ENWL - Customer Liaison Visit Form

• Conducted on

  Date
• Location
  Address

• Project Number

• Customer Power on Date

  Date

• Customer Contact Details (Preference)

  Telephone

  Mobile

  Email

• Temp Check

  Low

  Medium

  High

• Vulnerable Customer

  Yes

  No

• Job Type

  Select LVSA LVSB Ser Alt Duel

  • LVSA
  • LVSB
  • Ser Alt
  • Duel

• Date & Time of Visit

  Date

• Construction Coordinators Name

  Anthony

  Alan

  Jimmy

  Owen

• TM Type & Requirements

  Select Road Closure Bus stop Suspension 2 way signals Multi way Signals Cycle way Parking Bay Other N/A

  • Road Closure
  • Bus stop Suspension
  • 2 way signals
  • Multi way Signals
  • Cycle way
  • Parking Bay
  • Other
  • N/A

• TM Other

• Customer Requires Call Back

  Yes - AM

  No

  Yes - PM

• Date Customer Requires Call Back

  Date

• Comments

• Next Steps

• Site Ready

  Yes

  No

• Expected Site Ready Date

  Date

• MPAN Available

  Yes

  No

• Customer Aware of Next Steps

  Yes

  No

• TTRO / Traffic Management Identified

• *Expected Traffic Management in Place

  Date

• Construction Coordinator Signature

  Sign

• Date of Signature

  Date

• Photos

  Media

Checklist

• OSVC

  Yes

  No

• Hockey Stick

  Yes

  No

• Duct

  Yes

  No

• Sand

  Yes

  No

• Tape

  Yes

  No