Title Page
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Specific Work Type
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Feature ID
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Exchange
- Hengoed
- Neath
- Morriston
- Swansea
- Bridgend
- Llanelli
- Tonypandy
- Aberdare
- Llantrisant
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Date
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Gang Lead
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Location
Health & Safety
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Have You Completed A Risk Assessment (EVERY JOB requires a RA upload pic of completed form)
Pre-Site
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Pre-Start photos (Take photos of immediate surroundings to show existing conditions and to protect yourself from any potential damage claims)
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Site Set-up photos from each direction showing safe set-up
Reinstatement Evidence
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Provide photos of cut back and show depth of existing surface (Use Tape measure / Depth board)
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Photos of edge sealant on all vertical edges
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Photo of compacted backfill including aspect view at least 5m radius (NOT JUST A CLOSE UP)
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Reinstatement MUST comply to HAUC Specification not just matching existing surface. Carefully select the correct method from this document. Refer to full specification in the HAUC if necessary
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Reinstatement Type
- A7.1 (A)
- A7.1 (B)
- A7.3 (A)
- A7.4 (A)
- A3.4 (A)
- A3.4 (B)
- A3.5 (A)
- A3.5 (B)
- A3.3 (A)
- A3.3 (B)
- Another
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Reinstatement photos showing depth of base course including aspect view at least 5m radius (NOT JUST A CLOSE UP)
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Reinstatement photos showing depth of surface course including aspect view at least 5m radius (NOT JUST A CLOSE UP)
Job Completion
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Dig dimensions: length x Width - Breakdown measures by surface/Type (e.g FW = 3.4m x 0.4m, CW = 8.2m x 0.3m) or (Chamber = 1.9m x 1.3m - F/w, Duct = 1.7m x 0.4m - F/w)
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Does reinstatement exceed 3m?
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Record Grid Reference at Start Point
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Record Grid Reference at End Point
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Is all reinstatement Complete
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Provide site clear photos from both directions
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Provide photos of site left safe & secure until return visit
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Please add any additional relevant information
Confirmation
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Gang Lead Signature
