorbent materials (e.g. Spill Kits) are on gand

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  • Are chemical containers or drums properly labelled, waste drums safely stacked, stored inside or away from drainage pathways?

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  • Are appropriate spill kits (both for spills to land and water) available onsite or accessible? (i.e. spill mats, absorbent socks)

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  • Have chemical/ fuel incidents been recorded and reported?

AMENITY - AIR, NOISE AND VIBRATION

  • Is dust being managed appropriately?

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  • Have local residents been notified of work hours?

  • Have vehicle and plant pre-start log books and checklists been completed?

WASTE MANAGEMENT

  • Is the site tidy?

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  • Is the appropriate number of waste bins provided on site?

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  • Has the wast hierarchy been considered in the management of waste on site?<br>- Avoid, Reduce, Reuse, Recycle, Recover, Treat & Dispose

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FIRE MANAGEMENT

  • Are cigarette butts being appropriately disposed of?

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  • If hot work is being conducted over the fire danger period, have the appropriate controls been put in place to prevent sparks and fires?

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  • Have the appropriate controls been put in place when using any machinery with an internal combustion engine during the fire danger period? Machinery must:<br>- Be free from fault or mechanical defects<br>- Be fitted with a spark arrestor<br>- Carry fire suppressors such as a knapsack with at least 9L capacity (on fire risk days)

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POST CONSTRUCTION - COMMISSIONING & SITE HANDOVER

  • Works completed in line with SECM, EIS (where prepared) and any other approval conditions (i.e. CHMP, public land manager, council, Vic Roads, CMA etc.)? Native vegetation removed can be confirmed against the SECM.

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  • Completed site is tidy, free of litter and any waste has been appropriately disposed of?

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  • Appropriate site rehabilitation has been undertaken? (i.e. native grasses sown as needed, soils levelled off as required?

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GENERAL SITE INFORMATION

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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.