Title Page
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Site Name
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Site Number
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Conducted On
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Completed By
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Location
General
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Proposed Works
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Is the site shared (Distribution / Third Party)
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Who is the site landlord
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Is site subject to Offtake Arrangements Documents (OAD) notice
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Provide additional details if known (network / site owner etc)
Site Access & Condition
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Picture of site entrance from road
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Picture of road from site entrance
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Is the site ISS
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What is the lock arrangement of the gate
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What is the lock arrangement for the building
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Is parking available on site and if so, for how many vehicles
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If no parking available, provide additional details about where vehicles can be parked
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Is the site in good condition
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Provide additional details
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Is there any sign of ongoing works
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Provide additional details
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Existing GA drawing – list below any changes on site not shown on the drawing- mark potential new kiosk positions
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Existing Haz area drawing – List below any changes on site not shown on the drawing – check if there is a later revision on site
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Existing flow diagram – use this drawing to determine demarcation – check against site as far as possible, note any changes or comments below
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Add any additional photos of site here (shared buildings, signs of asbestos, any welfare on site
CDM
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Traffic Management Considerations (access and egress)
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Is there space for welfare requirement
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Provide additional details
List site hazards here
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Hazard, mitigation, etc
Building Details
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Building construction
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Provide details about building access (ramp, steps any restrictions etc)
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Building size (L x W x H) in meters (m)
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Door opening size (W x H) in meters (m)
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Is there a current asbestos report
- Yes
- No
- N/A
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Provide additional details / reference number if applicable
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Additional notes
Building works required
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Work item description
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Is the building shared
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Provide additional details
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Add pictures of building exterior (from each side)
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Add pictures of building interior (all walls)
Site Electrical Details
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Supply Characteristics (TNS, TNCS, TT, Other)
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Supply Type (single or three phase)
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PSCC
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Ze
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Is SLD correct
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Provide additional details
List electrical items to be replaced
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Item, rating, cable length, condition, location, etc
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Is there a 1:1 Transformer Installed
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Provide additional details
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Add pictures of all electrical distribution equipment here (including incomer and protection)
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Add pictures of earthing system here
List electrical field items to be replaced
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Item, rating, cable length, condition, location etc
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Is there a permanent generator installed for back up power
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Provide additional details
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Is there a generator socket installed
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Provide additional details
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If any electrical equipment is to be moved, are the existing cables long enough to reach new location? (check cable ducts and pits where applicable)
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Detail equipment where cables are not long enough
Site Telemetry System
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Existing RTU system type
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Is the RTU shared with a third party
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Who is the RTU shared with
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List any shared signals – i.e. NG equipment on DN’s RTU or vice versa
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Existing panel size (W x H x D) in centimetres (cm)
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Is the existing G19 RTU suitable for installation
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Provide details here
Third Party Input
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Input type and details
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PSU system and details
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Space available for new panel (W x H x D) in centimetres (cm)
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Is there separate GRSC or satellite units? If so check NG equipment and list any of the DN’s equipment that is connected
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Pressure transmitters – Check if any barriers are shared with DN’s (this is for multi-channel barriers) Note terminal numbers for isolations
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ROV’s – List terminal numbers, cable numbers for isolations and any other relevant information – if NG drawings exist check against these and red-line if necessary
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Any other equipment – list details
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If any equipment is to be moved, are the existing cables long enough to reach new location? (check cable ducts and pits where applicable)
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Detail equipment where cables are not long enough
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Existing BT line – List details, any numbers etc written on DP equipment etc
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Any other information
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Add pictures here for RTU, BT line / DP Box, UPS System, IS and Non IS barrier systems, locations for new equipment, CP equipment etc
Field Equipment
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Is block cable diagram correct
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Provide additional details
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For all field equipment, ensure to get all existing information and picture evidence
List field instrumentation here
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Item, EX reference number, certification, cable length, condition, location, keep or replace and photos
List site valves here
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Item, EX reference number, certification, cable length, condition, location, keep or replace and photos
Site Works
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Is a new building required
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Size, type, colour, orientation etc
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Are civil works required
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Provide details, location, satellite base, cable ducts etc here and photos if relevant
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Are cable route systems sufficient and have capacity for any new cables required
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Provide additional details
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Are cable routes clear and accessible
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Provide additional details
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Are cable draw pits / road crossings clear and accessible
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Provide additional details
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Check to see if the ducts are full – check at entries to buildings, main runs and if the ducting size reduces
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Check condition of lids
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Are the entries to the control building sealed
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Are there any transit entries to the control building – try to get manufacturers info if possible
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Check size of lids- can these be safely lifted by hand
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If lids are too big for manual lifting, provide pictures and additional information
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Are the ducts suitably segregated? Power from instrument from sample lines
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Provide additional details
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Any other comments