Information

  • Document No.

  • Observer

  • Conducted on

  • Job

General Observations

  • Approximate Temperature

  • General Weather Conditions

  • Consequential effects of weather conditions (if any)

  • Current Fire Danger Rating (FDR)

  • Consequential effects of FDR (if any)

Location

  • Chainage

  • Select location

  • Easting

  • Northing

Safety

  • Is there a Safe Work Method Statement (SWMS) in place?

Environment

Landowner

Description of Works (Clearing & Grubbing, Trenching & Pipe Laying, Backfilling & Remediation)

Machinery & Resources

Trench Geotechnical Profile

Quality / Relevant ITP Number

Additional Notes

Sketches

  • Add drawing

Photos

  • Add media

Sign Off

  • 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.