Title Page
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Imr 2015
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Pre site audit
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Anglian water
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Conducted on
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Jason simpson
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Location
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Personnel
IMRWR SITE ENABLING FORM
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Name of enabler
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Job number
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Address
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Date
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Repair location
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Works been marked up
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Type of works
- Gravity sewer
- manhole chamber
- interceptor
- lining works
- clearance pollution
- rising main
- manhole cover
- nrv flood valve
- cctv
- non standard
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Work type photo
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Traffic management and hazards
- chapter8
- priority boards
- stop and go
- 2way lights
- 3way lights
- 4way lights
- road closure
- foot way closure
- pedestrian foot way
- ramps
- safe zone
- parked cars
- hgv Lgv
- bus stops
- rail lines
- pedestrian crossing
- cone off req
- highways visit required
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Is there a notice required
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Road speed and type
- 30mph
- 40mph
- 50mph
- 60mph
- 70mph
- single carriage
- duel carriage
- motorway
- one way
- dead end
- parking restrictions
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Excavation details
- gravel
- concrete
- tarmac
- block paving
- unmade
- grass
- sand silt
- no dig
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Additional hazzards
- overheads
- mp uhp
- hv cables
- oil fuel lines
- data fibre optics
- rail crossing
- schools
- bus route
- water corse
- parked cars
- un even ground
- pedestrian crossing
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Environmental hazards
- sssi
- archeological
- water course
- protect area
- land owners
- tpo
- buildings
- listed assets
- animals and birds
- customer gardens
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Approximate excavation size
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Depth
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Pipe material
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Linear meters of repair
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Pipe diameter
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My cover size
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Chamber size
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Additional requirements
- excavator
- cctv
- sonde
- confined space
- lining
- patch
- over pump
- tanker
- jetter
- de watering
- sewer clean
- re round
- pipe burst
- shoring
- temp design
- structure survey
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Shoring required
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Fencing required
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Number of required
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Customer details
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Has access been agreed
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Customer issues
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Additional information
