NELA Site Observation Report (Early Works) - Rev 4

• Contact No.

• Date and Time

  Date
• Location
  Address

• Contractor

• Subcontractor(s)

• VicRoads Business Area

• Prepared by

• ACTIVITY

  Select Service Proving - Detection, NDD, Re-instatement Geotechnical Drilling Geotechnical - Ongoing Monitoring

  • Service Proving - Detection, NDD, Re-instatement
  • Geotechnical Drilling
  • Geotechnical - Ongoing Monitoring

• Work Zone

  Select Western Zone 1 Western Zone 3 Western Zone 4 Western Zone 6 Eastern Zone 1 Eastern Zone 2 Eastern Zone 3 Eastern Zone 4 Eastern Zone 5 Diamond Crk Rd Zone

  • Western Zone 1
  • Western Zone 3
  • Western Zone 4
  • Western Zone 6
  • Eastern Zone 1
  • Eastern Zone 2
  • Eastern Zone 3
  • Eastern Zone 4
  • Eastern Zone 5
  • Diamond Crk Rd Zone

• Weather

RESOURCES

• Select NDD Truck x 1 NDD Truck x 2 NDD Truck x 3 NDD Truck x 4 Light Truck x 1 Light Truck x 2 Light Truck x 3 Excavator Traffic Controller Vehicle x 1 Traffic Controller Vehicle x 2 Traffic Controller Vehicle x 3 GHD supervisor Sub-Contractor FM/ Supervisor OHS Rep. Lab/Operator Drill Rig x 1 Drill Rig x 2 Drill Rig x 3 Drill Rig x 4 Drill Rig x 5 Drill Rig x 6 Drill Rig x 7 Drill Rig x 8

  • NDD Truck x 1
  • NDD Truck x 2
  • NDD Truck x 3
  • NDD Truck x 4
  • Light Truck x 1
  • Light Truck x 2
  • Light Truck x 3
  • Excavator
  • Traffic Controller Vehicle x 1
  • Traffic Controller Vehicle x 2
  • Traffic Controller Vehicle x 3
  • GHD supervisor
  • Sub-Contractor FM/ Supervisor
  • OHS Rep.
  • Lab/Operator
  • Drill Rig x 1
  • Drill Rig x 2
  • Drill Rig x 3
  • Drill Rig x 4
  • Drill Rig x 5
  • Drill Rig x 6
  • Drill Rig x 7
  • Drill Rig x 8

OBSERVATIONS

• Add photos to support your observation

  Media

• Discussions with contractor

• OH&S

• Has SAR been completed and signed off?

  Yes

  No

  N/A

• Has Ground Penetration Permit (GPP) been completed and signed?

  Yes

  No

  N/A

• Have Asset owners requirements been met?

  Yes

  No

  N/A

• Have all Site Personnel signed onto daily pre-start?

  Yes

  No

  N/A

• Is required PPE being used correctly by all site personnel?

  Yes

  No

  N/A

• Have no Incidents occured on site? (Safety, OH&S, Environmental)

  Yes

  No

  N/A

• TRAFFIC MANAGEMENT

• Is an approved TMP in place?

  Yes

  No

  N/A

• Has Traffic Management been implemented as per TMP?

  Yes

  No

  N/A

• The works are not impacting Pedestrian management including the disabiled?

  Yes

  No

  N/A

• The works are not impacting on traffic flow significantly?

  Yes

  No

  N/A

• COMMS/COMMUNITY

• The works are not impacting the community, causing complaints?

  Yes

  No

  N/A

• PROGRAM

• Todays activities are not impacting program?

  Yes

  No

  N/A

• Other

• Add photos

  Media