Information
-
Work Order Number
-
Location/Address
-
Conducted on
-
Completed by
-
Valve arrangement type to be installed?
Audit
ENVIRONMENTAL IMPACT / ISSUES
-
Are there any Environmental Issues/Impact or the potential to cause Environmental Impact?
-
Please detail impact.
-
Are there any wastewater contamination risks involved with the job?
-
Please detail risk
MAIN DETAILS
-
Size of main
- DN80
- DN100
- DN125
- DN150
- DN200
- OTHER
-
Type of Main
- AC
- CI
- CICL
- DICL
- PVC
- PE
- VE
- Other
-
Depth of main and details
ASSET LOCATIONS DETAILS within DIG SITE
-
Underground Asset Loc Required
-
Telstra located with Subsite Unit
-
Telstra Asset close to site?
-
SAPN located with Subsite Unit
-
SAPN Asset Close to Site
-
SAPN and / or SAPN permit required to attend site?
-
Has SAPN been contacted?
-
If no detail why?
-
Note date and time SAPN is expected on site
-
Are SAPN expected to be on site?
-
Note date and time SAPN is expected on site.
-
Gas located with subsite Unit
-
Gas Asset Close to Site
-
Gas Rep and / or permit required to attend site
-
Has the Gas Rep been contacted?
-
What is the expected time and date of the Gas Rep site attendance?
-
High voltage electricity in the dig zone
-
High pressure gas in the dig zone
-
SAW asset located with subsite Unit
-
Other Water / WW Assets close to site
-
Fibre Optic Cables asset close to site
-
BYDA Contacted for plans?
-
BYDA plans Xinfo Reference number
-
BYDA job number
-
Other Authorities identified for plans?
-
Please detail
ON-SITE HAZARDS
-
Are there any on-site hazards that have not been covered so far?
-
What Hazards have been Identified?
TRAFFIC MANAGEMENT
-
Traffic management required?
-
Current speed limit
- 25km
- 40km
- 50km
- 60km
- 70km
- 80km
- 100km
-
Is a DiT permit required?
-
Enter DiT number
-
Any Bus Routes to consider?
-
Please detail
Hydro Excavation
-
Are there any assets that require hydro excavation?
-
Provide detail
Additional notes or photos here
-
Add any additional information or photos here that may have been missed: