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)