Brighton & Hove City Council TV System Survey Report

• Site Address

• Post code

• Site reference

• Survey date

  Date

• Inspected by

Identification of Existing Communal System

• System Type

  Star Wire

  Tree & Branch

  MATV

  CATV

• Number of Points

• Access requirements to enter block

• Photographs

  Media

Existing Headend Location

• Main Head End Location

• Photo

  Media

• Sub Head End Location

• Photo

  Media

• Distribution Point / Splitters / Wolsey blocks

• Photo

  Media

Aerial Location

• Rig Location

• Photo

  Media

• Pole size

  12 foot

  16 foot

  20 foot

  Master coupler

  Other

• If other, specify

Drop Cables

• Cables identified to Flat Numbers

• Are splitter boxes used?

  Yes

  No

• Locations

Power Location

• Location of intake cupboard

• Power Source

• Key Type?

  FB1

  FB2

  FB4

  Other

• If other, specify

Sockets

• Sockets installed in Flat numbers

• Location of sockets

Site Conditions

• Scheme Managed Block

  Yes

  No

• Scheme Manager on site

  Yes

  No

• Contact details

• Access to Loft

  Yes

  No

• If yes, Via

• Access to Roof

  Yes

  No

• If yes, Via

• CCTV on site

  Yes

  No

• Number of Floors?

  1

  2

  3

  4

  Other

• If other, specify

• Any additional comments

• Any additional photos

  Media

• Surveyor

  Sign

• Client contact (if applicable)

  Sign