Template

CFH PIA Blockages Checklist

by Simon Goode, from the Community

10+

Streamline telecom duct blockage works with this CFH PIA Blockages checklist. Record A55 reference, site details, dig coordinates, and capture photos of pre-work setup, buried services, and open excavations. Document repairs with evidence of collars and cable straps, confirm reinstatement of wearing course, and enter closing dimensions. Complete a duct checklist (heights, clearances, core drilling, flush cuts, draw rope) and add A/B chamber photos. Log job status options, total hours, and obtain auditor sign-off for complete compliance documentation.

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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
SF11 PIA Blockage Report Template
Use the SF11 PIA Blockage Report to capture evidence of duct or chamber blockages across telecom infrastructure works. Record job and location details, surface type, dig dimensions, photos before and after repair, duct repair steps, backfill and reinstatement layers, and site safety. Include Openreach references, status, and completion notes so teams can progress works or escalate issues with clear documentation.
by John Whitehead, from the Community
Downloads: 10+
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Template
PIA and Civils A55 Checklist
Standardized telecom civils checklist for PIA A55 tasks. Log site details, confirm and photograph duct blockages at both ends, capture chamber numbers, rod lengths, and total duct runs to locate issues accurately. Record surface types and route, traffic management needs, parking constraints, and whether a construction survey is required. Document permissions to dig and work on private property, including drilling and reinstatement notes. Add start and end photos, marked-up lines, and measurements between chambers or properties. Capture engineer, customer, and landowner approvals with signatures.
by 4 Site Installs, from the Community
Downloads: 0
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Template
Civil Job Report Template for Fiber Duct Works
Use this civil job report template to document fiber duct construction from start to finish. Record job identifiers, coordinates and permits, complete a pre-excavation risk assessment, and capture site setup. Log excavation details and add photos before and after duct installation, including depth gauge, sand blind, warning tape, and reinstatement. Use the duct checklist for clearances and chamber requirements, confirm A and B end status, and attach draw rope verification. Finish with closing measurements, site clean-up confirmation, and lead engineer sign-off.
by Hammad Qazi, from the Community
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Template
PIA and Civils A55 Region 4 Checklist
This PIA and Civils A55 Region 4 checklist supports telecom infrastructure surveys and civils planning. Use it to record duct blockages, chamber references, measurements to blockage points, and total duct lengths. Document photos of start and end points, marked routes, and surrounding structures. Capture details on surfaces, greenfield status, and whether traffic management and parking are required. Include permissions to dig, route descriptions, and any construction survey needs. Collect engineer, customer, and landowner authorizations to ensure accountability and compliance on site.
by Michael Knight, from the Community
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CFH PIA Blockages Checklist

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