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Permit to Excavate
1. Permit Issue
2. Work Details
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3. Services Checks
All relevant drawings that were available were checked and the following
results were recorded on the drawings:
A visual inspection of the site has been carried out and the following potential
obstructions have been identified and recorded on the relevant drawings
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I certify that the site of the excavation has been scanned / swept using a
approved survey tool and the position of any objects found has been recorded
on the relevant drawings and notified to the Excavation Supervisor.
5. Excavation Details
7. Clearance
I confirm that the work specified in this permit is completed / suspended. All
members of the working party have been withdrawn and all tools and
equipment have been cleared from the site.
Signature of the Working Party Supervisor ...............................................
Date ................................. .... Time ....................................
8. Cancellation
This permit and all copies of this permit are hereby cancelled
Signature of the Excavation Controller .......... ................................................
Date ................................. .... Time ....................................