Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Is the worksite safe to carry out the task.
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Is there any existing conditions that need to be noted before commencing work ie damage to property? If yes please capture photograph.
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Pole Address
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Pole Pick ID
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Job type.
- Upgrade
- Remove only.
- Install only.
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Before photo of job.
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After job completion photo.
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Any relevant photos for this worksite must be added here.
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Was any civil works carried out?
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If so please enter what was done including measurements.
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Was any Electrical works carried out ?
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If so please enter details stating number of joints etc if applicable.
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Team leader sign off after job completion.