Nick Pavlou

Works in road reserve inspection

inspection for works conducted in road reserves

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Site Information

Site conducted
Conducted on
Prepared by
Location
Type of works
Pre inspection photos
Does applicant have public liability insurance, must be must be for a minimum $20million cover for all works and current. Please note, applications will be delayed if the public liability certificate does not meet these requirements
Does works require a TMP/MOA
Has TMP been submitted to Traffic team via portal?

Works inspection

Works inspection photos
Comments

Final inspection

Reinstatement works check
Photo"s of completed works
Completed in sufficient time
Cardinia Shire Representative

Nick Pavlou

Works in road reserve inspection

inspection for works conducted in road reserves

Use this Template

Print as PDF

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.