Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Previous inspections and actions

  • Are there any outstanding action items arising from previous contacts, internal audits, inspections, incidents etc?

  • Have the created actions been effective in addressing the issues raised?

Documentation

  • Does the DSS layer / Protrak reflect current status?

Work area checks

  • Is the collar in adequate condition?

  • Does the rehab follow natural contouring?

  • Is ripping and compaction adequate?

  • Is topsoil and vegetation application adequate?

  • Is there adequate vegetation coverage?

  • Is there adequate vegetation diversity?

  • Is there a photo monitoring point? And a recent photo been taken?

  • Are there any weeds present?

  • Is there evidence of erosion?

  • Are there other impacts? I.e. Driven over?

Housekeeping

  • Are there any other arising issues?

Findings and actions

Sign-off

  • Environmental Representative

  • Add signature

  • Work area representative

  • Add signature

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.