Civils - Dig Report

• Report Date

  Date

• Prepared by

• Location
  Address

• Job Number

• Client

• Permit Number

• Job Address

• Type of Work

  Blockage

  Trackwork

  Desilt

  Other

• Blockage Number

• Confirm Site Risk Assessment Completed

  Yes

  No

  N/A

• Screenshot of GIS & Risk Assessment

  Media

• Pre-work Dig Area

  Media

• Full Site Set up (SLG, Permits etc.)

  Media

• Was TM, BSS or PBS used?

  Yes

  No

  N/A

Work in Progress

• Open Excavation (Damaged or Missing Duct)

  Media

• Excavation Depth (Shown with measuring tape)

  Media

• Excavation Width (Shown with measuring tape)

  Media

Repair & Reinstatement

• Duct Repair Or New Duct Laid

  Media

• Backfill

  Media

• Reinstatement of wearing course

  Media

GIS

• GIS or A55 with Completed Works

  Media

• Was a DFE required?

  Yes

  No

  N/A

• Closing Dimensions (Length) in Meters

• Closing Dimensions (Width) in Meters

• Outside Location

• Material

• Permanent or Temporary?

  Permanent

  Temporary

• Reason for temporary repair?

Sign Off

• A End chamber showing rope in the duct

  Yes

  No

  N/A

• B End chamber showing roper in the duct

  Yes

  No

  N/A

• Site shut down (all tools and rubbish removed)

  Yes

  No

  N/A

• Is the Job Complete?

  Yes

  No

  N/A

• Why is the job not completed?

• Lead Operative Sign Off

  Sign