Information
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Document No.
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Audit Title
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Customer Name
Survey.
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Work order number.
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Full Address Details
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Customer Contact Details
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General Comment box
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Work order type
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Have you gained access?
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Date and Time of Survey.
Fit Type.
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Proposed First Option of Fit
- Internal
- External Public
- External Private
- Exchange
- Read & Verify
- Melco
- Screwin
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Proposed Second Option of Fit
- Internal
- External Public
- External Private
- Exchange
- Read & Verify
- Melco
- Screwin
O/S/V Details.
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Public/Private
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Photo consent form
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O/S/V Depth?
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O/S/V Location
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Photo of O/S/V location
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Street view photo
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Surface Material Type
- DBM
- HRA
- Concrete
- Red slabs
- Grey slabs
- Buff slabs
- Unmade
- Verge
- Turf
- Topsoil
- Block paving
- Crazy Paving
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Traffic Management comments
Customer & Surveyor Name and Signature
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Customer Signature & Name. To confirm Surveyor visit
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Surveyor Signature & Name
