Information
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Doc Number:
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Team Number :
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Client / Site
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Conducted on
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Prepared by
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Location
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Team Members:
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Job number
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Please enter date and time
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Operatives on site
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Do all operative carry identification cards?
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Is there a NRSWA ticket holder on site?
Whereabouts
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Is the gang on site during Inspection
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Location including grid refs
Chapter 8 NRSWA
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Is site set up to current code of practice?
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Please add picture of site from both ends
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Are there sufficient signs barriers walk boards and ramps cones and info boards on site?
Equipment
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Is CAT and GENNY on site working and calibrated?
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Is GDU on site working and calibrated?
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Take picture of CAT GENNY and GDU
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Is there a water test kit on site?
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Is there a fire extinguisher on site?
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Is eye wash available
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Is first aid kit available and adequately stocked?
Job pack
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Is job pack complete with gas water and electric prints for the area of work?
- gas
- water
- electric
- catv
- fibre tubes
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Is point of work risk assessment completed?
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Pic of POWRA
Vehicle
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Registration number
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If vehicle is parked are keys out of the ignition and not left in vehicle
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Is vehicle clean and dashboard clear?
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Take picture of vehicle from outside showing dashboard
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Driver, by signing below you are aware of your responsibility to keep your assigned vehicle in a roadworthy condition, report any defects or damages, dashboard and winsdcreen should be clear of obstruction, load must be secured for all journeys.
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Driver please add signature.
Work in Progress
Duct and Fibre
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Duct
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Is correct duct being installed?
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Is duct at correct depth?
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If not why not
- gas
- water
- electric
- catv
- other service I.e drain
- non conformance
- customers request
- other reason
- N/A
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Is duct roped?
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Has box / chamber been entered in the correct entry point?
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Duct entry information
- jb23
- jb26
- core drill method
- end wall
- side wall
- n/a
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Other information
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Please take picture of duct entry
Frame and Covers
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Frame and covers
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Have Lockable frame and covers been fitted?
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Have Security plates been fitted?
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If applicable please take picture of security locks in place
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Is all debris and mortar removed from box and cables?
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Please take a picture of the box from directly above
Cabinets
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Has correct cabinet been fitted?
- 7/7
- 7/5
- 6/6
- 6/5
- 5/4
- N/A
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Has resin been applied to correct thickness?
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Has resin set and is it free of debris?
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Please take picture of inside of cabinet showing resin and new ducts
Reinstatement
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Is reinstatement complete?
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Has correct material been used for reinstatement?
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Has edge sealant been used on Tarmac?
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Is customer happy with reinstatement on private property?
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I/we the property owners/tenants/representatives agree that all work is complete to a satisfactory condition
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Customer Signature
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Take picture of completed works.
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Take pictures of any snagging or remedial works
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Supervisor/ Agent Signature