Title Page

  • TOW No.

  • Haircut/haircut & Seal/ Remake?

  • Client / Site

  • Conducted on

  • Prepared by

  • Location:
  • Personnel

NOC

  • On-site with NOC, time and contact

  • Off- sited NOC, time and contact.

Work Description

  • Work Description

CNI Jointing

  • Joint size installed

  • Support Bar Fitted

  • Silica Bag

  • Onion Bags qnty

  • Qnty of B10 used

  • MBYB QNTY

  • SCOTCHLOC QNTY

  • AMP IN-LINE CONNECTORS QTY

  • Cables tags

  • Sealant installed to standard for cable type?

  • Red taped exchange side?

  • Jig Used? (Cable separation)

Photo Evidence with GPS location

  • Site photos pre start to finish

SORS CLAIMED

  • 16-03-01-02-AR<br>Rehabilitate existing Distribution small openable copper joint (up to 50 copper pairs)<br>

  • 16-03-01-01-AR<br>Rehabilitate existing Distribution large openable copper joint (more than 50 copper pairs up to 100 Pairs)<br>

  • 16-02-01-02-AR<br>Replacement of Distribution large copper joint (more than 50 copper pairs up to 100 copper pairs)<br>

  • 16-02-01-03-AR<br>Replacement of Distribution small copper joint (up to 50 copper pairs)

  • 17-01-01-03-AR<br>Joint sealing maintenance task (add Dexbond 10B Sealant)

  • 17-01-01-05-AR<br>Replace joint lid, clamp or support bar.

  • 17-01-01-07-AR<br>Replace or install 2pr-5pr snap enclosure

  • 17-01-01-08AR<br>Replace or Install 10pr snap enclosure

  • 17-01-01-12-AR Replace pillar jumpers (run with in guides)

  • 17-02-01-03-AR Joint cable pairs/per pair

  • Mud Map

  • Technicians Signature

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