Multi-Utility Conflict Resolution Field Memo

Inspection template for documenting conflicts where multiple buried utilities cross or share a corridor, including owner coordination, field observations, protective measures, and closeout actions.

Inspection Details

• Project or work order identifier recorded
• Inspection date and time recorded
• Site location and corridor limits documented
• Inspector, competent person, and utility representatives identified

Utility Conflict Identification

• All affected facility owners identified
• Conflict type identified
• Marked utility locations verified in field
• Utility depth and alignment verified by potholing or equivalent method

Clearance, Separation, and Exposure Conditions

• Measured horizontal separation between facilities
• Measured vertical separation between facilities
• Utility exposure is stable and protected from damage during work
• Signs of leakage, corrosion, damaged coating, or compromised conduit observed

Coordination and Protective Measures

• Each facility owner contacted and response documented
• Agreed protective measures documented
• Permit, approval, or utility clearance obtained before work proceeds
• Lockout-tagout or isolation requirements identified where applicable
• Fire and gas hazard controls reviewed where applicable

Safety Controls and Work Authorization

• Competent person has reviewed the excavation or exposure plan
• Required PPE for utility exposure work available and in use
• Work authorization status

Deficiencies, Corrective Actions, and Attestation

• Deficiencies or non-conformances documented
• Corrective actions and responsible party documented
• Inspector signature
• Owner or field representative acknowledgement