Rich Port

Bauer Engineering SPO Return

SPO Return (Connect Fibre)

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Build Town
PDP Number
SPO Prepared by
Conducted on
TM Type
A55 ID
Permit Reference

SPO Detail

Chamber/Pole 1 Description
Chamber/Pole 1 X and Y
Chamber/Pole 2 Description
Chamber/Pole 2 X and Y
Duct Reference (BT Portal)
Blockage X and Y Co-ordinates
H&S Documentation Completed
Safe Dig Prints
Site Setup (With SLG)
Photo of Blockage marked up on Surface
Duct Damage Picture
BT repair kit in place on duct showing repair and cable ties
Chamber 1 picture showing rope inside the chamber labelled and tied off
Chamber 2 picture showing rope inside the chamber labelled and tied off
Photo of Site after Reinstatement
Length
Width
Depth
Surface Type
All Works Complete?
Other Comments

Rich Port

Bauer Engineering SPO Return

SPO Return (Connect Fibre)

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.