NQCCS SIR Ver 17 06 20

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Site inspection Report

• NQCCS Quality Assurance Site Inspection Report Ver 17 06 20

• TEAM MEMBER:

• Date

  Date

• Purpose of Visit:

• Service Frequency

• Client

• Site Name and ID No

• Time In

  Date

• Time Out

  Date

• Site directions:

• ACCESS TRACK

  Good

  Fair

  Poor

  N/A

• Cleaning Chemical & Dilution Rate

• Sign in Telstra Site Log Book

  Sign

• Access Track gate key Req?

  Yes

  No

  N/A

• Herbicide used & Dilution rate

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Amount (L) of chemical used on site

• Before service photos

  Media

• Access Gate Key Number?

  Yes

  No

  N/A

• Complete NQCCS WCR For Residual Herbicide

  Yes

  No

  N/A

• Complete Issues & Recommendations Tab below

  Yes

  No

  N/A

• After service photos

  Media

• Length of access track (m)?

• Leave site as you found it (eg. Lights off, doors locked, gate locked, taps off, aircon off/on)

  Yes

  No

  N/A

• PRIMARY COMPOUND ASSETS

  Select

• Additional Site notes:

• Sign out in Telstra Site Log Book and take photo of page

  Sign

• SIGNAGE ON SITE

• PRIMARY COMPOUND FENCING

  Yes

  No

  N/A

• Dimensions L x W x H (m)

  Yes

  No

  N/A

• Number of Solar panels

• Fence Type & photo

  Media

• Building Dimensions L x W x H (m)

• Post Centres (m)

• Secondary Compound specify function

RECOMMENDATIONS

• Issue Description

• Photo Taken & Labelled

  Media

• Proposed solution

• Quoted Price (Ex Gst)

• NOTES