Title Page
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Project Name / Number
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Conducted on
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Recorded By
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Names of Contractor Representatives
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Names of Superintendent Representatives
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Names of EGW Representatives
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Site Address
HSE
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Has an HSE Inspection been completed this week? Refer EGW Form CSEM 5.1 Worksite Inspection Checklist
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List outstanding items arising from the most recent HSE Inspection
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Are there any uncontrolled HSE hazards evident?
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Please include photos showing HSE hazard controls (traffic management, fencing, trench shields, sedimentation control, PPE in use, etc.) and/or photos of areas where HSE improvements could be made
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Provide information on any uncontrolled HSE hazards or areas for improvement
Progress
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Has an updated construction program been submitted this week?
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Are works on track with the updated construction program?
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Provide details of any delays including causes and how these delays may be recovered to minimise impacts on the overall program
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List works expected to occur in the next week
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Are any water service interruptions required within the next 2 weeks?
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Details of any water service interruptions proposed for the next 2 weeks.
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Please include photos of progress - works underway and/or recently completed.
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Where relevant, sketch any details of existing or proposed new infrastructure (water main intersections, valve arrangements, offsets from boundaries or other services, etc.)
Variations
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Have there been any recent changes to the works that may result in a variation or extension of time? (Site conditions, directions from Superintendent, weather, design changes, etc.)
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Please provide photos of any conditions of the works that have changed compared to the latest design.
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Provide details of any changed conditions or new variations
Payments
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Has a payment claim been submitted for the current month?
