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Telco Civil Services
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Authority To Work
Osama Ahmad
2025-12-05T21:39:01+00:00
Authority To Work
"
*
" indicates required fields
Project Details
Project Name
Start Date
*
DD slash MM slash YYYY
End Date
*
DD slash MM slash YYYY
Location
*
Company Name
*
Description of Ground Penetration (Circle)
*
Manual
Mechanical
Supervisor
*
Anthony Humphreys
Emergency / Reactive Works
Emergency / Reactive Works (BYDA Plans Requested)
Yes
No
BYDA Sequence No
*
Issue Date
*
DD slash MM slash YYYY
Power
*
Yes
No
NA
Gas
*
Yes
No
NA
Water/Sewer
*
Yes
No
NA
Telco
*
Yes
No
NA
Other
Yes
No
NA
BYDA Plan/s exactly matched work location?
*
Yes
No
Does the BYDA contain Critical Assets requiring
*
No
Yes
Visual Inspection of Nearby Services complete prior to ground breaking within vicinity of excavation area
*
Yes
No
Make/model of locator used:
*
Date of next calibration
*
DD slash MM slash YYYY
Name/company of person locating:
*
Locator accredited?
*
Yes
No
Equipments
Equipment to be Used
*
Demo Saw
Excavator
Grundomat
Hand Tools
HDD
Jackhammer
NDD
Other
Specify other Equipment to be used
Is it necessary to cut through / Remove a hard surface prior to potholing?
*
Yes
No
List equipment and controls used
Describe Potholing method
*
Hand Dig Jackhammer
All assets in the excavation area positively identified?
*
Yes
No
Classification Risk Rating
Low Risk
Gravity/Reticulated Water/Sewer
Service Lead‑ins (Gas, Telco, Water, Sewage)
Storm Water
Medium Risk
Underground Low Voltage Electrical (<1000v)
Low/Medium Pressure Distribution Gas/Mains
Telco mains network (Copper/Optic Fibre)
High Risk
Underground High Voltage Electrical (>1000v)
High Pressure Distribution/Transmission Gas Mains
Oil/Petroleum Pipeline
Person completing this form (Work Crew Team Leader)
Name
Phone Number
Company
Date
*
DD slash MM slash YYYY
Signature
*
Work Crew (personnel working under conditions of this form)
Work Crew 1
Umer Mushtaq Cheema
Phone
*
Company
*
Date
*
DD slash MM slash YYYY
Karanpreet Signature
*
Work Crew 2
Shubhkarmanjeet Singh
Phone
*
Company
*
Date
*
DD slash MM slash YYYY
Shubhkarmanjeet Singh Signature
*
Mudmap
*
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