Template

A55 Return Form for Connect Fibre

by David Gilmartin, from the Community

10+

Use this A55 Return Form to document Connect Fibre duct blockages between chambers. Capture time, completed by, Build Town reference, and A55 number. Record chamber locations, surface types, setup photos, rod sizes used, geotagged photos of rods in bore, number of bores, current cables, capacity, and BT duct references. Specify blockage distances from each chamber, add comments and photos, and drop a precise location pin. Indicate traffic management requirements and whether overlay is required. Include a property photo to help teams locate the blockage.

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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
A55 Return Form
This A55 Return Form helps telecom field teams document BT duct blockages between chambers. Capture time and site details, PIA NOI and ticket numbers, chamber locations and descriptions, Easting and Northings, surface type, and BT duct references. Record rod sizes used, number of bores and cables, current capacity, and distances from each chamber. Add geotagged, time stamped photos of setup, rods in bore, and the blockage, plus pins and nearby property photos to aid precise location and reporting.
by Stephen Bradley, from the Community
Downloads: 10+
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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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Template
CF/LaserNetworks A55 Return
This A55 Return form by CF/LaserNetworks captures detailed information for telecom duct inspections and blockage reporting. Record site details, chamber references, blockage locations and distances, duct references and lengths, and the number of bores, existing cables, and capacity. Log rod sizes used, traffic management requirements (including red route, bus lane, or cycle lane considerations), and attach site photos marking blockages. Use this checklist to standardize A55 submissions and support efficient rectification and network build quality documentation.
by Umair Zia, from the Community
Downloads: 0
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Template
CF/LaserNetworks A55 Return Form
Use this CF/LaserNetworks A55 Return template to capture end-to-end details for telecom duct and chamber works. Record job identifiers, location, contractor, chamber descriptions, blockage locations and distances, duct references and length, number of bores, existing cables and capacity, and rods used. Note traffic management needs, red route or cycle lane considerations, and attach required site photos with markings. Include additional comments to support the A55 return and site audit.
by Nauman Rehman, from the Community
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A55 Return Form for Connect Fibre

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