Work Completion Report

  • Fiber ID

  • CIV Number

  • SITE ID/CM ID

  • A55 ID

  • PIANOI NUMBER(BLOCKAGES)

  • DUCT section ref number

  • Conducted on

  • Prepared by

  • Location
  • Tick to confirm you have completed RISK assessment

WORKS

  • TYPE OF WORKS (select 1from below)

  • CONFIRM CO-ORDINATES

  • FULL SITE SET UP (BARRIERS, SIGNS, ETC)

  • PERMIT BOARD (INCLUDING REF)

  • DIG SITE AREA PRIOR TO EXCAVATION SHOWING IDENTIFIED SERVICES AND ANY EXSISITING DEFECTS

  • LOCATION OF BURIED SERVICES

  • OPEN EXCAVATION (BEFORE DUCT LAID)

  • COMMENTS (if nay)

REPAIR & REINSTATEMENT

  • IMAGES OF NEW DUCTING INSTALLED (MULTIPLE)

  • PICTURE OF COLOURED DEPTH GAUGE

  • IMAGES OF CORE DRILLING

  • PICTURE SHOWING FIBRE WARNING TAPE IN TRENCH

  • PICTURE OF SAND BLIND COVERING DUCT

  • PICTURE OF FRESH TYPE 1 IN TRENCH

  • DETAILED PICTURE OF FULLY REINSTATED

  • CLOSING DIMENSIONS (CONFIRMED MEASUREMENTS)

  • SITE SHUT DOWN (ALL TOOLS AND RUBBISH REMOVED)

DUCT CHECKLIST

  • IS DUCT >150MM ABOVE CHAMBER FLOOR?

  • IS DUCT >75MM FROM ADJACENT WALL?

  • IS DUCT >50MM FROM OTHER DUCTS

  • DUCTING CUT FLUSH TO BRICKWORK

  • DRAW ROPE INSTALLED

  • A END CHAMBER SHOWING DUCT IN USE

  • B END CHAMBER SHOWING DUCT IN USE

JOB STATUS

  • Job completed

  • Lead Engineer Sign Off

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.