Title Page
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SDO
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Prepared by (engineers name)
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Team
- BC1
- BC2
- NB1
- NB2
- NB3
- NB4
- NB5
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Date
Details
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New chamber requirement
- JUF4
- JUF6
- JUF2
- JUF10
- M/H
- JRC12 (C/W 2 Lids)
- JRC14 (C/W 3 Lids)
- CW1 (C/W Manhole)
- Pole Up Turn
- Locked Chamber
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New Chamber ID Reference
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Fibre Pack Name
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Location
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Existing BT chamber type
- JUF4
- JUF6
- JUF2
- JUF10
- M/H
- JRC12 (C/W 2 Lids)
- JRC14 (C/W 3 Lids)
- CW1 (C/W Manhole)
- Pole Up Turn
- Locked Chamber
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Chamber condition
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Image of BT Chamber ONE LID CLOSED, TWO SURROUNDING , ONE INTERNAL
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BT Annotation of Chamber Location
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Is this chamber being built as per fibre pack proposal?
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BT Annotation of changes to location
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Google Annotated Overview
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Surface Type
- Footway (Tarmac)
- Footway (Slabs)
- Footway (Concrete)
- Carriageway (Tarmac)
- Carriageway (Slabs)
- Carriageway (Concrete)
- Soft Verge
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Can 1.2m be maintained on the footway?
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Will there be carriageway incursion required?
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What is the speed limit of the road?
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What TM is recommended?
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Any site specific risks / hazards to raise?
Sign-Off
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Tick to submit chamber survey
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Engineer Sign-off
