Title Page
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Route Reference ID
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PIA Lead Engineer
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Build Type
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Node to node section built
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Date
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List of Site Personnel
Chamber Information
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Chamber Data
Chamber
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Chamber Type
- JF2
- JF4
- JF6
- JF10
- JF11
- JF12
- JRC4
- JRC11
- JRC12
- JRC14
- FW Manhole
- CW Manhole
- Lead In Duct
- Other
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Chamber Lid Image
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Chamber Street Name
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Chamber Location
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State the positioning of the chamber
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Confirm the chamber is clear for working
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Uncovered As Built Chamber Image
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Close Up Picture Showing Label
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Picture Of Lead In Duct Gas Sealed/ Fire Stopped
Duct
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Duct Plan Image Capture
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Duct Section Number
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Distance of Duct Section to next chamber
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Have any joints been installed?
- No
- Yes - Cold Shrink
- Yes - Straight Through Manifold
- Yes - 4 Way Manifold
- Yes - 8 Way Manifold
- Yes - Sub-Duct Connector
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State the Cable Type Used
- 8MM 1BFT
- 16mm 4BFT
- 18mm 7BFT
- 25MM 12BFT
- 16MM Sub-Duct
- 18MM Sub-Duct
- 3MM 1 Core CST
- 3MM 2 Core CST
- 10MM 8 Core CST
- 10MM 12 Core CST
- 10MM 24 Core CST
- 10MM 48 Core CST
- 12 Core ULW
- 24 Core ULW
- 48 Core ULW
- 96 Core ULW
Duct
Enabling Works
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Are Enabling Works Required
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If Yes Please State
Sign Off
Build Overview Report
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Confirm Status
- Ready for next stage
- Incomplete
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Annotated Overview
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Total number of joints installed
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- >10
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Total Time Spent at Job
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Is there any external trunking required?
Lead Engineer Sign Off
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I can confirm that all information provided is accurate to the installation works undertaken
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Engineer Signature
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Work Completed Today