Title Page
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Job Number
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Customers Name
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Contact Number
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Full Address
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Company name
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Site specifics
- CSCS
- CCNSG
- Street works
- Digger cert
- Dumper cert
- Competency cert
- N/A
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Permits
- Hot works
- Working at Heights
- Permit to work
- Confined space
- N/A
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Description of Works
Health and Safety
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PPE Required
- Hard Hat
- Hi - Vis
- Boots
- Gloves
- Safety Glasses
- Ear Defenders
- Safety Shoes
- Dust Mask
- Other
- N/A
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On Site Parking
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Pay for Parking?
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Site Induction Required
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Date & Time
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Site Plan Attached
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Rams Attached
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Water On Site
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Additional Site Notes
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Location of Job
- Carriageway
- Front
- Side
- Rear
- Internal
- External
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Job Access
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- Lining
- Excavation
- Plant
- Reinstatement
- Materials
- Sewer Connections
- Pumps
- Quotations
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start
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finish
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lateral cuts
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how many
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Material
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Diameter
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Excavation
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Sonde/CCTV Required
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Sewer Connection Type
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Is a Demarcation Chamber Required
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how many
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size
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Ground Type
- Concrete
- Tarmac
- Slabs
- Block Paving
- Turf
- Made Ground
- Wood Flooring
- Screed
- Floorboards
- Tiles
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Pipe Diameter
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Muckaway
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Fences Required
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Chapter 8 barriers
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Number Required
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Chapter 8 Herras
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Number Required
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Herras
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Number Required
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Chapter 8
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TM Signs
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Safety Signs
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Boards Required
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Dust Sheets Required
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Sharft Required
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De-watering
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Has there been any mention of Lining
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Have any further works been mentioned beyond the above scope
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What further works have been mentioned
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Digger
- Micro
- 1.5t
- 2.5t
- 5t
- 8t
- Pecker
- N/A
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- Dumper
- Socket Set
- Generator
- Jumping Jack
- Whacker Plate
- Compressor
- Manhole Pins
- Shackles
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Breaker
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Disc Cutter+
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Trench Sheets
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Whalers
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Timber Headings
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Number Required
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Lifting Chains
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Road Plates
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Ladders
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Other Specific Plant
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undefined
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undefined
- Type 1
- Concrete
- Tarmac
- Slabs
- Block Paving
- Turf
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undefined
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Length
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Width
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Internal Reinstatement
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Pipe Composition
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Size Required
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Couplings
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Bends Required
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- 15°
- 30°
- 45°
- 90°
- N/A
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UPVC Manholes
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Number Required
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Channel Size
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Number Required
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Manhole Risers
- 300
- 450
- 450X600
- 550X700
- 900mm Round
- 1050mm Round
- 1200mm Round
- 1500mm Round
- 1800mm Round
- Other
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Depth
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Number Required
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Cover Slabs
- 750X600
- 900
- 1200
- 1500
- 1800
- Other
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Size Of Cover Slab
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Manhole Covers
- 300
- 450
- 600X600
- 450X600
- 550X700
- Specified Site
- N/A
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Number Required
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Rating
Aggregate
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- Building Sand
- Sharp Sand
- Ballast
- 10mm Shingle
- 20mm Shingle
- Type 1
- Top Soil
- Cement
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Trade Bag
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Bulk Bag
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Number Required
Flex Seals
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Flex Seal Required
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Size Required
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Number Required
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Attenuation Tank
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Size Required
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Number of Crates Required
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Geo-Textile Membrane
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Hydro Brake
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Specification
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Treatment Plant
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Specification
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Other Materials
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undefined
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undefined
- foul water
- surface water
- combination
- both
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Ground Type
- Concrete
- Tarmac
- Slabs
- Block Paving
- Turf
- Made Ground
- Screed
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licenses required
- S106
- S50
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Council
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Traffic management
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undefined
- 2 way
- 3 way
- automatic
- manual
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undefined
- TTRO
- Other
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Connection type
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Existing or new installation
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Power supply
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Pump type
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Chamber size
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Rising main diameter
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Rising main material
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Head height
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Distance to discharge point
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Excavation required
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Depth of excavation
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Length of excavation
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Ground type
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Dist from chamber to control panel
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Additional notes