Title Page

  • Site

  • Exact Location of Encampment
  • Date/Time of Inspection

  • Prepared by

Details of Encampment

  • Confirm that the encampment is on MSDC land

  • Accommodation type

  • Contact WSCC and instigate traveller eviction procedure

  • How many?

  • Photograph of encampment

Health & Safety

  • Is the officer working alone?

  • Undertake dynamic risk assessment and consider checking in with another member of the team

  • Are there any hazards present?

  • Details

  • Are there any signs of ASB?

  • Details

Details of those present

  • Are the occupier(s) present?

  • Are they approachable?

  • Did the officer have a conversation with the occupier(s)?

  • Name(s)

  • Further details (including any welfare issues)

  • Is it their intention to leave the site?

  • By when?

Final actions

  • Any additional notes, comments or observations

  • Confirm that Legal Notice has been issued

  • Confirm that this report will be shared with Housing, Legal, Landscapes and Outdoor Services

  • Officer Signature

  • Time this Report was completed

  • Date of next visit

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.