Title Page
-
Report Type
-
Feature ID
-
Exchange
- Hengoed
- Neath
- Swansea
- Morriston
- Llanelli
- Bridgend
- Tonypandy
- Aberdare
- Llantrisant
- Barry
- Newport
- Cardiff
-
Type
- Blockage
- Duct
- Chamber
- Pole
- TM
- Defect
-
Date
-
Supervisor
-
Location
Health & Safety
-
Safe Digs Cover Excavation Area
-
Is this a HOT JOB?
-
Speed of road
- 20mph
- 30mph
- 40mph
- 50mph orAbove
-
TM Required?
- Give & Take Only
- 2 Way Lights
- 3 Way Lights
- 4 Way Lights
- Road / Lane Closure
-
HV Lines in vicinity?
-
Confined Space Access Required
Pre-Site
-
Pre-Site photos including any existing damage
-
Location photos from each direction
-
Private or Public Maintainable Land?
-
OOH Required?
-
CAT & GENNY Used to locate services? If yes add marked up photos
-
Photos of duct entry point inside chamber (only access if safe to do so)
-
Parked Cars - Letter Drop Required
-
Any Access Restrictions For Vehicles & Plant
Reinstatement Requirements
-
Type
- Verge / Top Soil
- Unsurfaced Stone
- Tar F/w (6mm)
- Tar C/w (10mm)
- Concrete
- Modular
- SMA, HRA, Other
-
Reinforced?
-
Is New Duct Required?
-
Provide breakdown measures of each surface (e.g 4.6m x Tar FW, 7.2m x Slab F/w, 8.0m x C/W)
-
Same Day Reinstatement Required?
Job Validation
-
A55 fit for purpose?
-
JIRA Ticket Required?
-
Comments / Additional Info
-
Confirmation
