Title Page

  • Name of work site

  • Date

  • Prepared by

  • Location

Site Check

  • Is the site in a ‘Flood Control and Drainage’ area? (Designated scheme works area)

  • Is this work being undertaken under a consent

  • Consent number

  • Is the work within 10m of the top of the channel bank?

  • Work is carried out under ECoP

  • What other consent is this work being done under?

  • Is the site in a trout spawning area

  • What is the timeframes work can be undertaken?

  • Is the site in an SOS-A area?

  • What is the timeframes you can carry out this work?

  • Is the site in a SOS-C area

  • What is the timeframes work can be undertaken?

  • Is the site in a SOS-R area

  • What is the timeframes work can be undertaken?

  • Is the site in a designated Biodiversity area

  • What is the timeframes work can be undertaken?

  • Is there a Hydro site within 100m upstream or 500m downstream?

  • What is the timeframes work can be undertaken?

  • Is the site in a designated recreational area?

  • What is the timeframes work can be undertaken?

  • Is the site in/near a designated swim spot

  • What is the timeframes work can be undertaken?

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.