Title Page
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Site conducted & Gang
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Conducted on
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Prepared by
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Location
Temp works
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Type of temp works inspected
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Is edge protection required
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Type of edge protection used
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Are all pins & r-clips installed
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Are the boxes floating
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Size of pipe being installed
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Depth from dig to bottom of box
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Type of ground
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Does the excavation require dewatering
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Means of access & egress
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Is access suitable
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Actions taken to rectify
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Is temp works installed to the design
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Name of person reported to