Title Page
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Conducted on
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Job Number
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Site Address
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Supervisor
Site photos
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Site photos
Site Access and Public Facilities
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Narrow < 3meter
- Yes
- No
- N/A
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Gradient <>.6meters
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Storage of materials
- Yes
- No
- N/A
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Verge Permit
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Trees/stumps
- Yes
- No
- N/A
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Obstruction
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Scaffolds
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Public Obstruction
- Yes
- No
- N/A
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Parking restricted
- Yes
- No
- N/A
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Shopping Centre
- Yes
- No
- N/A
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Public Areas
- Yes
- No
- N/A
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Schools
- Yes
- No
- N/A
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Parks
- Yes
- No
- N/A
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Major Road
- Yes
- No
- N/A
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Bus Stops
- Yes
- No
- N/A
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Traffic Management
- Yes
- No
- N/A
Services
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Water Meter onsite
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LHS boundary
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RHS Boundary
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Water meter Connected
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Power Dome Onsite
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Gas
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Communications - Telstra
Retaining and Fencing
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obstruction
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existing colourbond
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Existing Damage prior to works
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existing asbestos
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Existing damage prior to works
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Existing retaining
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Damaged
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Retaining Required
Unsafe Electrical
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Overhead Power Cables
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Underground Power Cables
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Bores
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Shed
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Pool
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Gas
Kerb and Footpath Condition
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Cracks and / or damage
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Mountable
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Tree Protection
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Footpath Cracked and/or damaged prior to site works
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Inform the Shire Through Liaison
Other
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Excavator/Water
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Swimming pools /pond
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unspecified Hazards
Estimating and Office Notes
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Estimating