Template

A55 Report Template for Telecom Duct Blockage

by Deon Grayshon, from the Community

Use this A55 report template to record telecom duct blockages during surveys and build or maintenance. Capture A55 number, contract and reference details, engineer name, contact, addresses for points A and B, meters rodded, reroute or overhead options, footway clearance, photos with rods in duct, traffic management and road speed notes, and what3words. Provide additional notes and evidence to support decisions and ensure accurate documentation.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Blockage Report (A55)
This Blockage Report (A55) template helps field engineers document and assess telecom duct blockages across chambers and poles. Capture chamber types, duct sections, DP IDs, distances to blockages, and required photos, including chamber surroundings, internal views, rods in duct, poles, and marked locations. Record surface types, void distances, and confirm footway and carriageway requirements. Include Openreach map references, overhead solutions, and sign-off. Streamline surveys and support safe, compliant repair planning.
by Mehran Khan, from the Community
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Template
A55 Telecom Duct Blockage Survey Template
This A55 template helps telecom field teams document duct blockage investigations with consistent detail. Capture creator and date, site location and grid references, exchange and NOI, duct section and UPRN for lead in blockages, civils avoidance checks, and whether 25mm rods were used. Record rodding from chamber A and B ends, add photo evidence, mark up the blockage location, and provide an overview for remediation. Use this checklist to standardize data capture, support audit trails, and speed coordination between operations and contractors.
by Abi Hicks, from the Community
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Template
A55 Blockage Report Template
Use this A55 blockage report template to record telecom network blockages across ducts, chambers, and poles. Log contract and site details, cover types, surface conditions, road speeds, blockage distances between chambers, and mapping references. Attach required photos of chambers, poles, duct sections, and marked blockage points, plus what3words for precise location. Note access constraints, minimum footway clearance, carriageway incursion, rods used, and whether traffic management is required. Supports lead in, first and second chamber details and options to consider an overhead solution before engineer sign off.
by Michael Smith, from the Community
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Template
A55 Return Form for Telecom Duct Blockages
Use this A55 Return template to document telecom duct blockages and related site details. Record job identifiers, location, contractor, chamber descriptions, surface type at blockage, and distances from chambers. Capture duct references, measured length, number of bores, cables present, and current bore capacity. Log rods used by size, add photos showing approach, rods in bore, receiving bore, and any markings applied to indicate the blockage. Note whether traffic management is required and if the section lies on a red route, bus lane, or cycle lane. Include additional comments to support planning and remediation.
by Mark Jones, from the Community
Downloads: 10+
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Blockage Report (A55)

This Blockage Report (A55) template helps field engineers document and assess telecom duct blockages across chambers and poles. Capture chamber types, duct sections, DP IDs, distances to blockages, and required photos, including chamber surroundings, internal views, rods in duct, poles, and marked locations. Record surface types, void distances, and confirm footway and carriageway requirements. Include Openreach map references, overhead solutions, and sign-off. Streamline surveys and support safe, compliant repair planning.

by Mehran Khan, from the Community

Get

Template

A55 Telecom Duct Blockage Survey Template

This A55 template helps telecom field teams document duct blockage investigations with consistent detail. Capture creator and date, site location and grid references, exchange and NOI, duct section and UPRN for lead in blockages, civils avoidance checks, and whether 25mm rods were used. Record rodding from chamber A and B ends, add photo evidence, mark up the blockage location, and provide an overview for remediation. Use this checklist to standardize data capture, support audit trails, and speed coordination between operations and contractors.

by Abi Hicks, from the Community

Get

Template

A55 Blockage Report Template

Use this A55 blockage report template to record telecom network blockages across ducts, chambers, and poles. Log contract and site details, cover types, surface conditions, road speeds, blockage distances between chambers, and mapping references. Attach required photos of chambers, poles, duct sections, and marked blockage points, plus what3words for precise location. Note access constraints, minimum footway clearance, carriageway incursion, rods used, and whether traffic management is required. Supports lead in, first and second chamber details and options to consider an overhead solution before engineer sign off.

by Michael Smith, from the Community

Get

Template

A55 Return Form for Telecom Duct Blockages

Use this A55 Return template to document telecom duct blockages and related site details. Record job identifiers, location, contractor, chamber descriptions, surface type at blockage, and distances from chambers. Capture duct references, measured length, number of bores, cables present, and current bore capacity. Log rods used by size, add photos showing approach, rods in bore, receiving bore, and any markings applied to indicate the blockage. Note whether traffic management is required and if the section lies on a red route, bus lane, or cycle lane. Include additional comments to support planning and remediation.

by Mark Jones, from the Community

10+

Get

A55 Report Template for Telecom Duct Blockage

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Blockage Report (A55)

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