Information

Basic Order Information

  • Contract

  • Please select Type of Works Been carried Out

  • Company Name

  • NBU / PN - Number

  • Blockage - Hashtag Number

  • PIANOI - REF - NUMBER

  • Date Job started 0n:

  • Person Carrying out repair

  • Street Name
  • Build Area

  • Please put House Number or Land Mark location for PIA - Blockage

  • Please take a photo showing location more than one can be taken

  • Please take Photo of Blockage Report Overview - A55

WORK IN PROGRESS- REPAIR & REINSTATEMENT

  • All categories of work must show; site set up, measurements of excavation, works completed, and reinstatement layers.

    • In the section below provide clear, good quality photos of the repair complete in the hole. The photos should clearly show the correct use of split duct and collars with appropriate cable ties etc.
    Guidance of what we need to see in this section is outlined below, however, please refer to Openreach Engineering Principle Documents (available via the Open reach Portal)
    • Blockages – Pictures of surrounding areas (any new reinstated patches), possible duct camera picture and/or video of rodding blockage in action.
    • Dig & fix – excavated where engineers marked – if joint is located – left open long enough for Openreach to fix fault?
    • If no joint located – provide pictures of location and possible video of CAT & Genny showing no phone line services in excavated patch.
    • Tee off ducts – pictures must show duct repair kit clearly, showing tight seal.
    • Box installations – if unable to complete due to invasive services, photograph and measure depth of all services in vicinity.
    • If able to complete, ducts 10mm/ flush, sealed and drilled into correct slots on modular’s, concrete base (or reason why not), all bearers, steps included and photographed.
    • Duct laying – show measurements of depths are various stages of length, to fit 250mm cover in footway.
    • Cabinets – re-shells & stand offs – have entire set of specifications to follow. Did we send out to Contractors?
    • Included in a Summary section in which any further information that you think we need to know can be included.
    Note: If you cannot complete the job, pictures must show obstructions, measurements, or clearly show why can’t be completed

PIA - Details

Type of Blockage

  • Please Select type of Blockage

Location Photos of Blockage with Spay Mark

  • Please supply Photos

  • Surface Type

  • Dig Dimensions

Blockage / Damage Duct Photos Prior to Repairs

  • Please supply Photos

Repair of Blockage / Duct (photos & dates)

  • Please supply Photos

Backfill Photo showing Sand over repair

  • Please supply Photos

Backfill Photo of Stoned up Excavation

  • Please supply Photos

Reinstatement Photo of Excavation

  • Please select One of the Following

  • Take photos of Site left Safe & Secure asper the Red Book and Permit Board on Display

Completion Info

  • Site Shut Down Photos Only to be taken If Permanent Reinstatement as been completed (photos including all tools & rubbish removed)

Job Status

  • PIA Blockage Repair Completed

  • Additional Comments

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.