Title Page

  • Flat no:

  • Block Name:

  • Appointment Number:

  • Conducted on

  • Prepared by

  • Installation of CPE

  • Is there light at the POE?

  • Have you managed to locate the DP and check the levels?

  • Light levels at POE (outside the property).

  • Photo of light level at POE

  • Evidence of fire stopping & Internal cable route.

  • Light levels in the property

  • Photo of light levels in property

  • Please provide CPE serial number.

  • Photo of CPE serial number.

  • Please provide photo of installed router (evidence of as it was left)

  • Please provide photo of WIFI speed test results.

  • Extra useful notes (If required)

  • Upon arrival located POE and checked light reading, fine. Discussed drilling, cable route and equipment location. Drilled and added router to wall and customer connected.

Sign Off

  • I confirm that I am happy with the standard of work carried out by the Engineer today, I understand that charges may be applicable in accordance with the terms and conditions of the contract with the service provider.

  • Customer Signature

  • I confirm that I have completed this work to the best of my ability.

  • Engineer Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.