Verifier Inspection Report

• Document No.

• Observer

  Harold Percey

  Juan Lee

  Geoff Tuck

• Conducted on

  Date

• Job

General Observations

• Approximate Temperature

• General Weather Conditions

  Select clear overcast partly cloudy light rain moderate rain heavy rain showers fine light winds moderate winds strong winds

  • clear
  • overcast
  • partly cloudy
  • light rain
  • moderate rain
  • heavy rain
  • showers
  • fine
  • light winds
  • moderate winds
  • strong winds

• Consequential effects of weather conditions (if any)

• Current Fire Danger Rating (FDR)

  Select low-moderate high very high severe extreme catastrophic

  • low-moderate
  • high
  • very high
  • severe
  • extreme
  • catastrophic

• Consequential effects of FDR (if any)

Location

• Chainage

• Select location

  Yes

  No

  N/A

• Easting

• Northing

Safety

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

  Yes

  No

  N/A

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

  Drawing

Photos

• Add media

  Media

Sign Off

• Add signature

  Sign