Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Environment
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Erosion and sediment controls in place, catch pits protected, stockpiles protected (eliminate where possible, secured with plastic)
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Fules/Oils/Chemicals stored in bundled and covered areas and away from drainage lines, catch pits and watercourses.
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Site monitoring/inspection program established and agreed (particularly during and following inclement weather)
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Site access and security arrangements including fencing/hoarding in place for Christmas period.
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Emergency services contact details are in place and communicated to relevant personnel.<br><br>Emergency work crew available, contact list in place, escalation procedure in place. Please provide details on form.
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Contact person(s) agreed and communicated to relevant stakeholders (eg: Regulator/Client)
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Spill kits replenished and other erosion control materials available.
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Site equipment and machinery stored correctly and away from catch pits, watercourses and drainage lines.
Safety
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All bins and skips on site removed
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All work areas are clear from debris and equipment is removed off site. eg: fencing, barriers.
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Where safety fences are being used are they secured with cable ties, if not this must be adhered to.
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Can open excavations be backfilled, if not why and explain how they have protected them. eg: plate, safety fences.
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Is all temporary reinstatement complaint. Eg: cold mix.
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Have all trip hazards been eliminated.
Completed audit
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Other Comments
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Signature of Site Manager Representative
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Date
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Completed checklists should be emailed to Amber (amber.schaufelberger@visionstream.co.nz) for entry into Cintellate.
