Title Page

  • Conducted on

  • A55 Prepared by

  • Location
  • Build Town

  • PDP Number

  • A55 ID

  • Chamber/Pole Reference

A55 Detail

  • Chamber/Pole 1 Description

  • Chamber/Pole 1 Location
  • Chamber/Pole 2 Description

  • Chamber/Pole 2 Location
  • Section Length

  • Blockage
  • Surface Type

  • Distance from Chamber 1

  • Photo of Rod in Chamber 1 Bore

  • Distance from Chamber 2

  • Photo of Rod in Chamber 2 Bore

  • Photo of Sprayed up Blockage

  • Duct Reference (BT Portal)

  • X and Y Co-ordinates

  • Is TM Required?

  • TM Type

  • Is the duct section on a red route or bus lane

  • Is the duct section on a cycle lane

  • Number of Bores

  • Number of Cables currently in bore

  • Current capacity of bore (% full)

  • Pole Bend
  • Surface Type

  • Distance from Chamber 1

  • Photo of Rod in Chamber 1 Bore

  • Distance from Pole

  • Photo of Rod in Pole Bend if Possible

  • Photo of Sprayed up Blockage

  • Duct Reference (BT Portal)

  • X and Y Co-ordinates

  • Is TM Required?

  • TM Type

  • Track
  • Surface Types:

  • Soft Length

  • Photos

  • Is TM Required?

  • TM Type

  • Footway (Tarmac) Length

  • Footway (Modular) Length

  • Carriageway (Tarmac) Length

  • Carriageway (Modular) Length

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