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Safety
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Close Approach Consent Application
Contact Details
Company name
Postal address
Contact name
Contact phone number
Contact email
Consent Details
On-site supervisor name
On-site supervisor phone
Start date
Start time
Finish date
Finish time
Close approach type
Crane, Elevated Work Platform, Mobile Machinery
Ordinary Person (General Work Only - Not Tree Work)
Building Work, Scaffolding
Excavation within 5 m of Network Cables
Excavation within 4 m of Network Assets (Transformers, Poles, Stay Wires, etc)
Distance from our asset
Depth of excavation
Work description
Work site location / Pole number
Notes / Comments