CLH Pre Start Site Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Details

• Site / Project Name

• Select date

  Date

• Supervisor Conducting Inspection

Site Information

• Has sign been placed on block

  Yes

  No

  N/A

• Has Block been cleared of vegetation/debris

  Yes

  No

  N/A

• Have Survey pegs been located<br>

  Yes

  No

  N/A

• If there are no survey pegs please contact Hannah Holt ASAP

• Are there existing fences

  Yes

  No

  N/A

• Condition of Fences - Attach Photos

  Media

• Are there Existing footpaths

  Yes

  No

  N/A

• Condition of Footpaths - Attach Photos

  Media

• Is the site Assailable

  Yes

  No

  N/A

• What are the Hazards

• Photos of Hazards

  Media

• Water Meter Riser

  Yes

  No

  N/A

• Is Water Meter Installed

  Yes

  No

  N/A

• Contact Hannah Holt

• Are there any Items that require action

  Yes

  No

  N/A

• Have you Informed the correct member of staff of these items

  Yes

  No

  N/A

• Please Contact the correct member of staff

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

Sign Off

• Name & Signature of Supervisor

  Sign