WORKS CARRIED OUT

Travel time of 1 hour will be automatically added to the hours listed below. The finish time will be recorded from the last load tipped. Photo evidence of tipping documents will be supplied upon submission of this form to the client's email address provided above.

Start Time:

Description of Works carried out *

Photos / Evidence Of Works *

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Was Waste Tipped Onsite In An Approved Designated Area? *

Was Waste Tipped At A Registed Waste Centre *

Loads Tipped: *

Comments:

Upload Photos Of Tip Dockets

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ACKNOWLEDGMENT

I acknowledge that the work stated above has been completed to my satisfaction and that the site has been left clean and safe. A copy of this form will be sent to you upon completion of the last load tipped.

Client Rep Name

Client Representative Signature

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Finish Time: *

Total Hours Recorded Excluding Travel: *

KHP Civil Rep Name: *

KHP Civil Representative Signature *

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ATTENTION KHP CIVIL OPERATOR: Save and complete later. Submit upon receipt of the last tip docket

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