Information

  • Document No.

  • STW east R&M

General information

  • SAP Order nr

  • Maygurney order nr

  • Grid ref X

  • Grid ref Y

  • Address

  • Site location
  • Postcode

  • County

  • Manhole inspection ?

Manhole Inspection

  • Manhole number ( if known)

  • Start date / time

  • Finish date / time

  • Crew on site

  • HIGHWAY / PRIVATE / OTHER

  • Manhole type

  • Surface type

  • Description of works / comments

  • Section 81?

  • STW Asset?

  • Transferred Asset?

  • FOW required

  • Customer name

  • Customer mobile nr

  • Customer contact nr

  • PTD Signed

  • Can we carry out works at any time<br>

  • Access details

  • Reason for no PTD

  • Access details

  • Is job a P1 , 2 , 3 or 4

  • Have you contacted either MARK / STEVE or NIGEL

  • Scheduler called to raise job?<br>

  • Has the area been left safe

  • Protection in place ?

  • Why not safe ?

  • FOW Priority

  • Replace or Reset?

  • Cover type

  • Cover defect

  • FOW Traffic management

  • Approximate length of reinstatement required

  • Approximate width of reinstatement required

  • Manhole cover size

  • Are any manhole cover dimensions greater than 675 mm

  • Any manhole cover dimensions greater than 1300 mm

  • Schedule 13 quote required Non standard cover order required
  • Cover lifted

  • Manhole cover depth

  • Reason why not lifted

  • Customer Special Requirements?

  • Details

Specific Site detail Information

  • Road markings

  • Markings detail

  • Surface treatment ?

  • Surface treatment type

  • Road Width?

  • Distance from kerb to edge of reinstatement of running lane

  • Clear visibilty up road in metres

  • Clear visibilty down road in metres

  • Bus Stop within 50m?

  • Traffic Control within 50m?

  • Traffic control alterations required ?<br>

  • Any parked cars at time?

  • Could cars park ANY time?

  • Speed limit

  • Parking suspension

  • Any hand dig required?

  • Traced and Marked?

Safety Information

  • Overhead Power?

  • Lamp Support Required?

  • Confined Space Working?

  • Any Other Safety Information?

  • Mitigation inspection?

  • Start date / time

  • Is problem associated with STW asset

  • Customer name

  • Customer mobile nr

  • Customer contact nr

  • Customer type

  • Property type ?

  • Areas of property to be protected

  • Details of flooding encountered

  • Is protection possible ?

  • Mitigation requirements / possibilities

  • Type of protection

  • Design detail proposals

  • Sketch of proposals

  • Customer special requirements with respect to mitigation measures

  • Is customer willing to agree to mitigation work

  • I / We agree to the afore mentioned works

  • PTD Signed

  • Can we carry out works at any time<br>

  • Access details

  • Reason for no PTD

  • Access details

  • Customer Special Requirements with respect to access

  • Details

  • Explanation of reasons

  • Source of problem

  • Notes:

  • Description of works / comments

  • Draw sketch here if required.

  • Location photos

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