KNMIS compliance

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Planning Permit

Condition 3: Liquid pollutants must not be discharged within 100m of a watercourse, wetland or other surface waters.

• Chemicals are stored with appropriate bunded and secured storage

  Yes

  No

  N/A

• MSDS and emergency procedures are available?

  Yes

  No

  N/A

• Chemicals are in labelled containers?

  Yes

  No

  N/A

• Liquids not stored with 100m of watercourses?

  Yes

  No

  N/A

• Application of chemicals is in a manner to not cause pollution of waterways?

  Yes

  No

  N/A

• Fuel storages are within bunded area?

  Yes

  No

  N/A

• Refueling is not within 100m of watercourse?

  Yes

  No

  N/A

Condition 10: Crossing Council Roads must be bored bless otherwise approved by council.

• Address of crossing
  Address

• Crossing number

• Crossing is bored?

  Yes

  No

  N/A

• Design drawings available on site and are approved by Director Engineering Services?

  Yes

  No

  N/A

Condition 13: a road reserve permit must be issued

• Has road reserve permit been approved?

Permit no:

• Is contractor or council undertaking repairs confirmed

  council

  VEC

• Have the road reserve repairs to roads, verges, storm water or existing services been impacted repaired to council specification?

  Yes

  No

  N/A

• Add media

  Media

• Have the traffic management plans been forwarded to council for approval and approval received?

  Yes

  No

  N/A

• Have any variations been approved by council?<br>

  Yes

  No

  N/A

• Variation number

• Select date

  Date

Construction Access

• Add location
  Address

• Has access been limited to 10m?

  Yes

  No

  N/A

• Has traffic avoided waterways other than at designated crossings?

  Yes

  No

  N/A

• Have Tasmanian Poppy Advisory and Control Board been advised of works at least 6 days prior?

  Yes

  No

  N/A

• Date of notification

  Date

• Has superintendent authorized clearing of cropped or harvested areas?

  Yes

  No

  N/A

• Does landholder still have adequate access to undertake their business?

  Yes

  No

  N/A

• Add media

  Media

Clearing

• Has clearing been maintained to pipeline alignment

  Yes

  No

  N/A

• Add media

  Media

• Has clearing been contained to 30m working corridor

  Yes

  No

  N/A

• Has soil been placed to avoid drain and waterway contamination?

  Yes

  No

  N/A

• Photo soil stockpiles.

  Media

• Has EPG 4.2 been completed at this site?

Backfill grading

• Has soil been separated and stockpiled for reinstatement and rehabilitation?

  Yes

  No

  N/A

• Have sediment controls been installed?

  Safe

  At Risk

  N/A

Pipe Stringing and Welding

• Is electrical equipment tagged and protected?

  Safe

  At Risk

  N/A

• Are pipes contained to the agreed Laydown area?

  Yes

  No

  N/A

• Are pipes stacked safely

  Safe

  At Risk

  N/A

• Are pipes being handled safely?

  Safe

  At Risk

  N/A

• Is pipe stringing restricted to 20 m working corridor?

  Yes

  No

  N/A

Disposal of flushing waters

• Are waters being directed to non- erodible soils

  Yes

  No

  N/A

• Has agreement with landholders been obtained prior to flushing?

  Yes

  No

  N/A

• Photograph of discharge

  Media

Waste management

• Add location
  Address

• Bundling installed around fuel storage and hazardous substances?

• Waste not being flushed or deposited into drains or drainage systems.

• Waste recycling being used?

• Waste management

  Media

• Waste disposed of at licensed landfill

• No waste left on site

General

• No refueling within 50 m of a watercourse

  Yes

  No

  N/A

• No spillage of fuels, oils or other haz. Substances into water evident?

  Yes

  No

  N/A

• Areas identified as environmentally significant or designated operation prescription zones are clearly marked?

Significant area:

• Select date

  Date
• Add location
  Address

• Add media

  Media

• Disturbance within 5 m of any identified MNES avoided

  Yes

  No

  N/A