Title Page

  • Service Ticket or Work Order No.

  • simPRO Job No

  • Address

  • Prepared by

  • Phone Number

ROW overview

  • No. of EUP's

  • No. of Front house EUP's (requiring consent)

  • No. of EUP's Connected

  • No. of EUP's Planned

  • Enter each EUP's details

  • EUP
  • Unit No.

  • Build to:

  • Customer duct or PALI Present

  • Is End User available?

  • Unit Contact Name

  • Unit Contact Phone Number

  • Unit Contact Email

Build Out Side Boundary (OSB)

  • Boundary Drop present?

  • No. of Tubes dropped?

  • Tube Numbers?

  • Pedestal Present?

  • Pedestal No.?

  • No. of Tubes in Pedestal?

  • Is Feeder Fibre Present in Pedestal?

  • Tube Numbers?

  • Is the Pedestal a SOS Pedestal?

  • Cabinet No.?

  • Does the site require a tube Breakout?

  • Reason for Tube Breakout?

  • Description of work to be preformed for Tube Breakout/Break-in?

  • What Surface type is the tube Breakout?

  • Is a tube Break-in Required?

  • What surface type is the tube break-in?

  • Photos for tube Breakout/Break-in?

  • Traffic Management?

Build Inside Boundary (ISB)

  • Please note on Property Plan to be completed for each unit individually on a Connect Plan

  • Build Work types

  • Detailed Description of Build Work?

  • Build Distance?

  • Pedestal Install required?

  • Pedestal No.

  • Pedestal
  • What Type of Pedestal?

  • No. of tubes in pedestal?

  • Has a partial ROW Build been completed?

  • Photos of Build Work?

  • Special requirements or requests?

  • Netmap Screenshot

Confirmation

  • I Confirm that the above information is accurate and to standard.

  • ROW Planner:

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.