Information

  • Viscore ID:

  • Address

  • Prepared by:

  • Enter Name

Customer / Job Details

  • Was a half scope or full scope completed?

  • Why?

  • Has the proposed scope been discussed and given verbal customer consent during onsite scoping by requestor(s) and/or ROW landowners?

  • Explain why?

Health, Safety and Environmental Issues

  • Have existing utility corridors been considered using on site observations & plans as part of the scope?

  • Build work in close proximity to HV Electricity or HP gas equipment?

  • Working at heights?

  • Dogs on site?

  • Unprotected edge? e.g. Trench, depression or waterway

  • Enter further notes for HS&E risk elimination or mitigation, e.g chemicals or asbestos, confined spaces, gas detection requirements etc.

Scoping Details

  • How many houses down this ROW

  • Drop off located?

  • Take photo(s) of drop off clearly showing number of tubes & location relative to ROW landmarks.

  • Takes photos as required for possible drop off options, provide frontage & reinstatement measurements to consider new drop off lateral.

  • Step by step description of build. Format Px-Py, activity, distance, infrastructure; e.g. P1-2, T in grass 5m, 3xR Key: MT - microtrench; T - trench; H -haul; LL - lift & lay; R - ruggedized; D - duct; C - concrete

  • Add aerial & photos for design. Blue - existing; Red - build; Purple - future or for provisioning.

  • Will the ROW be serviced via ABF, fixed fibre or aerially?

  • Take photo of servicing FAT or cabinet.

  • Where is the FAT/cabinet located? Distance from FAT or cabinet.

  • Take photo of servicing OFDC or junction box.

  • Capture pole ID and where aerial feed is connected to.

  • Other requirements? I.e TMP, Arborist

  • Additional Notes

Below insert picture or pictures from each point as indicated, please upload as many pictures as needed to cover each point

  • Image of Point 1 to Point 2

  • Image of Point 2 to Point 3

  • Image of Point 3 to Point 4

  • Image of Point 4 to Point 5

  • Image of Point 5 to Point 6

  • Image of Point 6 to Point 7

  • Image of Point 7 to Point 8

  • Image of Point 8 to Point 9

  • Image of Point 9 to Point 10

  • Image of Point 10 to Point 11

  • Image of Point 11 to Point 12

  • Image of Point 12 to Point 13

  • Image of Point 13 to Point 14

  • Image of Point 14 to Point 15

  • Image of Point 15 to Point 16

  • Image of Point 16 to Point 17

  • Image of Point 18 to Point 19

  • Image of Point 19 to Point 20

ROW Scope Templates & Decision Tree

  • Select Main ROW Build Methodology

  • Take photo(s) clearly showing the property is an SDU

  • Additional Comments

  • Take photo(s) clearly showing the property has existing aerial connection

  • Check all aerial infrastructure is available. Is there any aerial network required? Are there any underground connections in this ROW to consider? Is it being fed from across the road? Do we need a RAT or RAT tail?

  • Check movement of existing copper cables. Are the pits clear of debris? Will there be any replacement, blockages or SH&E requirements etc. to consider?

  • Explain why? Have you considered the lowest impacting route? Are the transitions between surfaces possible, can the bending radius be maintained etc.

  • Explain why? Are there any surface mount options available? Why were they not used? Are the transitions between surfaces possible, can the bending radius be maintained etc.

  • Explain why? Are there any surface mount or soft surface options available? Why were they not used? Have you considered the lowest impacting route? Are the transitions between surfaces and changes in direction possible, can the bending radius be maintained etc?

  • Explain why you are not able to utilise any other option? Ensure any pilot, entry/exit holes are considered, planned and identified clearly. Have all other utility lay lines been identified for the proposed route?

  • Explain why you are not able to utilise any other option. Ensure the entire route has been identified clearly. Have all other utility lay lines been identified for the proposed route?

  • Explain why you are not able to utilise any other option. Ensure the entire route has been identified clearly. Have all other utility lay lines been identified for the proposed route?

  • Take photo(s) clearly showing any surface or route expected to mount infrastructure on or build including transition points, e.g. Retaining walls, fences, existing pits, BDDs duct entry & exits etc. Or any other picture as required to support photos already in scoping section.

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.