Title Page
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Work Type
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Feature ID
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Exchange
- Aberdare
- Barry
- Bridgend
- Cardiff
- Hengoed
- Llanelli
- Llantrisant
- Morriston
- Neath
- Newport
- Swansea
- Tonypandy
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Date
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Gang Lead
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Location
Health & Safety
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Have You Completed A Risk Assessment (EVERY JOB requires a Risk Assessment. Upload a photo of a completed form)
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STOP WORK UNTIL A RISK ASSESSMENT HAS BEEN COMPLETED
Pre-Site
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Provide a minimum of 4 Pre-Start photos (Take photos of immediate surroundings to show existing conditions and/or damage to protect yourself from any potential damage claims)
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Site Set-up photos from each direction clearly showing a safe & secure site with all necessary Chapter 8 in place
In Progress
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It's essential the correct evidence is provided. You need to provide timestamped photos of equipment used and in-situ, including hoses in chamber and / or duct bore.
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Provide in progress photos showing correct PPE and where applicable any additional safety measures being adopted.
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Are you carrying out an EXCAVATION?
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Provide photos of neat cut backs achieving proximity specifications, including aspect view photo at least 5m radius (NOT JUST A CLOSE UP)
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Provide photos of in progress work. Including aspect view photo at least 5m radius (NOT JUST A CLOSE UP)
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Provide photos of completed excavation and exposed services / existing network where applicable, clearly showing depth (Use tape measure) Including aspect view photo at least 5m radius (NOT JUST A CLOSE UP)
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Dig dimensions: length x Width - Breakdown measures by surface/Type (Example: FW = 3.4m x 0.4m, CW = 8.2m x 0.3m) or (Chamber = 1.9m x 1.3m - F/w, Duct = 1.7m x 0.4m - F/w)
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Does the excavation exceed 3m?
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Record Grid Reference at Start Point
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Record Grid Reference at End Point
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Provide photos of existing chamber and / or duct bore before carrying out jetting activities. Including aspect view photo at least 5m radius (NOT JUST A CLOSE UP)
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Provide photos of in progress & completed work (during & after pictures needed). Including aspect view photo at least 5m radius (NOT JUST A CLOSE UP)
Job Completion
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Was the activity successful? (was the duct section cleared, chamber fully emptied, excavation sufficient)
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Please provide full details of the issue preventing completion
- Blockage Located
- Congested Duct
- Equipment failure
- Parked Cars
- TM required
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Provide photos of site left safe & secure, ready for build team to follow on.
Confirmation
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Gang Lead Signature
