Information
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Site Vantage Survey
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Site Name:
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Conducted on
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Prepared by
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Location
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Personnel
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Add signature
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Date and Time of Visit:
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Year identified:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- Adhoc
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SSW22 Given to Landowner
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Is there any mechanical excavation equipment working within 35m of the pipeline, or on a line that will cross the pipeline?
- Safe
- At Risk
- Not Applicable
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Is there any work on drainage , ditching, fencing or any other farm activity within the Vantage Point Survey area?
- Safe
- At Risk
- Not Applicable
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Is there any evidence of Bonfires or Bonfire Materials within 60 metres of the pipeline?
- Yes
- No
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Is there any civil engineering or building/ demolition work of any kind?
- Yes
- No
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Is there any evidence of tree felling or timber transportation?
- Yes
- No
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Is there any discoloration of vegetation or other evidence of leakage?
- Yes
- No
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Is there any evidence of Blasting, Mining or Mineral extraction?
- Yes
- No
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Is there any evidence of ground movement or changes in watercourses?
- Yes
- No
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Is there any evidence of removal of surface soil and conversely tipping and/or stacking of materials over the pipeline?
- Yes
- No
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What is the general condition of the marker posts in the pipeline section i.e. mainly visible, broken, non-existent/not seen. Particular attention should be paid in the vicinity of quarries and watercourses.
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What is the general condition of the easement and any licensed area/fencing that may be onsite?
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Add Photo's of the condition of the fencing and notable hazards that require control or removal from site.
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Sketch of area
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Add signature
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Customers Address
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Customers Signature
