Information
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Document No.
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WORD ORDER NO.
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TIME AND DATE RECEIVED CALL
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OFFICERS NAME
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ASSISTED BY
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START TIME
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FINISH TIME
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REASON FOR THE CALL
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Location
HOW WERE YOU NOTIFIED?
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CALL FROM AFTER HOURS CALL CENTRE
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CALL FROM CW MANAGEMENT
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SCADA ALARM
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OTHER - PLEASE COMPLETE BELOW
WHAT CAUSED THE FAILURE
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H/D BLOCKAGE
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EFFLUANT BACKED UP UN CATCHMENT SEWERS
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PUBLIC TOILET
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OWNERS SIDE
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COUNCIL SIDE
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SEWERAGE SPILL (BROKE MAIN)
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SEWER MAIN BLOCKAGE
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ODOUR COMLPAINT
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PUMP STATION ALARM
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REWORK
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SEWERAGE SPILL (OVERFLOW POINT/PUMP STATION)
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SEWERAGE SPILL (CUSTOMER PROPERTY)
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OTHER - PLEASE COMPLETE BELOW
SECTIONS2
WHAT CAUSED THE FAILURE
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TREE ROOTS
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POOR INSTALLATION
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PIPE JOINT
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PIPE CONDITION
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BROKEN JUMP UP
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NOT IDENTIFIED
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OTHER - PLEASE COMPLETE BELOW
EFFECT ON THE SYSTEM
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WIDE AREA EFFECT (E.G NUMEROUS HOUSES
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SEWER SURCHARGE
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MINOR INTERRUPTION TO PROCESS
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NO EEFECT ON SYSTEMS
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LOCALISED EFFECT (E.G ONE HOUSE)
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EFFLUENT BACKED UP IN CATCHMENT SEWERS
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MAJOR INTERRUPTION TO PROCESS
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LOSS OF ELECTRICITY SUPPLY
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OTHER - PLEASE COMPLETE BELOW
ACTIONS TAKEN
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BLOCKAGE CLEARED
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ODOUR INVESTIGATED
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SEWER LINE REPAIRED
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JUMP UP REPAIRED
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ELECTRIC POWER RESTORED
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CLEANED - CHECKED ALL OK
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EQUIPMENT RESET - CHECKED ALL OK
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CHECKED ALL OK
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EQUIPMENT FAILURE REPAIRED
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NO PROBLEM FOUND
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INSPECTED - FOLLOW UP REQUIRED
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TEMPORARY REPAIRS - FOLLOW UP REQUIRED
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OTHER - PLEASE COMPLETE BELOW
ANY FURTHER WORK REQUIRED?
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TRADE STAFF TO INVESTIGATE
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SEWER LINE TO BE REPAIRED
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NO FURTHER ACTION IS REQUIRED
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TECHNICAL STAFF TO INVESTIGATE
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EQUIPMENT TO BE REPAIRED
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SEWER LINE TO BE CCTV SURVEYED
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NUMBER OF PROPERTIES AFFECTED
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CAMERA
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GANGER SIGNATURE
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SUPERVISORS SIGNATURE
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