Preliminary Site Inspection - duplicate

• Site IPM

• Conducted on

  Date

• Prepared by

• Location
  Address

Land owner information

• Has you spoken to land owner

  Yes

  No

  N/A

• Has a scheduled date been discussed ?

  Yes

  No

  N/A

• Does the landowner require a follow up phone call ?

  Yes

  No

  N/A

• Name ( preferred contact )

• Phone ( preferred contact No )

• Any special requirements

  Yes

  No

  N/A

• Comments

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  Media

1.0 - Access Track

• 1.1 - Is there an existing track ?

  Yes

  No

  N/A

• 1.2 - Does the site need access across paddock ?

  Yes

  No

  N/A

• 1.3 - Has environmental approval been sorted ?

  Yes

  No

  N/A

• 1.4 - Have photos been taken of the access ?

  Yes

  No

  N/A

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2.0 - Access to site

• 2.1 - Is the site near and roads ?

  Yes

  No

  N/A

• 2.2 - Has a traffic plan been designed for this site ?

  Yes

  No

  N/A

• 2.3 - Will traffic control be required to unload / load plant ?

  Yes

  No

  N/A

• 2.4 - Will traffic control be required for delivery of materials (clay) ?

  Yes

  No

  N/A

• Notes

  Yes

  No

  N/A

Draw map to access of meter

• Site

  Drawing

3.0 - Fencing

• 3.1 - Is there an existing gate for this site ?

  Yes

  No

  N/A

• 3.2 - Does the fence require cutting for construction ?

  Yes

  No

  N/A

• 3.3 - Is the fencing on the farmers property damaged ? ( Take photos )

  Yes

  No

  N/A

• 3.4 - Does the site require stock - proof fencing around the pedestal ?

  Yes

  No

  N/A

4.0 - Services

• 4.1 - Are there any overhead assets on site ?

  Yes

  No

  N/A

• 4.2 - Are there any underground assets on site ( Telstra, S & D pipes etc. ) ?

  Yes

  No

  N/A

• 4.3 - Does the site require electrical spotters for unload / Loading of plant ?

  Yes

  No

  N/A

• 4.4 - Does site require electrical spotters for the works

  Yes

  No

  N/A

• Notes ( list services, other comments )

  Yes

  No

  N/A

5.0 - Shading

• 5.1 - Is there potential for shading of the pedestal ?

  Yes

  No

  N/A

• 5.2 - Will tree removal be required ?

  Yes

  No

  N/A

• 5.3 - Will a remote mast be required ?

  Yes

  No

  N/A

• Notes

  Yes

  No

  N/A

6.0 - Temporary Bench Mark ( TBM )

• 6.1 - Will a surveyor be required to install a new TBM ?<br>

  Yes

  No

  N/A

• Notes ( distance to closes TBM )

  Yes

  No

  N/A

PHOTOS

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Sign Off

• Signature of person doing inspection

  Sign