Appendix
8 Site Inspection Proforma
Ref: _____________________
|
Date |
Location |
Req Ref* |
Observation/Deficiency |
Mitigation Action** (Responsible Agency) |
Date of Confirmation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* EIA Ref/EM&A Log Ref/Design Document Ref/Environmental Protection Contract Clause
** Specific Environmental Measures should be stated such as equipment, process, practices or technologies
*** The
required completion date to confirm the specified Environmental Action
This Proforma is an Environmental Protection Instruction for :
__________________________ on
____________________________
signed by Environmental Specialist Leader :
____________________________ Date:
_________________________
Copy to Independent Checker (Environment)