Information

  • Conducted on

  • Prepared by

  • Photo of Site

Existing Site Conditions

  • Has temporary site identification sign been installed

  • Current Site Status

  • Is there damage to any existing assets? Footpath, Crossover, Gutter, Road etc

  • Is there a tree in the nature strip?

  • Re-establishment survey required?

  • Will gradient of site require additional silt/water/material runoff retention system from entering neighbouring properties?

Permits

  • Is traffic Management Required ?

  • Footpath closure required? (some times the same as road closure permit depends on council)

  • Work zone permit (vehicle parking zone) required?

  • Comments

Site Access

  • Is the vehicle crossing on the correct side?

  • What is the vehicle crossing width?

  • Identify Site Access Restrictions

  • Does the bus stop require temporary relocation - Admin to arrange via local bus company (duration required and permits may also be required)

  • Will delivery time restriction be required if yes, please state delivery time window to be communicated to suppliers

  • Application of "Work Zone" parking permit/sign required, please state duration in days.

  • Will delivery time restriction be required if yes, please state delivery time window to be communicated to suppliers

  • Communication and delineation plan required to be developed and agreed to by tenants prior to site start

  • communication and construction material delivery plan requires to be communicated to officer in charge at the emergency service depot.

  • Is the adequate room for crane truck access? (Both width and Height, allow for outriggers)

  • Is there an alternate access to site?

  • Will council approval be required for alternative access

  • Comment

Existing Services

Electrical & Services

  • Existing Services

  • Are overhead power lines across access points?

  • Where power lines run in line with the access point of the site a line pump MUST be used along with a Non Slewing (Franna) mobile crane for all heavy lifts.

  • Are there overhead power lines within 6.6 metres from the nearest point of proposed dwelling?

  • Request Power Supplier inspection report

  • Tiger tails required on service line ? (yes if within 3m of dwelling)

  • Has Underground power pit been installed

  • Will multiple power boards be required ( Max Single 30 meter Extension Leads only)

  • Comment

Cage, Toilets, Crossings & Fences

  • Is there an area level for toilets and cage?

  • Is there an area for a skip bin

  • Comment

  • Is water available on site?

  • Is temp fencing required to isolate existing occupied dwelling

  • Further site comments

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.