Page 107 - CCGA Best Practices Version English

FRESH DIRT (beginning 2018) Rev: 9/27/2017
‘*’ indicates a Required Field

Part G – Excavator Downtime
Did Excavator incur down time? Yes No

If yes, how much time? 0 < 1 hr 1 -<2 hrs 2-<3 hrs 3+ hrs Exact Value ______ Unknown
Estimated cost of down time? $0 $1 -1000 $1,001 - 5,000 $5,001 - 25,000
$25,001 - 50,000 >$50,000 Exact Value ______ Unknown

Part H – Interruption and Restoration
*Did the damage cause an interruption in service? Yes No Unknown

If yes, duration of interruption < 1 hr 1 - <6 hrs 6 - <12 hrs 12 - <24 hrs 24 - <48 hrs
48+ hrs Exact Value _______hrs Unknown
Approximately how many customers were affected?
Unknown 0 1 2 - 10 11 - 50 51+ Exact Value _______

Estimated cost of damage / repair/restoration: $0 $1 - 1,000 $1,001- 5,000 $5,001 - 25,000
$25,001 - 50,000 > $50,000 Exact Value ______ Unknown

*Part I – Root Cause Select only one
Notification Issue Locating Issue
No notification made to One Call Center/ 811 │ Facility not marked due to:
Excavator dug outside area described on ticket │ Abandoned facility
Excavator dug prior to valid start date/time │ Incorrect facility records/maps
Excavator dug after valid ticket expired │ Locator error
Excavator provided incorrect notification information │ No response from operator/contract locator
Excavation Issue │ Tracer wire issue
Excavator dug prior to verifying marks by test-hole (pothole)│ Unlocatable Facility
Excavator failed to maintain clearance after verifying marks │ Facility marked inaccurately due to
Excavator failed to protect/shore support facilities │ Abandoned facility
Improper backfilling practices │ Incorrect facility records/maps
Marks faded or not maintained │ Locator error
Improper excavation practice not listed above │ Tracer wire issue_________________________
Miscellaneous Root Causes
Deteriorated facility One Call Center Error Previous damage
Root Cause not listed (comment required)

Part J – Additional Comments

Part Z – Images and Attachments: List the file names of any images and attachments to submit with this report

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Canadian Common Ground Alliance
Best Practices Version 3.0 – October 2018
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