INSPECT-ITC-002_Conduit Installation Checklist

• Job Name:

• Job Number:

• LOT Checklist Number

• Site Location
  Address

• Conducted on

  Date

• Prepared by

• LOT Checklist - CONDUIT INSTALLATION

SAFETY

• Risk assessment completed

  Yes

  No

• Has a permit to excavate been issued?

  Yes

  No

• Photo of plans showing location

  Media

• Lot Number

• Type of Installation

  Select HV LV COMMS

  • HV
  • LV
  • COMMS

• Does the conduit size & type comply with drawings

  Yes

  No

  N/A

• Have all services been located and pot holed as required before excavation commences?

  Yes

  No

  N/A

• Has the conduit route been agreed with DPC

  Yes

  No

• Has bedding material been placed minimum 50mm below conduit?

  Yes

  No

• Depth from Top of Conduit (minimum 600mm cover from top of conduit)

• Has a minimum 50mm space been maintained between conduit and wall?

  Yes

  No

• Have all conduit joints been glued?

  Yes

  No

  N/A

• HOLD POINT - Prior to backfilling of trenches, inform client representatives<br>

  Yes

  No

• Has bedding material been placed minimum 50mm above top of conduit?

  Yes

  No

• HOLD POINT - Have any bends been used along the conduit run?

  Yes

  No

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Stabilized sand to be used as backfill (Road Crossing Only)

  Yes

  No

  N/A

• Clean backfill used

  Yes

  No

  N/A

• Warning Tape installed

  Media

• Has the trench been compacted in layers

  Yes

  No

  N/A
Conduit Run#

• Number of Conduits with Description

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

  Media

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

• If areas completed hand back permit and all docs.

  Yes

  No

  N/A

• Is there any issues ?