INITIAL INSPECTION

  • JOB PRIORITY

  • Original ST Order Number

  • DLO/CONTRACTOR

  • New FOW Order Number

JOB ADDRESS/LOCATION DETAILS

  • Occupier's Name/Telephone Number

  • Property Name/Number

  • Street/Road Name

  • Town/City

  • Postcode

  • PTD Signed

FOW Works Address/Location Details

  • Occupiers Name/Telephone No.

  • Property Name/Number

  • Street Name/Number

  • Town/City

  • Postcode

  • 12 Figure Grid Reference (Of Defect)

  • Location of FOW

PROPOSED WORK DETAILS (inc TM)

  • Manhole Number

  • Manhole cover size

  • Is STW Asset

  • Start Manhole

  • Finish Manhole

  • Manhole Chamber Size

COMMENTS/DESCRIPTION OF JOB (Inc Photos)

  • Add media

  • Transferred Asset

  • Section 81 Manhole

  • Type of Cover

  • Any Hand Dig Required

  • Road Width

  • Road Markings

  • Position of follow on works

  • Surface type

  • Road Markings

  • Specialist Treatment

  • Any Existing Traffic Control Within 50m of The Works

  • Road Width

  • Speed Limit

  • Are There Any Cars Parked at The Time of The Inspection

  • Could There Be cars Parked on Other Days or at Different Times?

  • When?

  • What Traffic Management Is Required?

  • Is There a Bus stop Within 50m of The Work? (Mark on plan and supply bus stop number and operator)

  • Distance from Kerb to Excavation/Manhole

  • Parking Suspension

HEALTH AND SAFETY INFORMATION

  • Overhead Power Lines within 10m

  • Lamp Support Required or Removal

  • Details

  • Confined Space Working

  • Details

  • Other Safety Information

  • Customer Special Requirements (including preferred day or time and any special needs)

FOLLOW ON WORKS - MANHOLES

INITIAL INSPECTION

  • Date of inspection and time on site

  • Time off site

  • JOB PRIORITY

  • Original ST Order Number

  • DLO/CONTRACTOR

  • New FOW Order Number

JOB ADDRESS/LOCATION DETAILS

  • Occupier's Name/Telephone Number

  • Property Name/Number

  • Street/Road Name

  • Town/City

  • Postcode

FOW Works Address/Location Details

  • Occupiers Name/Telephone No.

  • Property Name/Number

  • Street Name/Number

  • Town/City

  • Postcode

  • PTD Signed

  • 12 Figure Grid Reference (Of Defect)

  • Location of FOW

PROPOSED WORK DETAILS (inc TM)

  • Manhole Number

  • Manhole cover size

  • Manhole Type

  • Is STW Asset

COMMENTS/DESCRIPTION OF JOB (Inc Photos)

  • Add media

  • Transferred Asset

  • Section 81 Manhole

  • Any Hand Dig Required

  • Type of Cover

  • Has the asset been traced and marked

  • Position of follow on works

  • Surface type

  • Road Markings

  • Specialist Treatment

  • Any Existing Traffic Control Within 50m of The Works

  • Road Width

  • Speed Limit

  • Are There Any Cars Parked at The Time of The Inspection

  • Could There Be cars Parked on Other Days or at Different Times?

  • When?

  • What Traffic Management Is Required?

  • Is There a Bus stop Within 50m of The Work? (Mark on plan and supply bus stop number and operator)

  • Distance from Kerb to Manhole

  • Parking Suspension

  • Any other information

HEALTH AND SAFETY INFORMATION

  • Overhead Power Lines within 10m

  • Lamp Support Required or Removal

  • Details

  • Confined Space Working

  • Details

  • Other Safety Information

  • Customer Special Requirements (including preferred day or time and any special needs)

FOLLOW ON WORKS - DIG DOWNS

INITIAL INSPECTION

  • JOB PRIORITY

  • Original ST Order Number

  • DLO/CONTRACTOR

  • New FOW Order Number

JOB ADDRESS/LOCATION DETAILS

  • Occupier's Name/Telephone Number

  • Property Name/Number

  • Street/Road Name

  • Town/City

  • Postcode

  • PTD Signed?

FOW Works Address/Location Details

  • Occupiers Name/Telephone No.

  • Property Name/Number

  • Street Name/Number

  • Town/City

  • Postcode

  • 12 Figure Grid Reference (Of Defect)

  • Location of FOW

  • Is CCTV Done

  • Is Evidence Rcorded

  • Has The Line Been Rodded or Jetted

  • What Was The Cause?

  • Percentage of Cause

PROPOSED WORK DETAIL FOR FOW(Inc TM)

  • ASSET

  • TASK

  • DETAILS OF DEFECT

  • EQUIPMENT NEEDED

  • WORK TO BE DONE BY

  • PIPE SIZE IN MM

  • PIPE MATERIAL

  • DESCRIBE THE ACCESS TO THE JOB

  • MANHOLE NUMBER

  • MANHOLE COVER SIZE

  • REPAIR LENGTH

  • MANHOLE/REPAIR DEPTH

  • START MANHOLE

  • FINISH MANHOLE

  • MANHOLE CHAMBER SIZE

  • TRANSFERRED ASSET?

  • COMMENTS AND DISCRIPTION OF FOW JOB

  • Add media

  • HAS THE ASSET BEEN TRACED AND MARKED?

  • IS OVER PUMPING REQUIRED?

  • IS TANKERING REQUIRED?

  • ANY HAND DIG REQUIRED?

  • POSITION OF FOLLOW ON WORKS

  • SURFACE TYPE

  • ROAD MARKINGS

  • Other markings

  • SPECIALIST TREATMENT

  • WHAT TRAFFIC MANAGEMENT IS REQUIRED?

  • ANY EXISTING TRAFFIC MANAGEMENT WITHIN 50M OF THE WORKS?

  • IS THERE A BUS STOP WITHIN 50m OF THE WORKS? (Mark on plan and supply numbers and operator)

  • ROAD WIDTH

  • DISTANCE FROM KERB TO EXCAVATION/MANHOLE

  • SPEED LIMIT

  • IS THE WORKS CLOSE TO A BEND IN THE ROAD, ROUNDABOUT, PEDESTRIAN CROSSING OR TRAFFIC LIGHTS

  • IS PARKING SUSPENSION REQUIRED?

  • ARE THERE CARS PARKED AT THE TIME OF INSPECTION

  • COULD THERE BE CARS PARKED ON OTHER DAYS OR AT DIFFERENT TIMES?

  • WHEN

HEALTH AND SAFETY INFORMATION

  • OVERHEAD POWER LINES WITHIN 10m

  • LAMP SUPPORT REQUIRED OR REMOVAL

  • DETAILS

  • CONFINED SPACES WORKING?

  • DETAILS

  • Other Safety Information

  • Customer Special Requirements (including preferred day or time and any special needs)

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