Title Page
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Site conducted
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Location
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AB Civils Site Manager
Section A - Project Details (AB Civils Project Manager or Site Manager to complete)
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Contractor:
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Time and Date Opened:
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Supervisor in charge of works
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Operatives involved
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Description or works / Equipment being Used:
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Ensure CAT and Genny Operator has a certificate for the use of the equipment dated within the last three years. Ideally, CAT4+ should be used for the task.
Section B: Precautions to be taken (Supervisor of works to complete)
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Contract drawings and details issued by the client or otherwise obtained.
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Drawings show the location, type and status of underground services.
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Live services made dead as far as possible or necessary.
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Work area surveyed by a competent person, using appropriate detection equipment to confirm the exact location of underground services.
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Location of services marked on the ground (Take Photo to evidence)
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Valid method statement and risk assessment in place.
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RAMS explained to the operatives carrying out the work.
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Person in charge of the excavation is fully conversant with the principles of safe digging and/or avoidance of underground services.
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All operatives familiar with safe excavation practices.
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If plant is being used, the operator is competent and familiar with safe excavation practices.
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State type, serial number, and calibration test date of cable avoidance equipment used.
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Confirmation by contractor’s supervisor: I confirm that the precautions specified above will be complied with and I will ensure that the persons carrying out the work described above are fully briefed on the safe method of work.
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Confirmation by contractor’s supervisor
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AB Civils Site management authorisation: I certify that the above work can commence with the precautions listed above.
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AB Civils Site management authorisation
Section C: Completion of Work (Supervisor of works to complete)
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the excavation has been backfilled and the surface reinstated
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the work is completed, and the area has been left in a safe condition
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the work area is clear of operatives and all equipment
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the utility company (ies) has been informed that services made dead may now be reactivated
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If no has been selected then all actions must be completed before this permit may be cancelled.
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I confirm that works have been completed and signed off as safe
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The date and time works have been completed and signed off as safe.
Closing of Permit (AB Civils Project or Site Manager)
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Cancellation of permit by site management - I can confirm that I have inspected the work area and the works have been completed and approved.
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Time and Date Permit has been closed