Template

PIA and Civils A55 Checklist

by 4 Site Installs, from the Community

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.

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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
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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Template
Swish Yorkshire A55 Telecom Works Template
This Swish Yorkshire A55 template standardizes telecom network adjustment requests and surveys. Capture PIA NOI number, PN and asset affected, site contact and local authority. Record A55 purpose, overhead issues, poling help desk contact, alternative routes, and equipment to be added with dimensions. Log DP numbers, existing pole size and class, current and forecast wires, side load and private property status. Document chamber locations, surface types, traffic management needs, bores, use of 25mm rods, bore capacity, proposed cable or subduct, and duct type. Map locations using Eastings and Northings and what3words, with required photos of chambers, ducts and blockage points. Track distances between chambers and blockages, multiple blockages, and required chamber types. Include X and Y coordinates for works, number of ducts, duct section numbers, possible cable recovery, evidence of damage, Openreach references, total duct section length, and permissions to dig. Finish with work description, photos, and signature.
by Harry Lynch, from the Community
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Template
A55 Return Form
This A55 Return Form helps telecom field teams document BT duct blockages between chambers. Capture time and site details, PIA NOI and ticket numbers, chamber locations and descriptions, Easting and Northings, surface type, and BT duct references. Record rod sizes used, number of bores and cables, current capacity, and distances from each chamber. Add geotagged, time stamped photos of setup, rods in bore, and the blockage, plus pins and nearby property photos to aid precise location and reporting.
by Stephen Bradley, from the Community
Downloads: 10+
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Template
Civils Dig Report
This Civils Dig Report template documents telecom civil works from start to finish. Record site details, permits, and risk assessments; capture photos of pre-work and site setup; note traffic management used; log excavation depth and width; document damaged or missing ducts, duct repairs or new duct installation, backfill, and reinstatement. Reference GIS or A55 data, dimensions, materials, and whether repairs are temporary or permanent with reasons. Include chamber checks, cleanup, completion status, and lead operative sign off.
by Aston Hemmings, from the Community
Downloads: 20+
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PIA and Civils A55 Checklist

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