Title Page
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Appendix "A"
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Workgroup
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Site Location
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Site Name
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Site Number
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Conducted on
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Prepared by
Report Items
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Plan No.:
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Job No.:
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Contractor:
Switch on Items
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Lanterns Aimed
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Old Hardware Removed
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Old Meter Box Removed
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Traffic signs
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Parking Signs
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Police Control
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Flashing Yellow
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All Globes Working
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Controller Operation
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Controller Operation Sheet
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Controller Fault Card
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Controller Locks
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Controller Stickers
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Vehicle Detection
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Pedestrian Detection
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Advanced Tram Detection
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Telstra Line
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Railway Link
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Line Marking, RPM, RRPM
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Pavement Reinstatement
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Site Clean & Tidy
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Pram Crossings
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Tree Trimming
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Public Lighting
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Pedestrian Fences
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Red Light Camera
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Council, Region Attendance
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Accident Free Site
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Audios Fitted/Type N C V
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Type
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Notes
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Remodel
Power Consumption
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Volts
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min A
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max A
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Site Photos
Sign Off
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DoT Officer
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Date & Time