Networks Pre-Planning Prompt - Planner Version

• Work Order - Address.

• Conducted on

  Date

• Completed by

• Location
  Address

• Work to be done description

Repair details

• Urgency of repair

  High - Urgent, immediate response

  Medium - response within next 2 days

  Low - respond within next 2 to 7 days

  Very Low - respond within 7 to 14 days

• Work to be completed description

• Enter Suggested Repair Time Identify preferred repair time based on site assessment and conditions Eg: Any time from Monday to Friday (9am - 3:30pm) Saturday or Sunday morning (5am - 9pm)

Have Asset Locations Been Completed?

• Locations complete

  Yes

  No

  Incomplete

Planning details

• Shutoff required?

  Yes

  No

• School in shutoff block?

• Business in shutoff block?

• Hospital in shutoff block?

• Residential in shutoff block?

• Number of valves in shutoff?

• Additional resources required for shutoff?

• Notification cards required?

  Yes

  No

• Number of cards required?

• Traffic control required?

  Yes

  No

• Traffic control special details

• Can the work be performed by:

  2 X 1 manners

  2 man crew with excavator/access for trailer

  3 man crew with excavator/access for trailer

  3 man team with backhoe

• Work details for 2 X 1 manners

  Select Hand dig Moss rocks need to be moved Riser(s) in concrete/under fence Hand dig under retaining wall

  • Hand dig
  • Moss rocks need to be moved
  • Riser(s) in concrete/under fence
  • Hand dig under retaining wall

• Add photo

  Media

Asset Location Details.

• Do you want to record locations details now?

  Yes

  No

• Time arrived?

  Date

• Time finished?

  Date

• One Call centre - 1100 contacted for plans?

  Yes

  No

• Other authorities contacted for plans?

  Yes

  No

• Identify other authorities contacted for plans

• Telstra located with sub-site unit?

  Yes

  No

• Is Telstra asset close to excavation?

  Yes

  No

• SA Power Networks located with sub-site unit?

  Yes

  No

• Is SA Power Networks asset close to excavation?

  Yes

  No

• Gas located with sub-site unit?

  Yes

  No

• Is Gas asset close to excavation?

  Yes

  No

• SA Water asset located with sub-site unit?

  Yes

  No

• Is other Water/Wastewater asset close to excavation?

  Yes

  No

• Trans SA located with sub-site unit?

  Yes

  No

• Trans SA asset close to excavation?

  Yes

  No

• Public lighting located with sub-site unit?

  Yes

  No

• Is public lighting asset close to excavation?

  Yes

  No

• Fibre optic cables located with sub-site unit?

  Yes

  No

• Fibre optic cables close to excavation?

  Yes

  No

• Have plans been attached/sent?

  Yes

  No

• Other locate details? Specify below:

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

  Yes

  No

• What details were given to operations centre to pass on?

Work, Fittings and Road Reinstatement Details.

• Will Bitumen Road Reinstatement be required

  Yes

  No

• Bitumen Reinstatement length (M)

• Bitumen Reinstatement Width (M)

• Bitumen Reinstatement Depth (mm)

• Fittings required for repair?

• Welder required to perform on-site work?

  Yes

  No

• Special requirements or instructions? Eg: shoring, hydro excavation, cold/hot mix, 2nd tipper, Dual axle Tipper

• Add photo

  Media

• Draw a sketch here

  Drawing