Title Page

  • Job Name:

  • Job Number:

  • LOT Checklist Number

  • Site Location
  • Conducted on

  • Prepared by

  • LOT Checklist - PIT INSTALLATION

SAFETY

  • Risk assessment done

  • Has a permit to excavate been issued?

  • Photo of plans showing ITC location

  • Pit Number

  • Pit Installation type?

  • Pit Size

  • Has the Pit location been agreed with DPC

  • Has a layer of Concrete poured as base to house the Pit

  • Is there a drain installed

  • Have you installed 50mm of bedding material below pit?

  • Bellmouths have these been installed?

  • Check pit for level and finished height

  • HOLD POINT - Prior to backfilling of pits, inform DPC<br>

  • Has any Riser been used, if yes provide details

  • Have exposed ends been plugged to prevent ingress of dirt & moisture?

  • Have all precautions been taken to prevent any damage to conduits during backfilling?

  • Has the Pit been covered using a Class B/D Lid?

PIT #

  • Attach photos of the pit installation. (E.G. Setout, Excavation, Bottom of pit, pit, Backfill/completion)

  • Has the site been left clean and safe? Barricading installed where required?

  • If areas completed hand back permit and all docs.

  • Is there any issues ?

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