CLOCS – On-site ground conditions assessment form

Following the instructions within the on-site ground conditions assessment handbook, please submit you site rating using the assessment form below

Question Title

* 1. Contact details

Site name *

Site location *

Site address

City

County

Site postcode *

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* 2. Principal site category

Landfill

Waste treatment

Waste transfer

Supply

Construction

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* 3. Site operator

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* 4. Accept London waste

Yes

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* 5. Assessor contact details

Full Name

Position

Phone

Assessment details

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* 6. Assessment date

Date / Time

Date

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* 7. Assessment type

Initial

Updated

The overall site rating is based on the lowest rating between the four criteria

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* 8. Assessment details

	1	2	3	4	5
Approach angle rating	Approach angle rating 1	Approach angle rating 2	Approach angle rating 3	Approach angle rating 4	Approach angle rating 5
Material type rating	Material type rating 1	Material type rating 2	Material type rating 3	Material type rating 4	Material type rating 5
Rutting and bumps rating	Rutting and bumps rating 1	Rutting and bumps rating 2	Rutting and bumps rating 3	Rutting and bumps rating 4	Rutting and bumps rating 5
Water rating	Water rating 1	Water rating 2	Water rating 3	Water rating 4	Water rating 5

Question Title

* 1. Contact details

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* 2. Principal site category

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* 3. Site operator

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* 4. Accept London waste

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* 5. Assessor contact details

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* 6. Assessment date

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* 7. Assessment type

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* 8. Assessment details

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* 9. CLOCS site rating