Irtiza Mumtaz

NGA ROW Field Visits

Form to be completed on every NGA job and emailed to the ROW Mailbox

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Print as PDF

Use this Template

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Information

Viscore ID:
Address
Prepared by

ROW Scope Check List & Decision Tree

Connection Type
How many houses down this ROW
MDU/ROW Class 1
MDU/ROW Class 2
MDU/ROW Class 3

Scoping Details

Was the design followed?
Identify what was the change and why the plan was not followed
Any other observations/comments
Add photos for design. Blue - existing; Red - build; Purple - future or for provisioning.
Additional Notes

Irtiza Mumtaz

NGA ROW Field Visits

Form to be completed on every NGA job and emailed to the ROW Mailbox

Use this Template

Print as PDF

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.