Title Page
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Conducted on
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Prepared by
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Location
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On site weather conditions
- FAIR
- RAIN
- HOT
- WINDY
- NIGHT
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Has everyone on site completed prestart?
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Add drawing
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Has everyone on site signed SWMS?
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Add drawing
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Do all workers have correct PPE for the days works?
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Add drawing
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Are all tools and Equipment in safe and clean condition?
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Add drawing
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Has plant prestart been completed?
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Add drawing
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Has traffic management been deployed / started
DAY CIVIL WORKS
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Boring and Trenching across roads, completed as per Vic roads standard section 700 and IFC drawings
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PHOTOS
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Pits installed as per standard Vic roads drawing TC-1230 and IFC drawings
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PHOTOS
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Pit locations (corner or nearest pole number)
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Controller / Butlers foundation installed as per standard Vic road drawing TC-1203
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PHOTO
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2B footings installed as per standard Vic roads drawing TC-1200 and IFC drawings
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PHOTOS
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Foundation Locations (pole number)
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3 meter footings installed as per standard Vic roads drawing TC-1201
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PHOTOS (inc dockets, holes, test reports)
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Foundation Locations (pole number)
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Site clean and free of debris and rubbish
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Why?
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After care installed, all footpaths, roadways and crossovers reinstated and safe
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Why?
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Dressed with top soil
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PHOTO
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final reinstatement
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PHOTO
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Any site defects, or outstanding works
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PHOTO
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description of works required
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I hereby certify that all Civil works have been completed to the appropriate standards / specifications and Drawings
