Title Page

  • Feature ID

  • How many blockages on this section

  • Exchange

  • Date

  • Gang Lead

  • Location

Health & Safety

  • Have You Completed A Risk Assessment (EVERY JOB requires a RA upload pic of completed form)

Pre-Site

  • Pre-Start photos (Take photos of immediate surroundings to show existing conditions and to protect yourself from any potential damage claims)

  • Mark Up Photos including aspect view at least 5m radius (NOT JUST A CLOSE UP)

  • Site Set-up photos from each direction clearly showing Chapter 8 in place

Damage Evidence

  • Provide Exposed duct photos including aspect view at least 5m radius (NOT JUST A CLOSE UP)

Duct Repair Evidence

  • Clear Photo of where repair meets existing duct / Structure (A repair kit must be used and clearly visible on all joints to existing duct)

  • Photos of repair including both collars and cable ties (Pole bend blockages must include photos of the existing cable within the new repair and Elephants Foot)

  • Photo of completed repair before backfill including aspect view at least 5m radius (NOT JUST A CLOSE UP)

  • Photo of job and chambers roped

Reinstatement Status

  • Have you back filled the excavation?

  • Why Not?

  • Provide Photos showing backfill material used and compaction

  • Have you reinstated the surface in tar? (Base course and Surface course Required)

  • Reinstatement MUST comply to HAUC Specification not just matching existing surface. Carefully select the correct method from this document. Refer to full specification in the HAUC if necessary

  • Provide Reinstatement photos recording depth of base course including aspect view at least 5m radius (NOT JUST A CLOSE UP)

  • Provide Reinstatement photos recording depth of surface course including aspect view at least 5m radius (NOT JUST A CLOSE UP)

  • Have you reinstated the surface in verge / unsurfaced material

  • Provide photos of fully reinstated surface (All verges must be top soiled and seeded)

  • Are there any further reinstatement requirements (e.g Concrete, Slabs, Block Paving, Coloured Surfaces, other)

Job Completion

  • Surface Type

  • Dig dimensions: length x Width - Breakdown measures by surface/Type (e.g FW = 3.4m x 0.4m, CW = 8.2m x 0.3m) or (Chamber = 1.9m x 1.3m - F/w, Duct = 1.7m x 0.4m - F/w)

  • Does Excavation exceed 3m?

  • Record Grid Reference at Start Point
  • Record Grid Reference at End Point
  • Exact Address of Dig (Please be as accurate as possible e.g O/s 13 Clover Way or Opp 2 Fir Tree Ave)

  • Comments / Outcome

  • Why Not?

Confirmation

  • Is Job Complete, Reinstated & Site Clear

  • Provide Site Clear or Left Safe Ready For Reinstatement Photos

  • A55 Completed

  • Why is an A55 not required (an A55 is necessary for all excavations)

  • Gang Lead Signature

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