Title Page
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Feature ID
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Exchange
- Hengoed
- Neath
- Morriston
- Swansea
- Llanelli
- Bridgend
- Aberdare
- Tonypandy
- Llantrisant
- Barry
- Newport
- Cardiff
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Date
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Gang Lead
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Location
Health & Safety
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Have You Completed A Risk Assessment (Ensure Safe Digs are in date & Cover Excavation Area) Upload pic of completed form.
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Why haven't you completed a RA. STOP work! EVERY job requires you to complete a suitable risk assessment
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Speed of road
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Is this a HOT JOB? (Is there medium or high pressure pipeline in the vicinity)
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Has authorisation been given to dig from management? If the answer is "No", Stop work immediately and contact your supervisor.
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Confirm the name of person authorising excavation?
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STOP WORK AND CONTACT YOUR SUPERVISOR
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Provide Photo evidence of calibrated CAT & GENNY (with cable clamp) and GDU available on site
Pre-Site
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Provide a minimum of 4 Pre-Start photos, at least one from all directions of excavation area (Take photos of immediate surroundings to show existing conditions and to protect yourself from any potential damage claims)
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Provide photos of existing services clearly marked up. You MUST include a perspective view photo of at least 5m radius otherwise it will fail validation (DO NOT JUST TAKE A CLOSE UP PIC)
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Provide Site Set-up photos at least one from each direction clearly showing the CORRECT Chapter 8 in place. Ensure your site is secure and fully barriered off to prevent public access.
New Duct Evidence
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Provide multiple photos showing excavated trench (at least 1 photo per 6m) including clear indication of depth
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Provide photos of core drills showing trimmed and sealed duct (Ensure correct specification & placement has been applied. (You must use cement for brick & concrete chambers or sealant in modular boxes). If in close proximity to adjacent wall take a picture of tape measure showing correct spacing has been achieved.
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Provide multiple photos of newly installed duct (at least 1 photo per 6m along new duct)
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Provide photos both chambers / poles roped (ALL Sections MUST be roped to be considered complete)
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Provide photos of backfill and material used at least 1 photo per 6m You MUST include a perspective view photo of at least 5m radius otherwise it will fail validation (DO NOT JUST TAKE A CLOSE UP PIC)
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Reinstatement photos including compacted backfill. You MUST include a perspective view photo of at least 5m radius otherwise it will fail validation (DO NOT JUST TAKE A CLOSE UP PIC)
Job Completion
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Provide Dig dimensions: length x Width & Breakdown measures by surface/Type (e.g FW = 3.4m x 0.4m, CW = 8.2m x 0.3m) or (Chamber = 1.9m x 1.3m - F/w, Duct = 1.7m x 0.4m - F/w). Be accurate to avoid an FPN from the Council for recording wrong details.
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Grid Reference (start) (use location services)
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Grid Reference (end) (use location services)
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Exact Address of Dig (i.e From O/s 20 to O/s 32 Cherry Grove)
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Comments / Outcome
Confirmation
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Is the Job Complete and reinstated
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Provide site clear photos clearly showing a clean site without any chapter 8 left on site (Unless there is TM in place)
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Gang Lead Signature