Information

  • TOW number

  • Conducted on

  • Prepared by (your name)

  • Company name

  • Customer address
  • 1. Pre Scope pass/fail check list

  • Scope pass rod and roped

  • Scope pass lead in cable installed

  • Scope fail unable to locate pit

  • Scope fail unable to locate multi port

  • Scope fail multi port full

  • Scope fail customer not at home

  • Scope fail unable to locate lic at premies (lic enters cavity wall)

  • Scope fail asbestos pit break out required

  • Scope fail asbestos pit new pit required

  • Scope fail OH&S reasons

  • Scope fail lic blocked

  • Scope fail other reason

  • 2. Suggested machinery required

  • Excavator

  • Meters PIT to Property entry point

  • Meters Property entry point to building entry point

  • Add media

  • Trencher

  • Meters PIT to Property entry point

  • Meters Property entry point to building entry point

  • Add media

  • Hand dig (shovel and pick)

  • Meters PIT to Property entry point

  • Meters Property entry point to building entry point

  • Add media

  • Grundomat

  • Meters PIT to Property entry point

  • Meters Property entry point to building entry point

  • Add media

  • Concrete cut

  • Meters PIT to Property entry point

  • Meters Property entry point to building entry point

  • Add media

  • Core bore

  • Meters required

  • Add media

  • Other

  • 3. Scope fail supporting attachments

  • Enter brief solution details

  • Add drawing

  • Add media

  • Add media

  • Add media

  • Add media

  • 4. PRD date (planned remediation date, when will the LIC be installed/repaird)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.