Work Completion Report
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Fiber ID
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CIV Number
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SITE ID/CM ID
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A55 ID
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PIANOI NUMBER(BLOCKAGES)
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DUCT section ref number
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Conducted on
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Prepared by
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Location
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Tick to confirm you have completed RISK assessment
WORKS
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TYPE OF WORKS (select 1from below)
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CONFIRM CO-ORDINATES
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FULL SITE SET UP (BARRIERS, SIGNS, ETC)
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PERMIT BOARD (INCLUDING REF)
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DIG SITE AREA PRIOR TO EXCAVATION SHOWING IDENTIFIED SERVICES AND ANY EXSISITING DEFECTS
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LOCATION OF BURIED SERVICES
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OPEN EXCAVATION (BEFORE DUCT LAID)
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COMMENTS (if nay)
REPAIR & REINSTATEMENT
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IMAGES OF NEW DUCTING INSTALLED (MULTIPLE)
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PICTURE OF COLOURED DEPTH GAUGE
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IMAGES OF CORE DRILLING
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PICTURE SHOWING FIBRE WARNING TAPE IN TRENCH
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PICTURE OF SAND BLIND COVERING DUCT
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PICTURE OF FRESH TYPE 1 IN TRENCH
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DETAILED PICTURE OF FULLY REINSTATED
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CLOSING DIMENSIONS (CONFIRMED MEASUREMENTS)
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SITE SHUT DOWN (ALL TOOLS AND RUBBISH REMOVED)
DUCT CHECKLIST
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IS DUCT >150MM ABOVE CHAMBER FLOOR?
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IS DUCT >75MM FROM ADJACENT WALL?
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IS DUCT >50MM FROM OTHER DUCTS
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DUCTING CUT FLUSH TO BRICKWORK
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DRAW ROPE INSTALLED
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A END CHAMBER SHOWING DUCT IN USE
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B END CHAMBER SHOWING DUCT IN USE
JOB STATUS
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Job completed
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Lead Engineer Sign Off