Title Page
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Client
-
Area
-
Job Pack
-
Duct Section Number
-
PIA Number
-
Conducted on
-
Prepared by
- Jamie Byson
- Adam Bassoo
- Ryan Lee
- Alex Anderson
- Ryan W
- Ionut Bizau
-
Location
Details
-
Works Required
- 1 x Blockage
- 2 x Blockage
- New Track
- Desilt
- Pole Blockage
- Buried Chamber
- Desilt - multiple chambers
- Fix seized frame and cover
-
Surface of blockage
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Address of Blockage
-
Comments about location of blockage e.g. near a school or road crossing
-
X coordinate of blockage
-
Y coordinate of blockage
-
Is it in private property?
-
Traffic Lights / TM Required?
- 2 Way
- 3 Way
- 4 Way
- None
- Other
- Survey required
-
Please specify
-
Percentage Bore Full
-
Number of Bores
-
Comments to show location of bore using
-
Is either bore over 1M?
-
How deep is the bore?
-
Number of Cables in Bore
-
Proposed Cable
- 12f
- 36f
- 48f
- 144f
- 288f
-
Proposed Number of Cables
-
Duct Type
-
Please specify
-
Box A Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of blockage location
-
Distance from box A to blockage
-
Photo of blockage
-
Distance from blockage to box B
-
Box B Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Annotated APX pictures
-
Additional photos - if required
-
Exact section length in metres
-
Comments
-
undefined
-
Surface of blockage 1
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Surface of blockage 2
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Address of Blockage 1
-
X coordinate of blockage
-
Y coordinate of blockage
-
Address of Blockage 2
-
X coordinate of blockage
-
Y coordinate of blockage
-
Comments about location of blockages e.g. near a school or road crossing
-
Are they in private property?
-
Traffic Lights / TM Required?
- 2 Way
- 3 Way
- 4 Way
- None
- Other
- Survey required
-
Please specify
-
Percentage Bore Full
-
Number of Bores
-
Comments to show location of bore using
-
Is either bore over 1M?
-
How deep is the bore?
-
Number of Cables in Bore
-
Proposed Cable
- 12f
- 36f
- 48f
- 144f
- 288f
-
Proposed Number of Cables
-
Duct Type
-
Please specify
-
Box A Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of blockage location
-
Distance from box A to blockage 1
-
Photo of blockage 1
-
Void distance - between blockage 1 and blockage 2
-
Photo of blockage 2
-
Distance from blockage 2 to box B
-
Box B Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Annotated APX pictures
-
Additional photos - if required
-
Exact section length in metres
-
Comments
-
Surface of Track required
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Is the surface type the same for the whole track?
-
Please specify
-
Address
-
Comments about location e.g. near a school or road crossing
-
Is it in private property?
-
Traffic Lights / TM Required?
- 2 Way
- 3 Way
- 4 Way
- None
- Other
- Survey required
-
Please specify
-
Percentage Bore Full
-
Number of Bores
-
Comments to show location of bore using
-
Number of Cables in Bore
-
Proposed Cable
- 12f
- 36f
- 48f
- 144f
- 288f
-
Proposed Number of Cables
-
Duct Type
-
Please specify
-
Box A Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Coordinates of box A
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of duct mouth
-
Photo of location of track required between boxes
-
Box B Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Coordinates of box B
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of duct mouth
-
Annotated APX pictures
-
Additional photos - if required
-
Exact section length in metres
-
Comments
-
Surface
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Address
-
Comments about location e.g. near a school or road crossing
-
Is it in private property?
-
Traffic Lights / TM Required?
- 2 Way
- 3 Way
- 4 Way
- None
- Other
- Survey required
-
Please specify
-
Percentage Bore Full
-
Number of Bores
-
Comments to show location of bore using
-
Number of Cables in Bore
-
Proposed Cable
- 12f
- 36f
- 48f
- 144f
- 288f
-
Proposed Number of Cables
-
Duct Type
-
Please specify
-
Box A Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box B Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Number of chambers that require gully suck
-
Number of chambers that require desilt
-
Annotated APX pictures
-
Additional photos - if required
-
Exact section length in metres
-
Comments
-
Surface of blockage
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Address of Blockage
-
Comments about location of blockage e.g. near a school or road crossing
-
X coordinate of blockage
-
Y coordinate of blockage
-
Is it in private property?
-
Traffic Lights / TM Required?
- 2 Way
- 3 Way
- 4 Way
- None
- Other
- Survey required
-
Please specify
-
Percentage Bore Full
-
Number of Bores
-
Comments to show location of bore using
-
Is either bore over 1M?
-
How deep is the bore?
-
Number of Cables in Bore
-
Proposed Cable
- 12f
- 36f
- 48f
- 144f
- 288f
-
Proposed Number of Cables
-
Duct Type
-
Please specify
-
Box A Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of blockage location
-
Distance from box A to blockage
-
Photo of blockage
-
Distance from blockage to box B
-
Box B Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Annotated APX pictures
-
Additional photos - if required
-
Exact section length in metres
-
Comments
-
Pics of surrounding area
-
Pics of markers
-
Surrounding poles / showing ID and any other infrastructure
-
Comments
-
Surface
- Footway - tarmac
- Footway - slabs
- Soft / verge
- Carriageway
- Special Surface
- Other
-
Please give more information
-
Please give more information
-
Address
-
Comments about location e.g. near a school or road crossing
-
Is it in private property?
-
Traffic Lights / TM Required?
- 2 Way
- 3 Way
- 4 Way
- None
- Other
- Survey required
-
Please specify
-
Percentage Bore Full
-
Number of Bores
-
Comments to show location of bore using
-
Number of Cables in Bore
-
Proposed Cable
- 12f
- 36f
- 48f
- 144f
- 288f
-
Proposed Number of Cables
-
Duct Type
-
Please specify
-
Box A Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box B Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box C Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box D Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box E Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box F Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box G Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box H Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box I Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box J Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box K Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box L Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box M Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box N Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box O Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box P Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box Q Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box R Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box S Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Box T Type
- JUF2
- JUF4
- JUF6
- JUF9
- JUF10
- JUF11
- JB23
- JRC10
- JRC12
- JRC14
- Man Hole
- Pole
- JRC Elkington Lid
-
Photo of bore spray painted on
-
Photo of open chamber - no rod
-
Photo of outside chamber to show location
-
Photo of open chamber - with rod
-
Photo of duct mouth
-
Photo of location
-
Number of chambers that require gully suck
-
Number of chambers that require desilt
-
Annotated APX pictures
-
Additional photos - if required
-
Exact section length in metres
-
Comments
-
Pictures of lid close up
-
Pictures of lid from a distance
-
Pictures of surrounding area
-
What has been attempted to open this lid?
