Title Page
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Conducted on
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Prepared by
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Account No.
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Address
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Reason Not Done
- NVT
- Blocked Tee
- Blocked Duct
- COP
- No Parking
- Carried Over
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Is there any parking restrictions
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Please confirm parking restrictions
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Can Construction crew park near the dig site
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Where is the closest parking available
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Can you maintain 1.2metre around dig site
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What is the surface type
- Unmade
- Concrete
- Slabs
- Specialist
- Tarmac
- Carriageway
- Yorkstone
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Will This Need a Referral
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Please confirm reason for referral
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Referral Notes
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Please attached photos for referral approval
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Please attached photos for not done reason
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Is there any parking restrictions
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Please confirm restrictions
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Can the construction crew park new the dig site
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Where is the closest parking
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Can you maintain 1.2metres around dig site
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Is the blockage between tee and first
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Has tee to first been roped
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Has the rest of the route been roped
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What is the surface type
- Unmade
- Concrete
- Slabs
- Specialist
- Tarmac
- Carriageway
- Yorkstone
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Does this need a referral
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Referral Reason
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Referral notes
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Please attached referral photos
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please attached not done photos
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Please confirm the location of the car
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Please take a clear picture of the car showing the registration number and that the car has been carded
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Please take a clear picture of the property being carded
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Have you checked the tee
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Please take photos to confirm no parking
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Please confirm reason job was carried over
