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Westbourne Academy - Permit to Dig
Please ensure this form is completed for all excavations.
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Name of manager/supervisor issuing the permit;
*
Your answer
Date active from;
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MM
/
DD
/
YYYY
Planned dig depth;
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Your answer
Scope of works to be undertaken including locations;
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Your answer
Has all the area been scanned using a Cable detector? If no please ensure you complete that before issuing this permit.
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Yes
No
What is the Cable detector Ref?
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Your answer
Who is the trained person undertaking the scan?
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Your answer
Is the Cable detector calibrated and in date? If not please do not dig until the check is done with a calibrated unit.
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Yes
No
Ensure you establish the depth of all known services with a hand dug trial hole before any excavation is undertaken.
Please do not use any mechanical aid for trail holes. Insulated digging equipment should be used.
Services Present;
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Yes
No
Mains Gas
LV Electric
HV Electric
Telecoms (TV/Internet/Fibre/telephone)
Drainage
Water
Other (LPG/Oil)
Yes
No
Mains Gas
LV Electric
HV Electric
Telecoms (TV/Internet/Fibre/telephone)
Drainage
Water
Other (LPG/Oil)
Please list all associated drawings, this should include construction drawings and service location drawings;
*
Your answer
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