Template

Supervisor Report Template

by Rod Davey, from the Community

Use this Supervisor Report template to capture detailed information during telecom field works and street works. Record report type, feature ID, exchange and location data, assess road speed and required traffic management, and confirm health and safety controls such as safe digs, hot job status, HV lines and confined space access. Add pre-site and location photos, note access restrictions and parked cars, and document CAT and Genny service locating. Specify reinstatement requirements by surface type, note if new duct is required, provide measurements, and indicate same-day reinstatement. Validate the job, add comments, and attach evidence.

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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

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
Supervisor Report for Civils Pre-site and Defects
This Supervisor Report template supports civils pre-site and defect inspections for construction and utilities work. Record job details, feature ID and location, assess health and safety, and note traffic management needs such as give and take, lights, or lane closures. Check for HV lines, confined space access, and use CAT and Genny to locate services. Attach pre-site and location photos, document access restrictions, and specify reinstatement requirements across surfaces like verge, tar footway and carriageway, concrete, modular, and SMA or HRA. Validate scope, note whether new duct is required, capture measures, and add comments or JIRA references to complete the report.
by Rod Davey, from the Community
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Template
TI Civils Supervisor Report Checklist
Use this TI Civils Supervisor Report checklist to capture key details for civil works and utility excavation. Record pre-site photos and existing damage, location details, and access constraints. Assess traffic management needs including speed limits, lane closures, and signal setups. Verify Safe Digs coverage, CAT and GENNY use, HV line proximity, and any confined space requirements. Document duct, chamber, and pole conditions, note blockages or defects, and add marked-up photos. Specify reinstatement requirements across surfaces such as verge, top soil, stone, tar, concrete, modular, or SMA/HRA, and whether same-day reinstatement is required. Validate job readiness, confirm A55 fitness for purpose, indicate if a JIRA ticket is needed, and add comments or additional information.
by Alex Southern, from the Community
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Telecom Works Audit Checklist
This telecom works audit checklist supports field teams in validating civil works around network infrastructure. Record report type, feature ID and exchange, select work types such as blockage, duct, chamber, pole, TM or reinstatement, and capture the names of operatives, supervisor and date. Document locations, attach site photos to show current conditions and finish standards, and complete job validation with pass or fail evidence. Prioritize any required reworks, add comments or additional information, and confirm the audit outcome. Designed to standardize quality and compliance across varied telecom works.
by Rod Davey, from the Community
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Reinstatement Works Checklist
Use this Reinstatement Works checklist to plan and document street excavation reinstatement. Capture pre-start site photos and correct Chapter 8 traffic management, complete a suitable risk assessment POWRA, and record materials used, depths, and HAUC-compliant reinstatement types. Document compacted backfill, edge sealing, base and surface course measurements with perspective photos, and dig dimensions by surface type. Log grid references for start and end points, note completion status, and attach clear site handover images. Designed for gangs and supervisors to validate quality, safety, and compliance.
by Rod Davey, from the Community
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Supervisor Report Template

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Supervisor Report for Civils Pre-site and Defects

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