Information
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Entity
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Tenement
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POW ID
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Contractor
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Conducted on
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Prepared by
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Personnel
Exploration Activity undertaken through approved POW
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Surface Sampling (mechanized)
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Track Clearing
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Drilling
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Costeaning
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Other - Please Describe
General Clean Up
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Has all refuse and waste been removed from work sites and disposed of appropriately?
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Insert photo if applicable
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Have all chemical and fuel storage areas (if any) been visually inspected, and has all evidence of contamination cleaned up?
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Insert photo if applicable
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Have all sites where oil / fuel / chemical spills might have occurred been cleaned up and remediated?
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Insert photo if applicable
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Are all camp sites clean and free of any garbage / waste materials?
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Insert photo if applicable
Tracks and Fencing
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Have access tracks introduced during operations and not required for future operations been rehabilitated in accordance to permitting guidelines?
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Scarification Completed
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Insert photo if applicable
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Access Blocked
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Insert photo if applicable
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Have pre-existing access tracks been reinstated to pre-operational condition?
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Insert photo if applicable
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Have all breaches of fences or gate openings been addressed appropriately in accordance to the requirements of permits and/or landholders?
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Insert photo if applicable
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Where applicable, have natural drainage pathways been reinstated to original conditions?
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Insert photo if applicable
Surface Disturbances / Excavation Sites
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All disturbed areas have been reinstated to a reasonable level.
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Insert photo if applicable
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All excavations and trenches have been back-filled in accordance to guidelines.
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Insert photo if applicable
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Where stockpiled, has native vegetation mulch been re-spread?
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Insert photo if applicable
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Where required, have re-vegetation efforts been completed?
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Insert photo if applicable
Drill Site Rehabilitation
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Enter Number of Drill Sites Rehabilitated
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Insert Photo of Drill Spoil Rehabilitation
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Insert Photo of Typical Drill Collar Plug and Burial
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Insert Photo of Typical Drill Sump Rehabilitation
Additional Comments
Declaration of Field Representative
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Name of Individual Completing Report
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Select date
Forward Completed Report to the Responsible Project Manager
Signoff
Declaration of Responsible Project Manager
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Has Rehabilitation of All Activity Related to the Approved POW been completed?
- Yes
- No
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Enter What, if any, additional work must be completed.
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Enter Name
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Select date
