• Workorder No.

  • Repair type?

  • Conducted on

  • Locations completed by?

  • Address
  • Work details


  • Time dispatched?

  • Time arrived?

  • Time finished?

Located service details

  • One Call centre - 1100 contacted for plans?

  • Other authorities contacted for plans?

  • Who was contacted?

  • Telstra located with sub-site unit?

  • Is Telstra asset close to excavation?

  • ETSA located with sub site unit?

  • Is ETSA asset close to excavation?

  • Gas located with sub-unit?

  • Is Gas asset close to excavation?

  • Water asset located with sub-unit?

  • Is water asset close to excavation?

  • Sewer located with sub-unit?

  • Is sewer asset close to excavation?

  • Trans SA located with sub-unit?

  • Trans SA asset close to excavation?

  • Public lighting located with sub-unit?

  • Lighting asset close to excavation?

  • Other locate details? Specify below

  • Have plans been attached?

  • Has the operations centre been notified to pass on any hazards workers may come across at this job?

  • What details have been passed on?

  • Photo

  • Add drawing

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.