Urgency of repair
Work to be completed description
Enter Suggested Repair Time Identify preferred repair time based on site assessment and conditions Eg: Any time from Monday to Friday (9am - 3:30pm) Saturday or Sunday morning (5am - 9pm)
Have locations been completed?
School in shutoff block?
Business in shutoff block?
Hospital in shutoff block?
Residential in shutoff block?
Number of valves in shutoff?
Additional resources required for shutoff?
Notification cards required?
Number of cards required?
Traffic control required?
Traffic control special details
Can the work be performed by:
- Hand dig
- Moss rocks need to be moved
- Riser(s) in concrete/under fence
- Hand dig under retaining wall
Will Bitumen Road Reinstatement be required
Bitumen Reinstatement length (M)
Bitumen Reinstatement Width (M)
Bitumen Reinstatement Depth (mm)
Fittings required for repair?
Welder required to perform on-site work?
Special requirements or instructions? Eg: shoring, hydro excavation, cold/hot mix, 2nd tipper, Dual axle Tipper
Do you want to record locations details now?
One Call centre - 1100 contacted for plans?
Other authorities contacted for plans?
Identify other authorities contacted for plans
Telstra located with sub-site unit?
Is Telstra asset close to excavation?
SA Power Networks located with sub-site unit?
Is SA Power Networks asset close to excavation?
Gas located with sub-site unit?
Is Gas asset close to excavation?
SA Water asset located with sub-site unit?
Is other Water/Wastewater asset close to excavation?
Trans SA located with sub-site unit?
Trans SA asset close to excavation?
Public lighting located with sub-site unit?
Is public lighting asset close to excavation?
Fibre optic cables located with sub-site unit?
Fibre optic cables close to excavation?
Have plans been attached/sent?
Other locate details? Specify below:
Has operations centre been notified to pass on any hazards workers may come across at this job site?
What details were given to operations centre to pass on?