Information
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Client/ Builder
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Conducted on
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completed by?
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Address
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Detailed work details
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Location on site? grid reference
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Photo of area
Times
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Time Started on Site?
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Time finished on site?
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DBYD plans available? ( are they supplied by client/Holland bros?)
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Other authorities contacted for plans?
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Who was contacted?
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What services were found on site?
- Water
- Gas
- Telstra
- Optus
- Uecomm
- Jemena
- Sewer
- Drainage
- Public Lighting
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Water marked up on site with depths? photos?
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Depth
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Photo
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Gas marked up on site with depths? photos?
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Depth
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Photo
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Telstra marked up on site with depths? photos?
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Depth
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Photo
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Optus marked up on site with depths? photos?
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Depth
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Photo
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Uecomm marked up on site with depths? photos?
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Depth
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Photo
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Jemena marked up on site with depths? photos?
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Depth
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Photo
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Sewer marked up on site with depths? photos?
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Depth
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Photo
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Drainage marked up on site with depths? photos?
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depth
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Photo
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Public lighting marked up on site with depths? photos?
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depth
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Photo
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Was there any other services found? Specify below
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Is Non Destructive Digging (NDD) Required?
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Have plans been attached?
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Has the Engineer/Site Supervisor been notified to pass on any hazards workers may come across at this job? (Who was the person)
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Who was the Engineer/Site Supervisor?
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Holland Bros Plumbing does not take any responsibility for services that may damaged on site due to not being located, marked up on site.
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Photo
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