Water Electric BT Cable Sewer Other Shown Pressure / Size of the Service / on Voltage? utility? Main Yes/No High / Low Overhead / Where is the Footpath / Measured or Depth of utility utility Carriageway / estimated What caused Ground Conditions the damage? Team Members Name Employee No. Service Qualifications Length Event Description (giving details of precautions observed, unsafe acts, location of apparatus/ operative in trench,): Plan Information Were plans on site Yes No MUST ATTACH COMMENTS Plans clear and Yes No accurate COMMENTS
Water Electric BT Cable Sewer Other Shown on Yes/No Pressure / Voltage? High / Low Size of the utility? Service / Main Where is the utility Overhead / Footpath / Carriageway / Depth of utility Measured or estimated What caused the damage? Ground Conditions Team Members Name Employee No. Service Length Qualifications Event Description (giving details of precautions observed, unsafe acts, location of apparatus/ operative in trench,): Plan Information Were plans on site COMMENTS Yes No MUST ATTACH Plans clear and accurate COMMENTS Yes No
rtb_service_avoidance_revised.docx