Title Page
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Document No.
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Service damage report
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Site name & contract number.
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Report completed on
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Completed by
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Personnel
Site & damage details
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You are reminded that all damage to services must be reported promptly to the service owners and the safety dept.
Steps must be taken to address any immediate risks to health and damage to property, without exposing persons to unreasonable risk. Where appropriate the location should be isolated from persons nearby using fencing or marshals as necessary. -
Please enter the site address. If you are at that location you can use the button below to locate yourself.
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Add location
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What has been damaged?
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You should include the following details where known:
For electricity is it buried or overhead, the voltage and whether ducted
For gas is it low, medium or high pressure and what is the pipe diameter
For BT is it buried or overhead, is it ducted and is a fibre optic cable involved
For water is it low, medium or high pressure and what is the pipe diameter
If none of the above identify what has been damaged -
Add the date and time the damage occurred
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Please provide as much information as necessary to identify where on the site the damage occurred.
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What was being done that caused the damage?
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Was anybody injured as a result of the damage?y
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Please provide further details
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Who was the damage reported to?
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Please provide details of the date and time the damage was reported to the service provider
Details for the investigation
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Who was supervising the work immediately prior to the damage occurring?
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Was any machinery or hand held excavation aids being used that may have caused the damage?
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Please provide details
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Are you in possession of the relevant service record drawing(s) for the area in which the damage occurred?
