Information

  • Site

  • Building No.

  • Conducted on

  • Prepared by

  • Location

GENERAL

  • Does the Contaminated Sites Register list this as a contaminated site?

  • Details

  • Photos

  • Environmental issues raised by the REO?

  • Details

  • Photos

  • Previous incident reports provided by the REO

  • Details

  • Photos

  • Issues with asbestos management?

  • Details

  • Photos

  • Issues with heritage management?

  • Details

  • Photos

SITE OBSERVATIONS

  • Containment systems

  • Description

  • Construction details

  • Other

  • Photos

  • Other

  • Description

  • Construction details

  • Other

  • Photos

WORK REQUEST

    Works
  • WR Description

  • Total cost

  • WR Intended Year

  • WR Priority

  • Trade type

  • Photos

OTHER

  • Any areas not accessed?

  • Area
  • Further investigations recommended

  • Details

  • Photos

  • Any issues to be forwarded to specialist?

  • Select discipline

  • Element description

  • Details

  • Photos

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.