Page# and # of pages
Page ______ of _______
Locate Service Provider information
Request No.
Auxilliary Locate Sheet
[LSP logo]
[LSP company name]
[LSP phone / fax / email; minimum of 2]
Date Located:
(dd/mm/yyyy)
Date that the locate
was completed
ION
T
N
E
T
AT
TORS!
A
V
A
C
EX
[insert expiry criteria]
Ƒ Gas Ƒ Water Ƒ+\GURƑ7HOHFRPƑ6WUHHW/LJKWLQJƑ6HZHU
Utilities
Marked:
ƑOther
Date locate
expires by utility
Type of utility being located
_______________________________________________________________________
with your locate request
description of limits of located area
TO:_____________Written
__________________________________
area covered by this sheet of locate report
TO:_____________ie.
__________________________________
LOCATED AREA: EXCAVATOR SHALL NOT WORK OUTSIDE THE LOCATED AREA WITHOUT OBTAINING ANOTHER LOCATE
FROM:____________________________________________
FROM:____________________________________________
IMPORTANT
INFORMATION
LOCATED AREA HAS BEEN ALTERED AS PER:_____________________________
LEGEND
[example]
Building Line — BL—
Fence Line — FL—
Face of Curb — CL—
Road Edge — RE—
Property Line — PL—
Hand dig cautiously within 1m as measured horizontally from the field markings to avoid
damaging the underground utilities. If you damage the plant, you may be held liable.
If you damage underground plant, contact the utility owner immediately.
Depth varies and MUST be verified by hand digging or vacuum excavation.
IMPORTANT
Do not dig
outside the
area located
on this sheet
Legend of symbols
used in sketch
Locate Area — LA—
Driveway — DW—
Catch Basin
CB
Sidewalk
SW
Demarcation
DM
Railway
Pole
Flush to Grade
Pedestal
Pedestal
Bell Buried Cable
Bell Conduit
Bell buried Service
Wire
Manhole
NORTH ARROW
Please review
carefully
BEFORE
you start
DIGGING
--------
O
FTG
X
—B—
—C—
—BSW—
MH
Bell Fibre Optic
Cable — FO—
Gas Main — GM—
Gas Service
— GS—
Gas Valve
Hydrant
O
Ÿ
Transformer
Hydro
Hydro Pole
—H—
Street light Cable
— SL—
X
Warning auxiliary sheet is only valid in
combination with primary locate sheet
The Locate Area is in BOLD. Sketch is provided
to help you find the marks on the ground and
must be same as written Locate Area Description
in the Caller's remarks section one from page 1
SKETCH NOT TO SCALE
THIS FORM VALID ONLY WITH Primary Locate Sheet
Any privately owned services within the located area have not been marked- check with service/property owner.
A copy of this Auxiliary Locate Sheet(s) and the Primary Locate Sheet must be on site and in the possession of the Excavator during
work operations. Should sketch and markings not coincide, excavator must obtained a new locate.
Regulatory warnings about use of locate information
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Page# and # of pages
Please read this
pamphlet before
you begin to dig.
This pamphlet is designed
to help you understand
some key pieces of
information that you will
find on your locate sheet
so you can dig safely.
If you have any questions
about your locate sheet,
please contact the locate
service provider listed at
the top of the sheet.
Page ______ of _______
Locate Service Provider
Primary Locate Sheet
[LSP logo]
Request No.
[LSP company name & address]
[LSP phone / fax / email; minimum of 2]
Utilities Owners Present
Requested by:
Request Type: Standard, Emergency, Priority
Type of work:
• Hand dig cautiously
(with non-mechanical
equipment) within one
metre of the locate
marks. YOU MUST
proceed cautiously to
avoid damaging the
underground utilities. If
you damage them, you
may be held liable
• DO NOT dig outside the
area located on your
locate sheet
• Your locate has an
expiry date. If you plan to
dig after that date, you’ll
need to contact Ontario
One Call again to request
a new locate
on1call.com
1-800-400-2255
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Fax/Email:Date request made to
Ontario One Call
Date Requested:
City:
Address of Excavation
Intended work or method of excavation
Site Meet Requested
Ƒ
Appointment Date:
Requestor Remarks:
Additional information &
instructions from Requestor
Dig area description from Requestor
It’s important to:
• Make certain the sketch of
the located area matches
the markings on the
ground
Revised Excav. Date (dd/mm/yyyy)
Phone:
Dig Area Description:
• Read and fully understand
your locate
Ƒ+RPHRZQHU
Revised excavation date,
if agreed to
Company:
Locate address
Excavation Date (dd/mm/yyyy) Category:
Excavation date as
originally requested
Names of Utility Owners
contacted by Ontario One Call
Your Ontario One Call
Locate Request #
Method of field marking area where excavation will take place
'LJDUHDRXWOLQHGXVLQJƑ Paint Ƒ Stakes Ƒ Flags Ƒ Offset Flags Ƒ6NHWFKƑ2WKHUBBBBBBBBBBBBBBBBBBBBBBBBBBB
WARNINGS AND CAUTIONS [per Utility Owner's Guidelines, see examples below]
Warning: Should Sketch and markings not coincide, excavator must obtain a new locate.
Caution: Locates provided are valid for a limited time frame. See attached Disclaimer for the specific Utility Owner's Guidelines.
Caution: Any changes to location or nature of work require new locate.
Caution: Privately owned services within the located area have not been marked - check with service/property owner.
LOCATED AREA: EXCAVATOR SHALL NOT WORK OUTSIDE THE LOCATED AREA WITHOUT OBTAINING ANOTHER LOCATE
Excavator shall notify & receive a clearance from Utility Prior to Excavation
for the following:
Records Referenced:
Utility and site records available
to locator at time of locate
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Locator's Warnings:
Site specific warnings and
cautions from Utility Owners
Ƒ$OWHUHG/LPLWVƑ8QORFDWDEOHXWLOLWLHV
Ƒ2WKHUBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
Locator Remarks:
Method used by locator to mark
utility positions on ground
Method of Field Marking:
Ƒ Paint Ƒ
Stakes
Documents given to be used with this locate:
• Locator name or ID#
• Date locate completed
• Locate expiry date by utility
Ƒ Flags Ƒ
Apply Sticker Here if Required
Offset Flags Ƒ Other___________________________________
Locator name/ID#:________________
Ƒ Fax ƑLeft on Site Ƒ Emailed
Start/End time:___________/_________
Accepted By:_______________________
Date :______________________
[insert expiry criteria]
How locator left you
the locate form
Signature:___________________________
A copy of this Primary Locate Sheet and Auxiliary Locate Sheet(s) must be in
possession of the Excavator during work operations.
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