Title Page
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Conducted on
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Prepared by
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Location
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Work Order No.
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SimPRO No.
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RSP
Job Type
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Dilapidation Photos
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Select work completed on site
- SDU Build
- SDU Blow
- SDU Connect
Outside Boundary Transition
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Select Surface type around the drop off
- Direct transition to fence
- Grass/Garden
- Asphalt
- Concrete
- ROW Drop
- Pali
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Take Photo(s) of Drop off connection
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Photos to be included: Drop off open, Reinstatement completed
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Has any cones been left on site waiting permanent reinstatement
Build Asbuilt
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Build Methods Used
- Fenceline
- Soft Trench
- Slot Trench
- Hard Trench (Asphalt/Concrete)
- Surface Mount
- Other
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Total Fenceline distance:
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Is the fenceline standard followed? (300mm spacing distance, minimum height of 150mm, etc.)
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Take Photos of the full fenceline
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Total Soft trench distance:
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Have the trenching standards been adhered to? (300mm cover)
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Take Photos of the Trench depth over the total trench
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All Grass Trench Reinstatement completed? (Grass seed, Top soil, Shingles reinstated, Garden etc.)
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Take Photos of the Soft Trench Reinstatement
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Total Slot Trench distance:
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Has the trenching standards been adhered to? (25mm cover)
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Have Slot Trench been reinstated?
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Take photos of Slot Trench
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Total Hard Trench distance:
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Have the trenching standards been adhered to? (100mm cover)
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Take Photos of the Trench depth over the total trench
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Is the temporary reinstatement to standard and no trip hazards present?
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Take photos of the Hard Surface reinstatement (temporary/permanent)
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Total Surface mount distance:
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Have the Surface Mount method been approved
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Approved By:
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Is the Surface Mounted cable/duct installed to standard?
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Take photos of Surface Mount section
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Please advise method used:
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Total distance of said method:
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Have said method been approved?
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Approved By:
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Take photos of said installation method
Fibre Blow
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Fibre Blow distance:
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Has the duct allocated on W/O been used
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Duct/Tube No. at Cabinet:
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Duct/Tube No. at Boundary:
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Have an ETP been installed
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Take photos of ETP open and closed (Photos to include duct installed from ground up to ETP)
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Have fibre management standards been adhered to?
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Take photos of fibre on both ends (Photos of cabinet/ped to be included)
SDU Connect
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Has work been completed in CDP?
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Have Fibre management Standard been adhered to?
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Take photos of CDP open and closed. (Include photos of fibre management in the tray)
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Has work been completed in Ped?
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Have Fibre management Standard been adhered to?
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Take photos of Ped open and closed. (Include photos of fibre management in the tray)
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Ericsson or Shape Cabinet?
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Have Appropriate cabinet standard been adhered to?
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Have the fibre management standard been adhered to?
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Take photos of the work completed in the Cabinet (Add dilapidation photos)
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Please select work type completed
- Back to Back
- Ceiling
- Underfloor
- External Clipping
- MDU Connect
- Internal Clipping
- Capping
- Media Panel
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Have ETP/ONT been installed to standard?
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Take Photos of ETP and ONT both open and closed (take photos of the surroundings)
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Have the installation standards been adhered to? (Cable clipped, spacing of clipping, penetrations etc.)
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Take photos of internal cable route from ETP/CDP to ONT
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Have ONT been installed to standard?
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Take Photos of ETP/CDP and ONT both open and closed (take photos of the surroundings)
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Have the installation standards been adhered to? (Cable clipped, spacing of clipping, penetrations etc.)
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Have the installation standards been adhered to? (Cable clipped, spacing of clipping, penetrations etc.)
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Please complete optical power test and provide result to nearest dB.
- >-10dB
- -11dB
- -12dB
- -13dB
- -14dB
- -15dB
- -16dB
- -17dB
- -18dB
- -19dB
- -20dB
- -21dB
- -22dB
- >-23
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Please re-splice fibre and test again!
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Please provide evidence of test result
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ONT Serial Number:
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Use Smart Scan to accurately capture serial Number
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Has the install been completed as per the Pre-Agreed Plan (Scope)?
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Please provide full description of change and reason for change?
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Has the voice service copper cut over been completed?
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Take photos of copper cut over and screen shot of test call
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Provide evidence of speed test
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Is speed same as on work order?
Completion Connect
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Would the end-user recommend you services to their friends or family?
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I confirm the the installation has been carried out to my satisfaction. The technician explained how the installation was completed and educated me on the use of the fibre connection. They have left me with the information pack on the installation.
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End-User Name and Signature
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I the technician confirm the installation was carried out to standard and my workmanship is of a good quality. I have completed the form in full and confirm all details are correct and verified. I have completed a full walk over with the customer to confirm they are satisfied with the installation.
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Technician Name and Signature