Build and Connect Scope

• Audit Title - Services Address

• Service Order No:

• Commit Date:

• Conducted on

  Date

• Prepared by

Service Order Details

Customer Details

• Client Name:

• Client Contact Details:

• Are you the personal that requested the services?

  Yes

  No

  N/A

• What's your name?

• Are you authorized to sign the consent form and approve the scope of works?

  Yes

  No

  N/A

• Authorized Signature:

  Drawing

Network Details

• Network Provider:

• Retail Services Provider:

• Ready for Service Date:

• Service Order Number:

• Job Coins Number:

• Is there network as address?

  Yes

  No

  N/A

• Premises type?

  Residential SDU

  Right Of Way

  Multi Dwelling Unit

  Business

Scope of Works

Outside Boundary Works

• Fibre Network Type

  Air Blown Fibre

  Fixed Fibre

• Boundary Tube Located?

  Yes

  No

  N/A

• Photos of dropoff

  Media

• What civil works are required to get inside boundary?

  Select Surface Mounting Grass Trench Hard Surface Trench Thrusting Concrete Slot Asphalt Trench Paving / Tiles / Other Removal

  • Surface Mounting
  • Grass Trench
  • Hard Surface Trench
  • Thrusting
  • Concrete Slot
  • Asphalt Trench
  • Paving / Tiles / Other Removal

Inside Boundary Works

• Main type of civil works inside boundary.

  Select Surface Mounting Grass Trench Hard Surface Trench Thrusting Concrete Slot Asphalt Trench Paving / Tiles / Other Removal

  • Surface Mounting
  • Grass Trench
  • Hard Surface Trench
  • Thrusting
  • Concrete Slot
  • Asphalt Trench
  • Paving / Tiles / Other Removal

• Number of meters.

• Are there any secondary civil works between boundary and ETP?

  Yes

  No

  N/A

• Secondary civil works between boundary and ETP.

  Select Surface Mounting Grass Trench Hard Surface Trench Thrusting Concrete Slot Asphalt Trench Paving / Tiles / Other Removal

  • Surface Mounting
  • Grass Trench
  • Hard Surface Trench
  • Thrusting
  • Concrete Slot
  • Asphalt Trench
  • Paving / Tiles / Other Removal

• Distance from boundary to ETP

• Add media

  Media

Internals

• Type of access

  Back to Back

  Ceiling

  Underfloor

• Is there external cabling?

  Yes

  No

  N/A

• Meters of conduit and / or flexi

• Type of internal cabling

  Select Cavity Capping Surface Mounting

  • Cavity
  • Capping
  • Surface Mounting

• Build and Connect Install Time:

  1 Hour

  2 Hours

  3 Hours

  4 Hours

  +5 Hours

• Location of ONT

• Add media

  Media

Signed Consent

I confirm that; (a) I have seen, read 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 maybe an impact on the operation of burglar, medical and monitored alarms, I have been advised to contact my alarm and / or telecommunications services provider.

• End user signature:

• Add drawing

  Drawing

• Select date

  Date

• Scoper's Signature:

• Add drawing

  Drawing

• Select date

  Date