Information
5.14 Pole Failure evidence
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Enmac incident No :
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Enmac incident type / classification
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Enmac address / location
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Pic ID / Pole NO:
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This report is Prepared by (your name )
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Conducted on
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Pole incident Actual location ( either use gps locate me if in coverage area or type the address location in manually)
I am employed by
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Crew employed by : ( *select your employer)
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Crew contact information (Contact name & and a Mobile phone number)
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Names of crew Personnel
On ARRIVAL
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A JHA has been completed on
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FIRST - Photos taken before replacement or works are carried out
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Take a clear Photo of both sides of paperwork JHA
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FIRST - Photos taken before replacement or works are carried out
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Complete a JHA before work commences and re answer the above questions.
Pole Failure incident
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Was a temporary repair done ?<br>
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Please photograph the pole showing it temp fixed
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Describe the temporary fix that was done
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Was a pole replaced ?<br>
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You have evidence to tag and are required to complete a enmac tough book
pole fail & or pole top fire report -
Did you complete the required tough book enmac forms ?
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You will be required to complete and photograph a paperwork report
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Paperwork form is completed and original handed in for Admin scanning
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Clear photos of completed form &/ data sheets for evidence use
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What kind of pole was used to replace the original
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Describe where it failed and what else other comments
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Enter pic I'd or pole number
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Has a new label been attached to the new pole
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Attach a clear Photograph the label
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You need to get a label made and affixed who is going to do this and when ?
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Name of person making label and the date it will be affixed
Evidence section
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Do you have the physical evidence from this pole incident ?<br>
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Please check work manual as there may be other requirement for 5.14
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Photograph all evidence tags clearly showing front and back (+ icon to add more photos)
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Enter the Evidence tag no
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Which depot has the evidence been sent to
- Bibrah lakes
- Geraldton Depot
- Three Springs Depot
- Jur Bay Depot
- Northam Depot
- other Depot
- see map below
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What is the name of the other depot that this evidence will stored at?
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The evidence is located at this non WPC depot location ?
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On Delivery of physical evidence I will use transfer custody app to obtain a receipts
Pole information
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Select the Condition of stay:
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HV Line type
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LV Line type
Pole incident Root cause
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Pole incident cause , Tick which ever is applicable
- Vehicle
- Fire - external cause
- Fire - WP equipment
- Wood Rot
- Livestock
- Thunderstorm / Lightning
- Fungus
- Flood
- Foundation failure
- Wind storm
- Termites / White Ants
- Vegetation
- Vandalism
- Equipment
- Other described below
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Number plate redgo vehicle
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Color of vehicle
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Make of vehicle
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Model
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Drivers name
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Driver license number
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Photograph all sides of the vehicle including number plate ( use the + key to add more photos )
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Photo drivers licence
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Description of pole failure root cause
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Was there a fire
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Further information on fires refer to work practices 2.16
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Any further notes about fire
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Describe the size of the burnt area in meters .
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Take photographs of the fire scene showing clearly what burnt and other important facts evidence etc
Failed pole photographs ( use the + icon to add another photo in each section )
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Select where the photos were taken from
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Side view photo
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Cross section photo
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Breakage point photo
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Reinforcement(s) photo
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Damaged equipment photo
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Cross arm photo
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Pole foundation photo
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Stay photo
Failed Pole information section
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Please select the Ground condition
- Wet
- Dry
- Sandy
- Clay
- Rock
- Hard
- Soft
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What direction did the pole fall ? Select direction
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Was there any pole top damage .?<br>
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Identify the Pole top damage parts
- conductors
- insulators
- ties
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The required data sheets / forms have been filled out on
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Clearly photograph all sides of completed forms. ( and submit originals to Admin)
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When you have completed all data sheets and forms please re answer the question above
Injuries section
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Are there any injuries ?
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Name of person injured
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comments or description of injury
Third party damage Section
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Was there any third party damage ?
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Third party damage (property, material, crop damaged etc)
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Take photo showing in detail the damage to property etc.
Emergency services section
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Did emergency services attend ?
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If yes what emergency services attended?
- Police
- Fire
- Ambulance
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Police officer name
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Police report number ?
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Police station from
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Police contact number
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What fire station did they come from
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What was the fire fighters name?
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Fire phone number
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Any further comments on ambulance attending
Final comments section
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Final Comments:
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Is there any further work required ?<br><br>
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What is required
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Take photo of the worksite before you leave. (Required for completed and temporary repairs )
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Please sign the report
