UTILITIES COORDINATION CHECKLIST

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--- PRE-CONSTRUCTION PLANNING & DESIGN ---
[ ] Define Project Utility Requirements
[ ] Estimated Utility Load (kW/kVA)
[ ] Utility Provider(s) Identified? (Yes, No, Unknown)
[ ] Target Date for Utility Coordination Plan Completion
[ ] Preliminary Site Utility Plans (if available)
[ ] Types of Utilities Involved (select all that apply) (Electric, Water, Gas, Sewer, Telecommunications, Stormwater, Other (specify in Long Text))
[ ] Specify 'Other' Utilities (if selected)

--- UTILITY LOCATION & VERIFICATION ---
[ ] Request for Utility Records Submitted? (Yes, No, Pending)
[ ] Date of Utility Record Request
[ ] Summary of Received Utility Records (e.g., Maps, Drawings, Reports)
[ ] Upload Utility Record Drawings/Maps (PDF, DWG, etc.)
[ ] Type of Utility Location Verification Method Used? (Utility Company Field Survey, Ground Penetrating Radar (GPR), Pot Holing, Existing Drawings Only, Other)
[ ] Details of Verification Method (if 'Other' selected above)
[ ] Depth of Utilities Verified (feet/meters)
[ ] Description of Any Discrepancies Found Between Records and Actual Location
[ ] Resolution of Discrepancies Verified? (Yes, No, Pending)
[ ] Details of Resolution Method.

--- COORDINATION WITH UTILITY COMPANIES ---
[ ] Initial Utility Company Contact Made? (Yes, No)
[ ] Date of Initial Utility Company Contact
[ ] Summary of Initial Contact & Discussion Points
[ ] Utility Company Representative Assigned? (Yes, No)
[ ] Representative's Name
[ ] Representative's Contact Information (Phone/Email)
[ ] Requested Connection Capacity (e.g., kVA, gallons/minute)
[ ] Description of Agreed-Upon Connection Points & Requirements
[ ] Utility Company Provided Connection Diagrams/Specifications

--- CONSTRUCTION & INSTALLATION ---
[ ] Scheduled Utility Tie-in Date
[ ] Estimated Time for Utility Tie-in
[ ] Details of Utility Company Representative On-Site (Name, Contact Info)
[ ] Utility Pressure/Voltage Readings (Before & After Tie-in)
[ ] Utility Protection Measures Implemented (Select all that apply) (Silt Fences, Utility Marker Flags, Excavation Shoring, Bore Path Monitoring, Other (Specify in Long Text))
[ ] Notes on any deviations from the approved Utility Installation Plan
[ ] Photos/Videos of Utility Tie-in Process
[ ] Utility Tie-in Success? (Yes, No, Partial)

--- AS-BUILT DOCUMENTATION & HANDOVER ---
[ ] Date of As-Built Survey Completion
[ ] Summary of Deviations from Original Plans
[ ] As-Built Drawings (PDF)
[ ] Updated Utility Schedules (Excel/CSV)
[ ] Updated Utility Types Documented? (Gas, Water, Electrical, Telecom, Sewer, Other)
[ ] Number of Revised Utility Records Created
[ ] Description of any special handover instructions
[ ] Handover Status (Pending, Completed, Partial)
[ ] Contractor Representative Signature
[ ] Client Representative Signature

--- SAFETY & ENVIRONMENTAL CONSIDERATIONS ---
[ ] Identify Potential Environmental Impacts (e.g., soil erosion, water contamination) (Soil Erosion, Water Contamination, Air Quality Degradation, Noise Pollution, Impacts to Vegetation, Other (Specify in LONG_TEXT))
[ ] Specify 'Other' Environmental Impacts (if selected)
[ ] Utility Company's Environmental Protection Plan Reviewed? (Yes, No, N/A)
[ ] Distance of work zone from sensitive environmental areas (e.g., wetlands, streams)
[ ] Date of Environmental Risk Assessment
[ ] Confined Space Entry Permit Required for Utility Work? (Yes, No, N/A)
[ ] Upload Confined Space Entry Permits (if applicable)
[ ] Traffic Control Plan in Place for Utility Work? (Yes, No, N/A)
[ ] Describe Specific Safety Precautions for Utility Work (e.g., lockout/tagout procedures)

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