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POPM ASSESSMENT FORM
Please fill in the below form to start your POPM Assessment
What type of POPM assessment is this?
Preliminary Desktop Analysis (PDA)
Rapid Assessment (Review)
Baseline Assessment
Mitigation Assessment
Recommendation Assessment
Other (please specify)
Name of project:
Date of POPM assessment:
Company/agency:
Name of person leading the POPM assessment:
Email:
Phone:
Who else is participating in this assessment?
Project location:
State:
Project budget:
Brief description of the project:
Select the current stage in the project lifecycle:
(You may select more than one if relevant)
Early planning / project development / design phase
Procurement / tendering
Contract awarded / project commencement
Delivery phase
Post-delivery, but still in liability period
Other (please specify)
What type of project is this?
(You may select more than one if relevant)
Road infrastructure project
Rail infrastructure project
Bridge infrastructure project
Marine / port infrastructure project
Construction / infrastructure project, not related to transport
Essential services delivery or improvement
Upgrades and safety improvement project
Other (please specify)
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