Title Page
1. Site Information
-
IMPORTANT:
i). Before any work starts, a Pre-excavation Image of the work area, including the chamber/pole, must be uploaded to this form.
ii). Familiarise yourself with the entire form before starting work; all fields must be completed; all attached photos must be timestamped and geo-tagged. -
1.1 Prepared By:
-
1.2 Date:
-
1.3 Build Town/Active Cabinet:
-
1.4 PDP Number:
-
1.5 A55 Reference:
-
1.6 Permit Reference:
-
1.7 Location:
-
1.8 Pre-excavation Image - prior to commencing work:
-
1.9 CAT & Genny Test Performed
2. BT Open Reach Evidence
-
IMPORTANT:
iii). BT Repair Kits must be used, including the supplied cable ties.
iv). Provide clear images of the following items. -
2.1 Duct Damage Image:
-
2.2 BT Repair Kit in Place, Image (showing repair):
-
2.3 Post Reinstatement Image - after completing all work:
CF Required Information
-
Sections 1 & 2 capture mandatory information required by BT Open Reach; sections 3, 4 & 5 satisfy Connect Fibre's requirements; section 6 certifies that all work has been carried out and completed satisfactorily.
3. Work Type
-
3.1 Blockage or Pole Bend:
-
3.2 A55 Reference:
-
3.3 Dig Dimensions (Length x Width x Depth):
-
3.4 Surface Type:
- Grass
- 6mm Tarmac
- 10mm Tarmac
- Hot Rolled Asphalt (HRA)
- Concrete
- Other
-
State the Surface Type:
-
3.5 Site Setup Image, with SLG:
4. Repair Work
-
4.1 Type of Reinstatement Required:
- Grass
- 6mm Tarmac
- 10mm Tarmac
- Hot Rolled Asphalt (HRA)
- Concrete
- Other
-
State the Surface Type:
-
4.2 Dig Open Image (damaged duct):
-
4.3 Repaired Duct Image:
-
4.4 Reinstatement Complete Image:
-
4.5 Site Clear Image:
5. Work Certification
-
5.1 All Works Completed Satisfactorily:
