Title Page

  • Service Number & Job Address

  • Job Coins Number

  • Commitment date

  • Conducted On

  • Retail service provider

  • Prepared by

  • Grade Of Civil Work

Service Order Details

Customer information

  • Customer Name & Contact

  • Scoper's Notes:

  • Premises type

  • Boundary Tube/Marker Located?

  • Photos of dropoff

  • Are you the personal that requested the services?

  • What's your name?

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

  • Authorized Signature:

Network Details

  • Is there network as address?

Scope of Works

Inside Boundary Works

  • Is Civil Work Required Between Boundary & ETP?

  • All Civil Works Between Boundary & ETP.

  • What civil works are required to get inside boundary?

  • Primary civil work inside boundary.

  • Total distance between drop off & ETP

  • Breakdown of total measurement:

  • Add media

Internal Work

  • Type of internal access

  • Is there external cabling?

  • Meters of conduit/capping/flexi

  • Type of internal cabling

  • Integrating phone line?

  • Technician Install Time:

  • Location of ONT

  • Add media

Recognising the critical nature of Alarms & other monitored services, Enable requires you to contact the provider of these specific monitored services prior to your fibre installation to confirm that your monitored alarm will work over fibre broadband -

Signed Consent for Enables End user Terms & Conditions

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

  • Select date

  • Scoper's Signature:

  • Add drawing

  • Select date

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.