Information
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Work Order Number
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Conducted on
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Completed by
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Location/Address
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Work to be done description
Repair details
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Urgency of repair
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Work to be completed description
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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)
Environmental Issue/Impact
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Are there any Environmental Issues/Impact or the potential to cause Environmental Impact?
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What is the approximate flow rate of water?
Asset Location Details.
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Are underground asset locations required?
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DBYD - 1100 contacted for plans?
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Telstra located with sub-site unit?
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Is Telstra asset close to excavation?
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SA Power Networks located with sub-site unit?
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Is SA Power Networks asset close to excavation?
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Does this require the asset owner to be on site?
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Has a SAPN company representative been booked for attendance?
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Gas located with sub-site unit?
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Is Gas asset close to excavation?
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Does this require the asset owner to be on site?
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Has a Gas company representative been booked for attendance?
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SA Water asset located with sub-site unit?
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Is other Water/Wastewater asset close to excavation?
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Are there any waste water contamination risks involved with the job?
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Trans SA located with sub-site unit?
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Trans SA asset close to excavation?
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Public lighting located with sub-site unit?
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Is public lighting asset close to excavation?
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Are Fibre Optic cables close to excavation?
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Have plans been attached/sent?
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What details were given to operations centre to pass on?
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Have other authorities been identified and contacted for plans?
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Please name the asset authorities identified.
On Site HAZARDS
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Are there any On SIte Hazards that have not been covered so far?
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What Hazards have been Identified?
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Has the operations centre been notified to pass on any hazards workers may come across at this job site?
Planning details
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Shutoff required?
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Has Active Field Map been completed?
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Residential in shutoff block?
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School in shutoff block?
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Business in shutoff block?
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Hospital in shutoff block?
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Any other Critical Customers in the Shut Off Block?
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What type of Critical Customer?
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Number of valves in shutoff?
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Notification cards required?
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Number of cards required?
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Traffic control required?
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Can the work be performed by:
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Work details for 2 X 1 manners
- Hand dig
- Moss rocks need to be moved
- Riser(s) in concrete/under fence
- Hand dig under retaining wall
- Other
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Please enter Details of Work Required.
Work and Fittings.
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Fittings required for repair?
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Welder required to perform on-site work?
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Special requirements or instructions? Eg: shoring, hydro excavation, cold/hot mix, 2nd tipper, Dual axle Tipper
- Shoring Required
- Hydro Excavation
- Cold/Hot Mix
- 2nd Tipper
- Dual Axle Tipper
- Other
- None
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What is Required?
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