Visionstream Site Shutdown Checklist December 2018

• FFP or Viscore ID

• Conducted on

  Date

• Completed by

Environment

• Have erosion, sediment controls and stock pile been removed from site

  Yes

  No

  N/A

• Has machinery been removed from site?

  Yes

  No

  N/A

Safety

• Are all work areas are clear from debris and equipment removed off site? eg: fencing, barriers

  Yes

  No

  N/A

• Have all excavation been back filled? If not why, and explain how they have protected them. E.g. Plates

  Yes

  No

  N/A

• If excavations aren't backfilled, please explain why and how the excavations are protected. EG Plate

• Have all trip hazards been eliminated? This includes completing required topsoiling.

  Yes

  No

  N/A

• Are all signs removed from site? (Except sites with open/secured excavations).

  Yes

  No

  N/A

• If permanent reinstatement has not been completed, have all areas been coldmixed?

  Yes

  No

  N/A

• Other Comments

• Signature of Site Manager

  Sign

• Completed checklists should be emailed to Ian Merrilees - Ian.Merrilees@visionstream.co.nz with your DM/NDM copied.