Title Page

  • Report Date

  • Prepared by

  • Location
  • Job Number

  • Client

  • Permit Number

  • Job Address

  • Type Of Work

  • Blockage Number

  • Confirm Site Risk Assessment Complete

  • Screenshot of GIS & Risk Assessment

  • Pre-Work Dig Area

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

  • Was TM, BSS or PBS used?

Work In Progress

  • Open Excavation (Damaged or Missing Duct)

  • Excavation Depth (Shown with measuring tape or Depth Gauge)

  • Excavation Width (Shown with measuring tape or Depth Gauge)

Repair & Reinstatement

  • Duct Repair Or New Duct (Showing Repair kits correctly fitted)

  • Backfill & Compaction

  • Reinstatement of wearing course (with Lines Repainted if Required)

Mapping/GIS

  • GIS or A55 with Completed Works

  • DFE or Compensation Event Required?

  • Closing Dimensions (Length) in Meters

  • Closing Dimensions (Width) in Meters

  • Exact Dig Location

  • Material

  • Permanent or Temporary

Completion & Sign off

  • A End Chamber Showing Rope In Duct

  • B End Chamber Showing Rope in Duct

  • Site Clear (All Materials/Rubbish Removed & Site Washed down)

  • Is the Job Complete?

  • Lead Operative Sign Off

Summary of Photo Evidence

  • Add media

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