Template

GE Services Blockage SPO Evidence Form

by Steve Linacre, from the Community

Use this evidence form to document telecom blockage repairs for ducts or pole bends. Capture client and job references (PIA NOI, Siebel, GES), build area, PN and asset affected, location, and permit details. Record coordinates (eastings/northings), SLG setup, and whether the blockage involves a duct or pole bend. Attach required photos from pre-dig, excavation, repair, and reinstatement, showing split collars, secure ties every 10 cm, and connector bend. Log completion time and signatures for QA.

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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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Community

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
Reinstatement Blockage Checklist
Use this checklist to document reinstatement works for blockage repairs. Capture site setup, permits, utilities marking, and hazard checks. Record excavation details with photos of initial dig, blockage, repair, sub base, sand and marker tape, and final surface (tarmac or verge). Enter measurements (length x width x depth) and coordinates (Eastings and Northings) to satisfy council requirements. Include bitumen use, reinstatement steps, site clearance, and completion time and date. Supports multiple blockages with repeatable sections.
by Kyan Snowden, from the Community
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Template
CF SPO - Blockage Clearance Form
Use this CF SPO blockage clearance form to document BT Openreach duct or pole issues and the steps taken to clear and repair them. Capture site information, A55 and permit references, CAT and Genny test confirmation, and pre-excavation images. Provide BT Openreach evidence including damaged duct photos, repair kit in place, and post-reinstatement images. Record work type, dig dimensions, surface type, and site setup with SLG. Document reinstatement requirements and upload images for open trench, repaired duct, reinstatement completion, and site clear. Finish with certification that all works were completed satisfactorily.
by Nauman Rehman, from the Community
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Template
Blockage Repair Checklist
Use this telecom blockage repair form to capture risk assessments, pre-start and site setup photos, duct exposure and repair evidence, and HAUC-compliant reinstatement details. Record dig dimensions, surface types, grid references, and completion status, including roping, cabling, and backfill materials. Ensure jobs are documented with clear aspect photos and sign-off to meet safety and quality standards.
by Rod Davey, from the Community
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Template
Comecore Blockage Report
This Comecore Blockage Report template helps field teams record and verify duct and chamber blockages during telecom network works. Capture project area, location, and waypoint to waypoint details. Add photos of duct openings and blockage points, note the rod type used, and explain deviations such as not using 25 mm rods. Log blockage distances from each chamber or duct, support multiple blockage entries, and attach required evidence such as A55 images. Use this checklist to standardize documentation, accelerate fault finding, and improve the quality of network maintenance and reinstatement reports.
by George Smith, from the Community
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Reinstatement Blockage Checklist

Use this checklist to document reinstatement works for blockage repairs. Capture site setup, permits, utilities marking, and hazard checks. Record excavation details with photos of initial dig, blockage, repair, sub base, sand and marker tape, and final surface (tarmac or verge). Enter measurements (length x width x depth) and coordinates (Eastings and Northings) to satisfy council requirements. Include bitumen use, reinstatement steps, site clearance, and completion time and date. Supports multiple blockages with repeatable sections.

by Kyan Snowden, from the Community

Get

Template

CF SPO - Blockage Clearance Form

Use this CF SPO blockage clearance form to document BT Openreach duct or pole issues and the steps taken to clear and repair them. Capture site information, A55 and permit references, CAT and Genny test confirmation, and pre-excavation images. Provide BT Openreach evidence including damaged duct photos, repair kit in place, and post-reinstatement images. Record work type, dig dimensions, surface type, and site setup with SLG. Document reinstatement requirements and upload images for open trench, repaired duct, reinstatement completion, and site clear. Finish with certification that all works were completed satisfactorily.

by Nauman Rehman, from the Community

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Template

Blockage Repair Checklist

Use this telecom blockage repair form to capture risk assessments, pre-start and site setup photos, duct exposure and repair evidence, and HAUC-compliant reinstatement details. Record dig dimensions, surface types, grid references, and completion status, including roping, cabling, and backfill materials. Ensure jobs are documented with clear aspect photos and sign-off to meet safety and quality standards.

by Rod Davey, from the Community

Get

Template

Comecore Blockage Report

This Comecore Blockage Report template helps field teams record and verify duct and chamber blockages during telecom network works. Capture project area, location, and waypoint to waypoint details. Add photos of duct openings and blockage points, note the rod type used, and explain deviations such as not using 25 mm rods. Log blockage distances from each chamber or duct, support multiple blockage entries, and attach required evidence such as A55 images. Use this checklist to standardize documentation, accelerate fault finding, and improve the quality of network maintenance and reinstatement reports.

by George Smith, from the Community

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GE Services Blockage SPO Evidence Form

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Reinstatement Blockage Checklist

CF SPO - Blockage Clearance Form

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Reinstatement Blockage Checklist

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