Template

SF11 PIA Blockage Report Template

by John Whitehead, from the Community

10+

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.

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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
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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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
Downloads: 0
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Template
CFH PIA Blockages Checklist
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.
by Simon Goode, from the Community
Downloads: 10+
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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

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

Get

Template

CFH PIA Blockages Checklist

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.

by Simon Goode, from the Community

10+

Get

SF11 PIA Blockage Report Template

About author

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Blockage Repair Checklist

Comecore Blockage Report

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CFH PIA Blockages Checklist

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Blockage Repair Checklist

Comecore Blockage Report

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CFH PIA Blockages Checklist