Grosvenor Mine Construction Record of Site Inspection

• Prepared by

• Location
  Address

Record

• PACKAGE:

  Select AA030 AA037 CC001 CC006 CX001 CX002 CE012

  • AA030
  • AA037
  • CC001
  • CC006
  • CX001
  • CX002
  • CE012

• Select date

  Date

• MEETING LOCATION:

• GROSVENOR PROJECT

• START TIME:

• FINISH TIME:

INSPECTION DETAILS INVITED / DATE TIME NOTIFICATION / ATTENDEES TO SITE INSPECTION:

• INVITED:

• 1.

• 2.

• 3.

• 4.

• DATE AND TIME OF NOTIFICATION:

• 1.

• 2.

• 3.

• 4.

• ATTENDEES TO SITE INSPECTION:

• 1.

• 2.

• 3.

• 4.

DISCUSSION NOTES/MINUTES

• COMPONENT:

• LOCATION:

• HAS DESIGN INTENT BEEN MEET?:

  Yes

  No

  N/A

• COMMENTS:

• ISSUES RAISED:

• FOLLOW UP ACTIONS BY:

PHOTOS OF INSPECTION

• ADD PHOTOS:

  Media

• PHOTO DETAIL:

INSPECTOR DETAILS:

• NAME OF GPT ENGINEER/INSPECTOR:

  Select Bruce Johnston Jared Nitschke Mark Sanders Patrick Doody Greg Szczegolski Grant Porter Wylie Pearson

  • Bruce Johnston
  • Jared Nitschke
  • Mark Sanders
  • Patrick Doody
  • Greg Szczegolski
  • Grant Porter
  • Wylie Pearson

• SIGNATURE - DATE:

  Sign