Service relay data capture

• WO number

• Engineer Name

• Payroll number

• Address
  Address

Service/Pipe Summary

• Pressure

  LP

  MP

• Has 100mbar/ 5 min test been carried out

  yes

  no

• Test date

  Date

• Meter location

  internal

  external

• Sub location

  Select inserted house entry meter box built in semi con surface mounted cellar entry

  • inserted
  • house entry
  • meter box
  • built in
  • semi con
  • surface mounted
  • cellar entry

• Entry point

  front

  back

  side

• Dual S.P indicator

  yes

  no

• Road crossing?

  yes

  no

• Interruption category

  Select damaged leakage interrupted in error network failure planned work service alteration

  • damaged
  • leakage
  • interrupted in error
  • network failure
  • planned work
  • service alteration

• Gas restored to ECV date and time

  Date

• Left alternative heating/cooking appliance?

  yes

  no

• Reason for not leaving appliances

  customer declined

  customer has alternative

  gas back on less than 4 hours

  no access

• Reason for leaving appliances

  vulnerable customer

  OFGEM priority

  National grid priority

Pipe details

• Diameter

  20mm

  25mm

  32mm

  63mm

• Length laid (M)

• Material

  pe

  steel

• Length of cut back (M)

• Joint type

  electrofusion

  compression

  crimped

  mechanical coupling

• SDR

  9

  11

• Method laid

  dead insert

  live insert

  ducted

  open cut

  moled

• Insertion point

  Inside

  outside

• Service depth of cover (M)

Contact details

• Contact name

• Phone number 1

• Phone number 2

Reinstatement requests

• How many excavations are there

  1

  2

  3

  4

  5
Reinstatement info

• Property name/ number

• Required or completed

  required

  complete

• Backfill only, reinstate only, backfill and reinstate

  backfill only

  reinstate only

  backfill and reinstate

• Final or ongoing request

  final

  ongoing

• Public/Private

  public

  private

• Surface location

  Select footway carriageway grass verge garden cycleway drive

  • footway
  • carriageway
  • grass verge
  • garden
  • cycleway
  • drive

• Exact location

• Dimensions LxWxD (M)

• Surface category

  Select DBM FBM HRA SMA sand carpet flags concrete crazy paving setts block paving gravel

  • DBM
  • FBM
  • HRA
  • SMA
  • sand carpet
  • flags
  • concrete
  • crazy paving
  • setts
  • block paving
  • gravel

• Special surface

• H code

• Barholes

  yes

  no

• Kerb stone

  yes

  no

• Drain/ duct repair

  yes

  no

• Other additional information

• Urgent

  yes

  no

• Photos

  Media

• Road plate to be collected

  yes

  no

• Traffic lights to be collected

  yes

  no

• Chapter 8 to be collected

  yes

  no

• Number of inspection units

• Surplus

  yes

  no

• Any permanent road markings require replacement

Completion form

• Job completed

  yes

  no

• Site report

• Was there an explosion

  yes

  no

• Was there a fire

  yes

  no

• Was there a fatality

  yes

  no

• Was there an injury

  yes

  no

• Any evacuations

  yes

  no

• Was there gas in building

  yes

  no

• Was BA worn

  yes

  no

• Photos

  Media