Circuit Extension Survey

• Conducted on

  Date

• Prepared by

• Location
  Address

General Site Assessment

• Has the site been identified for the circuit extension project?

  Yes

  No

  N/A

• Please provide details on any obstacles or challenges identified on site.

• How many additional circuits are required for the extension?

• Are there any safety hazards that need to be addressed before starting the extension project?

• What level is the client’s IT closet located?

• Where is the MPOE located?

DIA Circuit Survey

• Is the circuit extended to the client suite?

  Yes

  No

  N/A

• If the circuit is not extended, what is the distance between MPOE and the client’s IT closet?

• Is NID installed at MPOE?

  Yes

  No

  N/A

• Is Fiber NID installed at the client’s IT closet?

  Yes

  No

  N/A

• Is SFP inserted in fiber NID?

  Yes

  No

  N/A

• How many days will it take to install the circuit from MPOE to client IT closet?

• What type of fiber is required to complete the circuit extension project (Multi- mode or Single mode)?

• Take clear photos of the MPOE, fiber panel, and NID, ensuring circuit ID is visible.

  Media

• Take clear photos of the IT room and fiber route for installation.

  Media

• What ground level is Chanel IT room is located?

• What ground level is MPOE located?

Broadband Circuit Survey

• Is the broadband circuit located at MPOE?

  Yes

  No

  N/A

• Is the broadband circuit extended to the client’s IT closet?

  Yes

  No

  N/A

• If extended, take photos showing circuit ID, MAC address, and IP address on the router.

  Media

• Verify cable route for broadband circuit extension.

• Identify broadband type (DSL, Fiber, Cable).