Title Page

  • Customer Infinity ID

  • Customer address

  • PIA Lead Engineer

  • Date

  • Risk assessment complete and sent to FTM

Pre-installation check

Customer information

  • Geolocate customer address

Customer premise details

  • Type of premise

  • Photo of front of premise

Installation

    CLICK HERE FOR POLE INSTALLATION
  • Pole BT DP number

  • Photo of BT DP number

  • Type of pole

  • ASN node number

  • Photo of aerial node

  • Has a pre climb checklist been completed

  • Is this pole climbable

  • Photo of Failures

  • Can this pole be accessed via a hoist

  • Parking suspension required?

  • Provide photo of required parking space

  • Provide detailed information on parking bay suspension requirements

  • Count of drop wires (total on pole)

  • Photo of full pole length showing full 360° view of drop wires

  • Count of drop wires in fullest 180° arc

  • Is drop wire space in direction of property available?

  • Provide photo

  • Any obstructions between home & pole (e.g. trees)

  • Photo of obstruction

  • Photo of 180° arc dropwires

  • Distance from Pole to home (metres)

  • Height of house (Metres)

  • Brick type (e.g. brick, pebbledash, render)

  • Fascia type (e.g. wood, plastic)

  • Cable Type / size

  • Connectorised or through spliced

  • Supply CLEAR photo of installed cable inside ASN

  • What port is being used for this installation

  • Supply CLEAR picture of carrier pole, if applicable

  • Supply CLEAR picture of drop to premises

  • Supply CLEAR picture of installed eye-bolt (Customer premise end)

  • Supply CLEAR picture of installed drop cable clamps (both ends)

  • (Customer Build ONLY) Supply CLEAR picture of cable coiled at customer premise

  • Is there power at the ASN

  • Supply CLEAR image of test results (OTR or Power Tester)

  • Have you proven red light from ASN to premise

  • Supply CLEAR picture of red light

  • Is the property feed by an Hollow Pole

  • CLICK HERE FOR DUCT INSTALLATION
  • UG node name(e.g. L13BRX9)

  • Photo of UG node

  • Geolocate node
  • Distance from node to home (metres)

  • Duct section(s) required to build from node to home

  • Openreach portal screen grab & annotation of required duct section(s)

  • Roped from node to footbox nearest to home

  • Provide annotation & photo

  • Reason for failure

  • Provide photo of A55

  • Lead in available for property?

  • Lead in roped

  • Picture showing rope in lead in

  • Photo of internal ONT location

  • Attach A55

  • Is a dig required on the customer's property?

  • If yes, Have you shown the customer the A55 & informed the customer of the proposed dig?

  • Does the customer agree to the proposed works?

  • Customer does not agree to the civils & understands their provisional order will be cancelled. Customer's name

  • Customer's signature

  • Time & date

  • Customer does agree to the civils & understands their provisional order will be processed. Customer's name

  • Customer's signature

  • Time & date

  • If a dig is required on the customer's property, do you recommend the customer is available to discuss the dig on the day of install?

  • Photo showing proposed duct route from chamber to property wall

  • Proposed duct length from chamber to property wall (M)

  • Close up of proposed duct location on property wall

  • Photo of internal ONT location

  • Attach A55

  • Is a dig required on the customer's property?

  • If yes, Have you shown the customer the A55 & informed the customer of the proposed dig?

  • Does the customer agree to the proposed works?

  • Customer does not agree to the civils & understands their provisional order will be cancelled. Customer's name

  • Customer's signature

  • Time & date

  • Customer does agree to the civils & understands their provisional order will be processed. Customer's name

  • Customer's signature

  • Time & date

  • If a dig is required on the customer's property, do you recommend the customer is available to discuss the dig on the day of install?

  • Photo showing proposed duct route from chamber to property wall

  • Proposed duct length from chamber to property wall (M)

  • Close up of proposed duct location on property wall

  • Photo of internal ONT location

  • Test Results
  • Supply CLEAR test results for each fibre (OTDR or Power Meter)

Sign Off

  • (Customer Connections ONLY) I confirm customer has fully operational service

  • Engineer Signature

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.