Title Page

  • Audit Title - Service Address:

  • Commit date:

  • Conducted on

  • Prepared by

  • Location:

SERVICE ORDER DETAILS:

  • CLIENT NAME:

  • CLIENT CONTACT DETAILS:

  • THE LEGAL OWNER OF THE PREMISE OR LANDLORD MUST HAVE GIVEN CONSENT FOR THIS WORK TO PROCEED. PLEASE ENSURE THIS HAS BEEN SOUGHT AFTER SCOPE HAS BEEN COMPLETED TO ENABLE THIS WORK TO PROCEED.

  • ARE YOU THE REQUESTOR FOR THIS SERVICE?

  • ARE YOU THE LEGAL PROPERTY OWNER?

NETWORK DETAILS:

  • PREMISE TYPE?

  • IS THERE NETWORK AT THE PREMISE?

  • NETWORK PROVIDER:

  • RETAIL SERVICES PROVIDER: i.e. Spark, Vodafone etc.

  • RFS DATE OR DATE INSTALL COMPLETED:

  • SERVICE ORDER NUMBER:

  • JOB COINS NUMBER:

SCOPE OF WORKS

OUTSIDE BOUNDARY WORKS

  • FIBRE NETWORK TYPE:

  • Boundary tube location?

  • Photo of tube location:

INSIDE BOUNDARY WORKS

  • Is thrusting required inside boundary?

  • Please take photo of thrusting path

  • Fibre ready build

  • Fibre ready build

  • Fibre ready build

  • Fibre ready build

  • Fibre ready build

INTERNALS

INTERNALS

  • TYPE OF ACCESS?

  • Internal cabling metres?

  • Conduit or Flexi installed?

  • ITP INSTALLED

  • LOCATION OF ONT

  • PICTURE OF ONT LOCATION

  • STB's required to be installed?

  • Copper cutover required?

Health and safety

  • Photo required of 4x2 and hazards at address

CUSTOMER CONSENT

  • I confirm that;
    a) I have read, seen and understood this information and the end user terms and accept those terms, and/or
    b) I am not the owner of the property, but I have obtained the consent of the owner to authorize the installation works, and
    c) I understand that there may be an impact on the operation of burglar, medical and monitored alarms, I have been advised to contact my alarm and/or telecommunications service provider.

  • End user signature

  • Scopers signature

REINSTATEMENT

  • Reinstatement required

  • Photo of reinstatement

  • Photo of reinstatement

  • Photo of reinstatement

  • Photo of reinstatement

TUBE REMEDIATION

  • IS TUBE REMEDIATION REQUIRED?

  • Blowing distance?

  • Duct number

  • Tube number

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.