Pre-site Checklist Ver2

• Job Number.

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Revision 2 October 2017

Design.

• Electricity Supply (Green boy) located correctly on plan.

  Yes

  No

  N/A

• Water supply located correctly on plan.

  Yes

  No

  N/A

• Site fall shown correctly

  Yes

  No

  N/A

• Any obstructions to driveway.

  Yes

  No

  N/A

• Site works shown correctly.

  Yes

  No

  N/A

Allotment

• Survey pegs visible.

  1

  2

  3

  4

  5

• Tree removal required.<br>If yes please attach photo.

  Yes

  No

  N/A

• Site access suitable.

  Yes

  No

  N/A

• Temp fence required.<br>If yes supply quantities.

  Yes

  No

  N/A

• Set out possible.

  Yes

  No

  N/A

• Grass slashing required.<br>If yes provide photo.

  Yes

  No

  N/A

• Rubbish removal required.<br>If yes, try to identify dumper and photograph.

  Yes

  No

  N/A

• Zero boundary retaining.

  Yes

  No

  N/A

• Immediate backfill required.<br>If yes photo and provide estimate of quantity.

  Yes

  No

  N/A

• Retaining Walls required.<br>If yes, photo and provide quantity.

  Yes

  No

  N/A

Conditions

• Kerb cut required.

  Yes

  No

  N/A

• Any existing damage to council assets.<br>If yes photograph and detail below.

  Yes

  No

  N/A

• Existing crossover present.<br>If yes photograph.

  Yes

  No

  N/A

• New crossover required.

  Yes

  No

  N/A

• Adjoining homes on boundary.<br>If yes photograph.

  Yes

  No

  N/A

Adjoining Properties.

• Left Hand side property when viewed from street.<br>Any fencing.<br>Type of fencing.<br>Home established, under construction, vacant block.<br>Any owner or builder details, photograph.

  Yes

  No

  N/A

• Right Hand side property when viewed from street.<br>Any fencing.<br>Type of fencing.<br>Home established, under construction, vacant block.<br>Any owner or builder details, photograph.

  Yes

  No

  N/A

• Rear property when viewed from street.<br>Any fencing.<br>Type of fencing.<br>Home established, under construction, vacant block.<br>Any owner or builder details, photograph.

  Yes

  No

  N/A

Services.

• Power

  Overhead

  Underground

• Power Location

  Front- Left

  Front-Right

  Rear-Left

  Rear-Right

  Unknown

• Water

  Mains Water

  Tank Water

• Water Location

  Front- Left

  Front-Right

  Rear-Left

  Rear-Right

  Unknown

• Reticulate Water

  Yes

  No

  N/A

• Sewered Site

  Yes

  No

  N/A

• Sewer house connection

  Front- Left

  Front-Right

  Rear-Left

  Rear-Right

  Unknown

• Stormwater discharge point.

  Drain

  Street

• Kerb adaptor installed.

  Yes

  No

  N/A

• Telephone

  Yes

  No

  N/A

• Gas

  Mains

  LPG

  Unknown

• Other<br>Any other site concerns, obstructions or information.<br>If yes, detail and photograph below.

  Yes

  No

  N/A

• Site Plan Photo Take photo and edit with details.

  Drawing

Fire Ant Inspection

• Check site for any activity of fire ants

  Yes

  No

  N/A

• Check areas outside of boundaries where possible and within reason

  Yes

  No

  N/A

• Check front verge

  Yes

  No

  N/A

• Check for any signs of treatment or identified fire ant activity in area.

  Yes

  No

  N/A