Title Page
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Decon-TechF-205 Build Drops Field Completion.docx. Rev 6 date:10/04/2015. page 1 of 1
Hardcopies of this document are considered uncontrolled please refer to Decon Management System for latest version. -
Conducted on
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Location
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Installation Company
- EMTEL
- Accelerated Excavations
- Hotpoint
- DGE
- Decon Technologies
- UES
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Contractor Name's
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Select date
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Photos before job start.
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Work Completed:
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PCD Location:
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PCD Location Photo
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Other Location:
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Photos of completed job of premises
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Cable Length Used:
- 20m
- 30m
- 40m
- 60m
- 80m
- 120m
- 200m
- 300m
- 500m
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Confirm MSS Number and Port Used:
TYPE A : Existing Underground
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TYPE A: Existing Underground (Telstra LIC)
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Other:
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Small Pit Installed ( Write reasson required in additional comments section)
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LIC Repairs/Blockages Fixed (write details in additional comments section)
- 1
- 2
TYPE C: New Underground
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TYPE C: New Underground (NBN LIC)
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LIC Present (multiple choice)
- LIC Present
- No LIC Present
- Telstra LIC Present But Not Used
- Part Telstra LIC Used
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Conduit Material
- Plastic (PVC)
- Other
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Reason Whole Telstra LIC Was Not Used:
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Asbestos Pit Breakout
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Deferral (Please pick the appropriate box and write comments)
Additional Comments
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Additional comments:
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Add signature
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Add drawing
Before/After and PCD Location Photos
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- BEFORE PHOTOS
- PCD LOCATION PHOTOS
- AFTER PHOTOS