Skip to content
SafetyCulture
Template

A55 Return Form for Telecom Duct Blockages

by Mark Jones, from the Community

Downloads: 10+
Get this template

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.

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

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

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.