Template

Blockage Report (A55)

by Mehran Khan, from the Community

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.

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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

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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 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
TI A55 Telecom Survey Report Template
This TI A55 Report template helps field engineers survey telecom ducts and poles for network build or maintenance. Capture chamber types and locations, blockage points and distances, surface types, and required overlay meterage. Attach photos of chambers, ducts with rods, poles and IDs, plus client/Openreach map extracts and annotated overviews. Record whether overhead solutions are available, traffic management needs, speed limits, and any site-specific hazards. Document lead-in chambers, pole bends, DP IDs, duct section numbers, and proposed cable size in millimetres. Complete engineer sign-off to submit the A55 report.
by Leah Clegg, from the Community
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Template
Blockage Report (A55) - Public
This document provides a structured template for reporting duct section blockages in accordance with A55 requirements. It covers detailed documentation of chamber specifications, including types (JUF4, JUF6, etc.), locations, and surface conditions. The template requires comprehensive photographic evidence of chambers, ducts, and blockage locations, along with precise measurements and environmental considerations. Engineers must document both primary and secondary blockages, assess footway distances, and evaluate overhead solution possibilities. The report includes essential safety considerations such as carriageway inclusion requirements and maintenance of minimum footway distances. This standardized format ensures consistent and thorough documentation of duct blockages for infrastructure maintenance and safety compliance purposes.
by Audit Team, from the Community
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Template
A55 Report Template for Telecom Duct Blockage
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.
by Deon Grayshon, from the Community
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Blockage Report (A55)

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A55 Blockage Report Template

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