SSD Scoping Checklist

• Conducted on

  Date

• Prepared by

  Select
• Location
  Address

Resources Required

• Plant

  Select

• Equipment

  Select

• Personnel

  Select

• Repairs

  Select

• Materials

  Select

• Quantity (Tonnes)

• Quantity (Tonnes)

• Bags

• Quantity (Tonnes)

• Type / Material / Diameter

• Quantity

• Waste Disposal

  Select

• Other

  Select

Hazard ID

• Are there any additional hazards?

  Yes

  No

• What are they

Comments