Title Page
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Feature ID
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How many blockages on this section
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Exchange
- Hengoed
- Neath
- Bridgend
- Morriston
- Swansea
- Llanelli
- Tonypandy
- Aberdare
- Llantrisant
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Date
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Gang Lead
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Location
Health & Safety
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Have You Completed A Risk Assessment (EVERY JOB requires a RA upload pic of completed form)
Pre-Site
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Pre-Start photos (Take photos of immediate surroundings to show existing conditions and to protect yourself from any potential damage claims)
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Mark Up Photos including aspect view at least 5m radius (NOT JUST A CLOSE UP)
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Site Set-up photos from each direction clearly showing Chapter 8 in place
Damage Evidence
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Provide Exposed duct photos including aspect view at least 5m radius (NOT JUST A CLOSE UP)
Duct Repair Evidence
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Clear Photo of where repair meets existing duct / Structure (A repair kit must be used and clearly visible on all joints to existing duct)
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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)
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Photo of completed repair before backfill including aspect view at least 5m radius (NOT JUST A CLOSE UP)
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Photo of job and chambers roped
Reinstatement Status
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Have you back filled the excavation?
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Why Not?
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Provide Photos showing backfill material used and compaction
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Have you reinstated the surface in tar? (Base course and Surface course Required)
- Yes
- No
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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
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Provide Reinstatement photos recording depth of base course including aspect view at least 5m radius (NOT JUST A CLOSE UP)
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Provide Reinstatement photos recording depth of surface course including aspect view at least 5m radius (NOT JUST A CLOSE UP)
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Have you reinstated the surface in verge / unsurfaced material
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Provide photos of fully reinstated surface (All verges must be top soiled and seeded)
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Are there any further reinstatement requirements (e.g Concrete, Slabs, Block Paving, Coloured Surfaces, other)
Job Completion
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Surface Type
- 6mm Tar F/w
- 10mm Tar F/w
- Verge / Unsurfaced
- Concrete F/w
- Concrete C/w
- Block Paving / Flag F/w
- HRA
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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)
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Does Excavation exceed 3m?
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Record Grid Reference at Start Point
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Record Grid Reference at End Point
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Exact Address of Dig (Please be as accurate as possible e.g O/s 13 Clover Way or Opp 2 Fir Tree Ave)
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Comments / Outcome
- Blockage Repaired, Section Cleared & Roped
- Section cabled through open excavation as unable to repair damaged duct. Trial hole claimed.
- Unable to clear blockage.
- Other
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Why Not?
Confirmation
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Is Job Complete, Reinstated & Site Clear
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Provide Site Clear or Left Safe Ready For Reinstatement Photos
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A55 Completed
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Why is an A55 not required (an A55 is necessary for all excavations)
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Gang Lead Signature