Information

  • BRQ number:

  • Time and date of the Validation

  • Prepared by (your name)

  • Company Name

  • What is the End Users Address ?

Scope and Photos

On-Site

  • Multiport, SMP, TAP, DPU, Joint, located

  • Developers LIC present

  • Can we install a PCD to the Premises with a clear build Path

  • Can we construct As Per Plan

  • Site Photos

  • Is a CRQ Required

  • Is there a builders/Developers Plan

Aerial Works

  • Is Aerial Works Permit Required

  • Is an EWP Required due to Tap distance from pole

Civils

  • Is LAAN Required

  • Are Major Civils Required

  • Is ACM Identified

  • Is Pit de-watering required

  • Is there 50m or more new build and/ or 4 new pits or pit upgrades required

  • Is a Dig Permit Required

Zero Harm

  • EPR ZONE

  • High Voltage

  • Gas

  • Other Hazards

  • TC Required

  • Onsite Parking

Description of Works

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.