Information
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Document No.
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Job Site
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Conducted on
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Prepared by
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MANHOLE NUMBER
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Start
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End
Crew Names
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Who is on the crew?
Jobsite Weather Conditions
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Weather Conditions
- windy
- clear
- partly cloudy
- cloudy
- ice
- fog
- muddy
- rain
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Lost Time?
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Description of weather delay (why and how long)
Task Information
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Task
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Task:
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Who worked on this task?
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Time start?
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Work Performed:
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Pictures
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Any Problems Encountered while performing this task?
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Description of Problem
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Picture(s) of Problem
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Number of guys:
TECHNOLOGY / EQUIPMENT
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High Pressure Water Jetting
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Push Rod Camera
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Crawler
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UV Machine
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Mechanical Cleaning Machine
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Doktor Pipe Repair
Safety
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Any Incidents to report>
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Describe the incident
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How could it have been avoided?
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Photographs
Comment and Verified
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overall performance
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Astal Engineering Sdn Bhd
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PKM Enterprise
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JKR- Bahagian Saliran Cawangan Kuala Belait