Build and Connect Scope

• Service Number & Job Address

• Commitment Date:

• Job Coins Number:

• Retail Service Provider:

• Grade of civil work:

  Select A B-C C-D D-E E+ N/A

  • A
  • B-C
  • C-D
  • D-E
  • E+
  • N/A

• Conducted on

  Date

• Prepared by

Service Order Details

Customer Details

• Client Name & Contact Details:

• Notes:

• Premises type?

  Residential SDU

  Right Of Way

  Multi Dwelling Unit

  Business

• Boundary Tube/Marker Located?

  Yes

  No

  N/A

• Photos of dropoff

  Media

• 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

• Is there network as address?

  Yes

  No

  N/A

Scope of Works

Inside Boundary Works

• Is Civil Work Required Between Boundary & ETP?

  Yes

  No

  N/A

• All Civil Works Between Boundary & ETP.

  Select Undermine Grass Trench Surface Mount Asphalt Trench Concrete Slot Thrusting Paving / Tiles Conduit Hard Surface Trench Terrasaw Trench Other - Please Specify

  • Undermine
  • Grass Trench
  • Surface Mount
  • Asphalt Trench
  • Concrete Slot
  • Thrusting
  • Paving / Tiles
  • Conduit
  • Hard Surface Trench
  • Terrasaw Trench
  • Other - Please Specify

• What civil works are required to get inside boundary?

  Select Undermine Grass Trench Surface Mount Asphalt Trench Concrete Slot Thrusting Paving / Tiles Conduit Hard Surface Trench Terrasaw Trench Other - Please Specify

  • Undermine
  • Grass Trench
  • Surface Mount
  • Asphalt Trench
  • Concrete Slot
  • Thrusting
  • Paving / Tiles
  • Conduit
  • Hard Surface Trench
  • Terrasaw Trench
  • Other - Please Specify

• Primary civil work inside boundary.

  Select Undermine Grass Trench Surface Mount Asphalt Trench Concrete Slot Thrusting Paving / Tiles Conduit Hard Surface Trench Terrasaw Trench Other - Please Specify

  • Undermine
  • Grass Trench
  • Surface Mount
  • Asphalt Trench
  • Concrete Slot
  • Thrusting
  • Paving / Tiles
  • Conduit
  • Hard Surface Trench
  • Terrasaw Trench
  • Other - Please Specify

• Total distance between drop off & ETP

• Breakdown of total measurement:

• Add media

  Media

Internal Work

• Type of internal access

  Back to Back

  Ceiling

  Underfloor

  Existing Draw Wire

  Conduit - B2B

• Is there external cabling?

  Yes

  No

  N/A

• Meters of conduit/capping/flexi

  2.5m conduit to ceiling>

  2.5m internal capping>

  +2.5m

• Type of internal cabling

  Select Cavity Capping Surface Mounting

  • Cavity
  • Capping
  • Surface Mounting

• Integrating phone line?

  Yes

  No - Customer has agreed

• Technician Install Time:

  1 - 2 Hours

  2 - 3 Hours

  3 - 4 Hours

  4 - 5 Hours

  +5 Hours

• Location of ONT & Signed End User Form:

• 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