Title Page
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Work Order No.
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simPRO Job No.
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Address
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Install Date
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Prepared by
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Phone Number
Connect Overview
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Is End User on Work order present?
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Please enter email address
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Fibre Broadband - Pre-installation Customer Approval (person to be over the age of 18) if End User is not Present
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Name?
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Contact details?
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If you are not the person who ordered service (the end user), please confirm that you are authorised to represent the end user.
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Is the End User the Property Owner?
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Building Owner/Representative Name?
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Contact Details?
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Dogs on site?
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Locked Gate?
MDU/ROW Property Type
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Right of Way
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Build Complete?
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Multi Dwelling Unit
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Build Complete?
Build Out Side Boundary (OSB)
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Is the boundary drop present?
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What surface type is the Tube Breakout/Locate in?
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Please add photos and description in Installation description below
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What surface type is the Boundary drop in?
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Please Add photo to description below
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Netmap Screen Shot
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Traffic Management
Build Inside Boundary (ISB)
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Build Work types
- Fenceline
- Grass Trench
- Slot Trench
- Thrusting
- Hard Trench
- Cobble Stone
- PALI
- Customer Duct
- Greenfields
- Tube present at ETP
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Build Distance
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Did the customer install the duct?
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Is a Draw wire present?
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Is the duct at the same location as the Boundary Drop
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Short Description of work required to connect to boundary drop location?
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Is the duct Present on Both ends
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Is the duct at the same location as the Boundary Drop
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Short Description of work required to connect to boundary drop location?
Connect inside House
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What type of Instillation?
- Back to Back
- Ceiling
- Underfloor
- External Clipping
- ROW/MDU Connect
- Internal Cliping
- Capping
Health and Safety to consider
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What Health and Safety elements need to be considered
- Working at Height
- Traffic Management
- Confined Spaces
- Construction site
- Steep Incline
- Other
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Please list Other
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Is the work above 5m?
Description of Installation
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Detailed description of Full installation
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Photos of Full installation
Outside Property Consent
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Trenching in Garden and/or Grass?
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Installation of Cable on fence
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Cutting of Driveway and/or Footpath?
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Installation of Conduit?
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Removal of Concrete/Tiling/ Cobbles/Pavement/Asphalt?
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Installation of Box (ETP) on outside of the house?
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Exposed surface cabling on house?
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Others?
Inside Property Consent
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Drilling Small Holes?
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Cutting holes in walls?
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Installation of Conduit/Capping?
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Please note we will be installing Additional Surface mounted Equipment including Additional wiring to connect the Equipment to power and the modem.
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Others?
End User Terms Enable Networks Limited
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End User Terms can be found on line here: (The Planner will also provide you with a hard copy)
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Have the customer signed the End user Terms Hard copy?
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Please add photo?
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Please get hard copy of End User Terms Signed before completing scope
Signed Consent
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I confirm that:
- I have seen, read and understood this information and the end user terms and accept those terms; and
- If I am not the owner of the property, I have obtained the consent of the owner for the installation works; and
- I understand that there may be an impact on the operation of burglar and medical alarms, particularly monitored alarms. [Note: check with your alarm provider or telecommunications service provider] -
By signing below I agree to all described in the above document and note that this document is legally binding.
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I have read and agree to Enable's End User Terms
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End User Signature:
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Authorised Enable technician: