Title Page
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Customer Infinity ID
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Customer address
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PIA Lead Engineer
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Date
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Risk assessment complete and sent to FTM
Pre-installation check
Customer information
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Geolocate customer address
Customer premise details
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Type of premise
- Single dwelling unit (1 Unit)
- Small multi-dwelling unit (1-3 Units)
- Multi-dwelling unit (12+ Units)
- SMMR (4 -12 Units)
- Single Business unit (1 Unit)
- Small multi-business unit (1-3 Units)
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Photo of front of premise
Installation
- CLICK HERE FOR POLE INSTALLATION
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Pole BT DP number
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Photo of BT DP number
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Type of pole
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ASN node number
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Photo of aerial node
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Has a pre climb checklist been completed
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Is this pole climbable
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Photo of Failures
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Can this pole be accessed via a hoist
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Parking suspension required?
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Provide photo of required parking space
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Provide detailed information on parking bay suspension requirements
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Count of drop wires (total on pole)
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Photo of full pole length showing full 360° view of drop wires
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Count of drop wires in fullest 180° arc
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Is drop wire space in direction of property available?
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Provide photo
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Any obstructions between home & pole (e.g. trees)
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Photo of obstruction
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Photo of 180° arc dropwires
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Distance from Pole to home (metres)
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Height of house (Metres)
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Brick type (e.g. brick, pebbledash, render)
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Fascia type (e.g. wood, plastic)
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Cable Type / size
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Connectorised or through spliced
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Supply CLEAR photo of installed cable inside ASN
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What port is being used for this installation
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Supply CLEAR picture of carrier pole, if applicable
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Supply CLEAR picture of drop to premises
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Supply CLEAR picture of installed eye-bolt (Customer premise end)
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Supply CLEAR picture of installed drop cable clamps (both ends)
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(Customer Build ONLY) Supply CLEAR picture of cable coiled at customer premise
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Is there power at the ASN
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Supply CLEAR image of test results (OTR or Power Tester)
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Have you proven red light from ASN to premise
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Supply CLEAR picture of red light
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Is the property feed by an Hollow Pole
CLICK HERE FOR DUCT INSTALLATION
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UG node name(e.g. L13BRX9)
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Photo of UG node
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Geolocate node
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Distance from node to home (metres)
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Duct section(s) required to build from node to home
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Openreach portal screen grab & annotation of required duct section(s)
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Roped from node to footbox nearest to home
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Provide annotation & photo
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Reason for failure
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Provide photo of A55
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Lead in available for property?
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Lead in roped
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Picture showing rope in lead in
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Photo of internal ONT location
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Attach A55
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Is a dig required on the customer's property?
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If yes, Have you shown the customer the A55 & informed the customer of the proposed dig?
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Does the customer agree to the proposed works?
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Customer does not agree to the civils & understands their provisional order will be cancelled. Customer's name
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Customer's signature
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Time & date
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Customer does agree to the civils & understands their provisional order will be processed. Customer's name
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Customer's signature
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Time & date
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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?
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Photo showing proposed duct route from chamber to property wall
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Proposed duct length from chamber to property wall (M)
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Close up of proposed duct location on property wall
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Photo of internal ONT location
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Attach A55
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Is a dig required on the customer's property?
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If yes, Have you shown the customer the A55 & informed the customer of the proposed dig?
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Does the customer agree to the proposed works?
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Customer does not agree to the civils & understands their provisional order will be cancelled. Customer's name
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Customer's signature
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Time & date
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Customer does agree to the civils & understands their provisional order will be processed. Customer's name
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Customer's signature
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Time & date
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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?
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Photo showing proposed duct route from chamber to property wall
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Proposed duct length from chamber to property wall (M)
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Close up of proposed duct location on property wall
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Photo of internal ONT location
Test Results
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Supply CLEAR test results for each fibre (OTDR or Power Meter)
Sign Off
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(Customer Connections ONLY) I confirm customer has fully operational service
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Engineer Signature