Title Page
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Conducted on
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Prepared by
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Location
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EAGLES reference number
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Work Order Number
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Date of site meeting
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Affected Pressures:
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Low pressure
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Medium pressure
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Intermediate pressure
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High pressure
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Contact Details
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Cadent Engineer:
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Engineer name
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Job title
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Telephone number
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Email
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Cadent signature
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Third Party Operator
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Name
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Job title
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Telephone number
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Email
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Third party signature
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Site Address
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Grid reference:
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Eastings
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Northings
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Risk Management
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SSW22 issued for IP/HP?
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Plans issued / available on site?
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Actions Taken (Description of works; comments; additional documents provided; RAMs; agreed methods of working, etc):
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Sketch of site if necessary
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Photos of site if necessary
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Dates for further contact (agreed or provisional) - appropriate records required for each
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Reference 1
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Time and date
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Purpose
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Reference 2
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Time and date
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Purpose
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Reference 3
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Time and date
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Purpose
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Time and date of today's site visit
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Date
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Start time
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Finish time
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Work status
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This form shall be emailed to the site visit .box, the third party and the appropriate supervisor, as well as retaining a copy locally.
Self service for plant enquiries: www.cadentgas.com/digging-safely
Plant protection team: plantprotection@cadentgas.com or 0800 688 588
If you smell gas or suspect any damage to our pipes, call the Gas Emergency number: 0800 111 999
