Title Page

  • Site conducted
  • Conducted on

  • Conducted by

  • Location (site address)
  • SOE Number

  • Scope of project

  • Lay (amount)

  • Abandonment (amount)

Inspection of site

  • Road name

  • Are there any signs of the area having been worked on previously? (lines, patches, scars etc)

  • Are there any overhead services? (BT, LV, HV)

  • Are there any substations or governors nearby?

  • Are there any potential section 58 issues?

  • Are there any bus routes or bus stops that will be affected by ProGas works?

  • Driveways - any new tarmac or special surfaces (please add house number and surface type to comments section)

  • Road / footpath - are there any special surfaces that will need to be reinstated? (shell grip etc) Please add type and location to comments section

  • Are any parts of the works near trees or beneath the canopy of trees? (location) Please add location to comments section and photos to media section

  • Do any of the surrounding properties show evidence of basements? Please add detail to comments section

  • Are there any areas nearby that vulnerable people are likely to be? (schools, nursing homes etc) Please add detail to comments section

  • Are there any multi occupancy properties nearby? (doctors, nursing homes, hospital, flats etc) Please add detail to comments section

  • Are there any parks or other recreational areas nearby?

  • Are there any areas that will have restricted access? (schools etc)

  • Are there any businesses that could be affected by ProGas works? Please add detail to comments section

  • Is there any traffic management that affects ProGas work? Please add detail to comments section

  • Photos of traffic management present

  • Will ProGas works affect the current traffic management?

  • Are there any traffic sensors in the carriageway that will be affected by ProGas works?

  • Will ProGas works affect pedestrian access?

  • Are there any parking restrictions for residents?

  • Are the roads suitable for large vehicles? (grab lorries, suction excavator etc)

  • Are the works close to any Network rail property / railways?

  • Could the works be affected by seasonal embargo's? (summer holidays, xmas etc)

  • Are there any sites of scientific specific interest nearby? (SSSI's)

  • Will any specialist plant or equipment be required?

  • Will any assistance be required from SGN? (wayleaves etc)

  • Has a suitable site for a works compound been identified? (location, must include welfare, plant and spoil storage areas) Please add detail to comments section

  • What is the road speed? (include all roads)

  • Traffic management requirements (2 way lights, give and take etc)

  • Footway / carriageway incursion

Project specific info

  • Mains info: Diameter = Technique =

  • Service info: Diameter = Approx length =

  • Property types (terrace, detached, flats etc)

  • Surface types: Footpath = Carriageway =

  • Is the project suitable for the use of vac ex?

Additional information

  • Please detail any further information that is relevant to this project

Site photos

  • Please add site photos in this section

Sign off by inspector

  • Add signature

  • Select date

  • Add location
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.