Title Page
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Conducted on
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Location
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Project Number
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Customer Power on Date
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Customer Contact Details (Preference)
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Temp Check
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Vulnerable Customer
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Job Type
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Date & Time of Visit
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Construction Coordinators Name
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TM Type & Requirements
- Road Closure
- Bus stop Suspension
- 2 way signals
- Multi way Signals
- Cycle way
- Parking Bay
- Other
- N/A
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TM Other
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Cable Length
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Cable Type
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Customer Requires Call Back
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Date Customer Requires Call Back
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Comments
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MPAN Available
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Customer Aware of Next Steps
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TTRO / Traffic Management Identified
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*Expected Traffic Management in Place
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*Customer Signature
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Date of Signature
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Construction Coordinator Signature
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Date of Signature
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Photos
Checklist
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OSVC
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Hockey Stick
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Duct
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Sand
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Tape