Site Visit

* Are you applying for a site visit and Permit to Work Assessment within the CitiPower or Powercor network?

• CitiPower Network Powercor Network

To find out which electricity network you will be working in, see our Postcode Network Locator.

• * Dial Before You Dig Reference Number
• * Name
• * Position
• * Company Name
• * Company Street
• * Company Suburb
• * Company Postcode
• * Site Street
• * Site Suburb
• * Site Postcode
• * Contact Phone
• * Contact Fax
• * Email

• * Name
• * Contact phone number
• * Company Name
• * Company Street
• * Company Suburb
• * Company Postcode
• * Site Street
• * Site Suburb
• * Site Postcode
• * Melways Reference
• * After Hours Phone Number
• * Contact Fax
• * Email

* Please indicate your proposed works by ticking the boxes below:

• Painting Drainage Construction Rendering Tree Cutting Extension Pipe Installation Other (enter description below)

* Please indicate the equipment you plan to use by ticking the box below:

• Crane Scissor Lift Scaffold Bucket Truck Excavator Pile Driver/Drilling Rig Borer Other (enter description below)

Please describe how the works relate to either CitiPower or Powercors Network below:

Please add any additional comments you believe will help below: