Information
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Audit Reference
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Audit Type
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Tenure Holder
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Inspection Commencement
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Inspection Completion
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Attending Project Officers
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Attending Tenure Holder Representatives
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Tenure Type/ Details
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Audit Score
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Report Completed by
Inspection Details
Health and Safety
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Has the Authorised Officer been inducted to the holders site?
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Reasons why induction was not required
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Has the Authorised Officer undertaken a CSGECT WHS risk assessment?
Business Activities
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Current On-site Activities
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General description of on-site activities.
Landholders
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Relevant Landholders
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Are any Landholders and / or Landholder Representatives in attendance?
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Please list any Landholders and / or Landholder Representatives in attendance
Location
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Field Inspection
s12 Induction Training
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Does the holder provide a recognised induction that provides information and training to persons undertaking authorised activities on behalf of the holder?
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Comments
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Does the holder provide a document to inducted persons to show the person has received the appropriate information and training? (e.g. an ID card)
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Comments
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Are inducted persons aware of their duty to provide a copy of their induction documentation to a landholder upon request?
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Comments
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s13 Access Points, Roads and Tracks
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Are ‘approved’ onsite property access points clearly marked by the holder?
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Comments
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Does the holder have a vehicle speed policy in place for its ‘approved’ access points, roads or tracks?
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Comments
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How does the holder monitor compliance with the vehicle speed policy?
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Were onsite vehicles observed to be compliant with the vehicle speed policy?
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Are access track(s) utilised by the holder in good condition?
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Does the holder have a maintenance / review program in place for access points, roads and tracks?
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s14 Livestock and Property
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Does the holder have a notification process in place to provide immediate notification to the landholder of property damage?
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Does the holder have a notification process in place to provide immediate notification to the landholder of the death of livestock (attributable to the authorised activities)?
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What controls does the holder have in place to minimise disturbance to people, livestock and property?
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s15 Obligation to prevent spread of declared pests
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Does the holder have a vehicle wash-down policy / procedure in place?
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What controls does the holder have in place to ensure compliance with the holder’s vehicle wash-down policy?
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How does the holder monitor compliance with the holder’s vehicle wash-down policy?
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What vehicle wash-down records does the holder and it’s representatives keep?
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How does the holder ensure records are being completed and kept up to date?
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What controls does the holder have in place to ensure that material (e.g. soil or quarry materials) brought on to a landholders property does not introduce the reproductive material of a declared pest?
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How does the holder monitor weed ‘outbreaks’ within areas subject to the authorised activities?
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Are inducted persons aware of their duty to provide a copy of their wash-down record to a landholder upon request?
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s16 Camps
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Does the holder have a camp located within the subject tenure?
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Where a camp is present, has the landholder agreed to the location and plan for managing the camp?
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s17 Items Brought on to Land
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Is the site observed to be free of excess rubbish / waste?
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Does the holder have a site based waste management policy / procedure in place to ensure that rubbish / waste produced in carrying out the authorised activities is deposited to a ‘suitable local waste facility’?
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How does the holder monitor compliance with its waste management policy / procedure?
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How does the holder manage waste that cannot be disposed of at a ‘local’ waste facility? Nb: s17(3) defines a ‘local waste facility’ as a waste facility owned, operated or otherwise controlled by a local government.
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Does the holder have a policy in place preventing firearms, domestic animals or alcohol being brought on to a landholders property without the landholders consent?
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Where in place, how does the holder ensure / monitor compliance with the firearm / domestic animal / alcohol policy?
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s18 Gates, Grids and Fences
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Are all grids observed within the authorised activity footprint in good / trafficable condition?
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Are all gates observed within the authorised activity footprint in good / serviceable condition?
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How does the holder monitor gate usage to ensure that gates are returned to their original position (except where agreed by the landholder)?
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During the undertaking of the audit, were relevant persons observed to be returning a gate to its ‘original position’?
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Are all fences observed within the authorised activity footprint in good / stock proof condition?
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Does the holder have a maintenance / review program in place to report damage to landholder grids, fences or gates that will require holder rectification?
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General comments about the condition of property infrastructure in and around the authorised activity footprint:
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Additional LAC considerations
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Observed conduct of relevant persons onsite during the audit?
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Any Additional Observations:
Approval
Overall Findings
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Imminent Compliance Risk
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Does the tenure holder have action/s required as a result of this audit?
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Please list tenure holder action/s required
Authorised Officer
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Name:
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Position
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Add signature
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Select date
Manager Endorsement
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Name
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Position
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Endorse Findings
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Reasons for endorsement
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Add signature
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Select date
