Title Page

  • Conducted on

  • Job Number

  • Site Address

  • Supervisor

Site photos

  • Site photos

Site Access and Public Facilities

  • Narrow < 3meter

  • Gradient <>.6meters

  • Storage of materials

  • Verge Permit

  • Trees/stumps

  • Obstruction

  • Scaffolds

  • Public Obstruction

  • Parking restricted

  • Shopping Centre

  • Public Areas

  • Schools

  • Parks

  • Major Road

  • Bus Stops

  • Traffic Management

Services

  • Water Meter onsite

  • LHS boundary

  • RHS Boundary

  • Water meter Connected

  • Power Dome Onsite

  • Gas

  • Communications - Telstra

Retaining and Fencing

  • obstruction

  • existing colourbond

  • Existing Damage prior to works

  • existing asbestos

  • Existing damage prior to works

  • Existing retaining

  • Damaged

  • Retaining Required

Unsafe Electrical

  • Overhead Power Cables

  • Underground Power Cables

  • Bores

  • Shed

  • Pool

  • Gas

Kerb and Footpath Condition

  • Cracks and / or damage

  • Mountable

  • Tree Protection

  • Footpath Cracked and/or damaged prior to site works

  • Inform the Shire Through Liaison

Other

  • Excavator/Water

  • Swimming pools /pond

  • unspecified Hazards

Estimating and Office Notes

  • Estimating

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.