Title Page
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TOW No.
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Haircut/haircut & Seal/ Remake?
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Client / Site
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Conducted on
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Prepared by
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Location:
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Personnel
NOC
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On-site with NOC, time and contact
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Off- sited NOC, time and contact.
Work Description
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Work Description
CNI Jointing
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Joint size installed
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Support Bar Fitted
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Silica Bag
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Onion Bags qnty
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Qnty of B10 used
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MBYB QNTY
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SCOTCHLOC QNTY
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AMP IN-LINE CONNECTORS QTY
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Cables tags
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Sealant installed to standard for cable type?
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Red taped exchange side?
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Jig Used? (Cable separation)
Photo Evidence with GPS location
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Site photos pre start to finish
SORS CLAIMED
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16-03-01-02-AR<br>Rehabilitate existing Distribution small openable copper joint (up to 50 copper pairs)<br>
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16-03-01-01-AR<br>Rehabilitate existing Distribution large openable copper joint (more than 50 copper pairs up to 100 Pairs)<br>
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16-02-01-02-AR<br>Replacement of Distribution large copper joint (more than 50 copper pairs up to 100 copper pairs)<br>
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16-02-01-03-AR<br>Replacement of Distribution small copper joint (up to 50 copper pairs)
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17-01-01-03-AR<br>Joint sealing maintenance task (add Dexbond 10B Sealant)
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17-01-01-05-AR<br>Replace joint lid, clamp or support bar.
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17-01-01-07-AR<br>Replace or install 2pr-5pr snap enclosure
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17-01-01-08AR<br>Replace or Install 10pr snap enclosure
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17-01-01-12-AR Replace pillar jumpers (run with in guides)
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17-02-01-03-AR Joint cable pairs/per pair
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Mud Map
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Technicians Signature