Title Page

  • Work Order No.

  • simPRO Job No.

  • Address

  • Install Date

  • Prepared by

  • Phone Number

Connect Overview

  • Is End User on Work order present?

  • Please enter email address

  • Fibre Broadband - Pre-installation Customer Approval (person to be over the age of 18) if End User is not Present

  • Name?

  • Contact details?

  • If you are not the person who ordered service (the end user), please confirm that you are authorised to represent the end user.

  • Dogs on site?

  • Locked Gate?

MDU/ROW Property Type

  • Right of Way

  • Build Complete?

  • Multi Dwelling Unit

  • Build Complete?

Build Out Side Boundary (OSB)

  • Is the boundary drop present?

  • What surface type is the Tube Breakout/Locate in?

  • Please add photos and description in Installation description below

  • What surface type is the Boundary drop in?

  • Please Add photo to description below

  • Netmap Screen Shot

  • Traffic Management

Build Inside Boundary (ISB)

  • Build Work types

  • Build Distance

  • Did the customer install the duct?

  • Is a Draw wire present?

  • Is the duct at the same location as the Boundary Drop

  • Short Description of work required to connect to boundary drop location?

  • Is the duct Present on Both ends

  • Is the duct at the same location as the Boundary Drop

  • Short Description of work required to connect to boundary drop location?

  • Add drawing

  • Add drawing

  • Add drawing

  • Add drawing

Connect inside House

  • What type of Instillation?

  • Is internal wiring present?

Health and Safety to consider

  • What Health and Safety elements need to be considered

  • Please list Other

  • Is the work above 5m?

Description of Installation

  • Detailed description of Full installation

  • Photos of Full installation

Outside Property Consent

  • Trenching in Garden and/or Grass?

  • Installation of Cable on fence

  • Cutting of Driveway and/or Footpath?

  • Installation of Conduit?

  • Removal of Concrete/Tiling/ Cobbles/Pavement/Asphalt?

  • Installation of Box (ETP) on outside of the house?

  • Exposed surface cabling on house?

  • Others?

Inside Property Consent

  • Drilling Small Holes?

  • Cutting holes in walls?

  • Installation of Conduit/Capping?

  • Please note we will be installing Additional Surface mounted Equipment including Additional wiring to connect the Equipment to power and the modem.

  • Others?

End User Terms Enable Networks Limited

  • End User Terms can be found on line here: (The Planner will also provide you with a hard copy)

  • Have the customer signed the End user Terms Hard copy?

  • Please add photo?

  • Please get hard copy of End User Terms Signed before completing scope

Signed Consent

  • 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.

  • I have read and agree to Enable's End User Terms

  • End User Signature:

  • Authorised Enable technician:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.