Title Page
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Service Ticket or Work Order No.
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simPRO Job No
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Address
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Prepared by
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Phone Number
ROW overview
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No. of EUP's
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No. of Front house EUP's (requiring consent)
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No. of EUP's Connected
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No. of EUP's Planned
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Enter each EUP's details
EUP
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Unit No.
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Build to:
- Boundry
- ETP (location)
- ETP (Fibre blown)
- ONT (requester)
- ONT (Up Sell)
- Already Connected
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Customer duct or PALI Present
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Is End User available?
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Unit Contact Name
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Unit Contact Phone Number
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Unit Contact Email
Build Out Side Boundary (OSB)
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Boundary Drop present?
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No. of Tubes dropped?
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Tube Numbers?
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Pedestal Present?
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Pedestal No.?
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No. of Tubes in Pedestal?
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Is Feeder Fibre Present in Pedestal?
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Tube Numbers?
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Is the Pedestal a SOS Pedestal?
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Cabinet No.?
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Does the site require a tube Breakout?
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Reason for Tube Breakout?
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Description of work to be preformed for Tube Breakout/Break-in?
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What Surface type is the tube Breakout?
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Is a tube Break-in Required?
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What surface type is the tube break-in?
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Photos for tube Breakout/Break-in?
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Traffic Management?
Build Inside Boundary (ISB)
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Please note on Property Plan to be completed for each unit individually on a Connect Plan
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Build Work types
- Fenceline
- Grass Trench
- Slot Trench
- Thrusting
- Hard Trench
- Cobble Stone
- PALI
- Customer Duct
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Detailed Description of Build Work?
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Build Distance?
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Pedestal Install required?
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Pedestal No.
Pedestal
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What Type of Pedestal?
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No. of tubes in pedestal?
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Has a partial ROW Build been completed?
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Photos of Build Work?
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Special requirements or requests?
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Netmap Screenshot
Confirmation
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I Confirm that the above information is accurate and to standard.
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ROW Planner: