Note: The Respondent must complete this form for each Respondent requested Site Inspection.
Respondent |
|
Requested Site Inspection | Provide a brief description of the Site(s) requested for inspection (in the case of multiple Sites) |
Requested date and time | Advise: • the exact timing of the requested Site Inspection; and • 2-3 alternative dates for the requested Site Inspection. |
Purpose of the Site Inspection | Note: activities and non-intrusive investigations not advised and approved by the State in advance will not be permitted on the day of the Respondent requested Site Inspection. |
Proposed activities / agenda for requested site inspection | Detail the timing and sequence of all proposed activities to be undertaken by the Respondent |
Details of the Respondent representative nominated to be in charge of and be the key contact for the requested Site Inspection from the Respondent side | Name: Position: Company: Phone #: |
Respondent attendee information
Name | Phone Number | Company | Position |
|
|
|
|
|
|
|
|
|
|
|
|
Notes: The Respondent must comply with the five Business Day notification period requirement.
The Respondent must always comply with the Site Inspection Protocols in section 9.2 (Site Inspection Protocols) and any other protocols and requirements set out in the ITP Plan, including the PPE, safety, photography, confidentiality and probity requirements.
The State reserves the right to alter the proposed activities program or the number of Respondent representatives permitted for a Site Inspection, or cancel the Site Inspection, at any time and for any reason, including at short notice for safety considerations or for logistics purposes.