Information
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Work Order Number
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Location/Address
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Conducted on
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Completed by
Audit
ENVIRONMENTAL IMPACT / ISSUES
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Are there any Environmental Issues/Impact or the potential to cause Environmental Impact?
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Please detail impact.
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Are there any wastewater contamination risks involved with the job?
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Please detail risk
MAIN DETAILS
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Size of main
- DN80
- DN100
- DN125
- DN150
- DN200
- OTHER
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Type of Main
- AC
- CI
- CICL
- DICL
- PVC
- PE
- VE
- Other
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Depth of main and details
ASSET LOCATIONS DETAILS within DIG SITE
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Underground Asset Loc Required
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BYDA Contacted for plans?
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Telstra located with Subsite Unit
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Telstra Asset close to site?
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SAPN located with Subsite Unit
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SAPN Asset Close to Site
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SAPN and / or SAPN permit required to attend site?
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Has SAPN been contacted?
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If no detail why?
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Note date and time SAPN is expected on site
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Are SAPN expected to be on site?
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Note date and time SAPN is expected on site.
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Gas located with subsite Unit
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Gas Asset Close to Site
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Gas Rep and / or permit required to attend site
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Has the Gas Rep been contacted?
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What is the expected time and date of the Gas Rep site attendance?
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High voltage electricity in the dig zone
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High pressure gas in the dig zone
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SAW asset located with subsite Unit
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Other Water / WW Assets close to site
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Fibre Optic Cables asset close to site
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BYDA plans attached and sent
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Please not why
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BYDA job number
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Other Authorities identified for plans?
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Please detail
ON-SITE HAZARDS
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Are there any on-site hazards that have not been covered so far?
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What Hazards have been Identified?
TRAFFIC MANAGEMENT
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Traffic management required?
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Current speed limit
- 25km
- 40km
- 60km
- 70km
- 80km
- 100km
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Is a DiT permit required?
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Enter DiT number
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Any Bus Routes to consider?
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Please detail
Hydro Excavation
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Are there any assets that require hydro excavation?
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Provide detail
Additional notes or photos here
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Add any additional information or photos here that may have been missed:
