East 4 SE Help Request Form V1

You MUST fill in ALL details to the best of your ability, failure to do so will result in your job either not going ahead or being non-prioritised.

• DTH Engineer Name / Tech No.

• Engineer Phone Number

• Team Number

• What is this escalation for?

  Select DAT / SAT Required Health and Safety Impossible No Line of Sight

  • DAT / SAT Required
  • Health and Safety Impossible
  • No Line of Sight

• Job No,

• Job Type

  Select Service New Customer Install Existing Customer Upgrade Moving Home Install 1 Extra Multiscreen Box only 2 Box or more install Install & Relocate Relocate Only

  • Service
  • New Customer Install
  • Existing Customer Upgrade
  • Moving Home Install
  • 1 Extra Multiscreen Box only
  • 2 Box or more install
  • Install & Relocate
  • Relocate Only
• Customers full name and Address including postcode
  Address

• Phone Number

• Alt Phone Number (if available)

• Completed By:

Please use this section to add any info gained from ETA, property type, is there a dish already etc.

• Description of Issue

• How will the dish be accessed?

  Loft Hatch

  Pitched Roof (Extended Cats)

  DAT / SAT

  14 Rung ladders (check DTH engineers first)

  N/A - No Line of Sight

• In your opinion would 'Roped Access Technique' be required to complete this job?

  Yes

  No

  Unsure

• Customer fully aware of situation

• Photo(s) of Planned dish location

  Media

• Photo(s) of Planned Ladder Location

  Media

• DTH Engineer

  Sign

Please double check all fields are filled in to the best of your ability before sending on.