Utilities Coordination Checklist
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Pre-Construction Planning & Design
Activities related to identifying, planning, and designing for utilities before construction begins.
Define Project Utility Requirements
Estimated Utility Load (kW/kVA)
Utility Provider(s) Identified?
Target Date for Utility Coordination Plan Completion
Preliminary Site Utility Plans (if available)
Types of Utilities Involved (select all that apply)
Specify 'Other' Utilities (if selected)
Utility Location & Verification
Focuses on accurately identifying and verifying the locations of existing utilities on-site.
Request for Utility Records Submitted?
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?
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?
Details of Resolution Method.
Coordination with Utility Companies
Details the processes for communication and agreement with utility providers.
Initial Utility Company Contact Made?
Date of Initial Utility Company Contact
Summary of Initial Contact & Discussion Points
Utility Company Representative Assigned?
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
Covers activities during the construction phase related to utility work.
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)
Notes on any deviations from the approved Utility Installation Plan
Photos/Videos of Utility Tie-in Process
Utility Tie-in Success?
As-Built Documentation & Handover
Focuses on accurate record-keeping and transferring responsibility for the utilities.
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?
Number of Revised Utility Records Created
Description of any special handover instructions
Handover Status
Contractor Representative Signature
Client Representative Signature
Safety & Environmental Considerations
Addresses safety protocols and environmental protection measures related to utility work.
Identify Potential Environmental Impacts (e.g., soil erosion, water contamination)
Specify 'Other' Environmental Impacts (if selected)
Utility Company's Environmental Protection Plan Reviewed?
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?
Upload Confined Space Entry Permits (if applicable)
Traffic Control Plan in Place for Utility Work?
Describe Specific Safety Precautions for Utility Work (e.g., lockout/tagout procedures)
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