Information
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S/O & Address
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RSP
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Prepared by : Tanu Allen 0220604999
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Conducted on
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Civil grade
- Grade A - fenchline, grass trench -10m, slot cut less 3m
- Grade B - hard surface trench less 5m, grass trench +10m, slot cut +3m
- Grade C - hard surface trench + 10m, grass trench +20m, slot cut +10m
- Grade D - Thrust / trench, hard surface trench +15m
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Connect grade
- Back to Back
- Underfloor
- External suface cabling
- Ceiling
- Difficult - 2man team
- Internal capping
- Cavity pull
Customer / Job Details
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Name & Contact no
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Type of installation?
- Brownfields - (Civil & Connect)
- Greenfields
- Brownfields - PALI
- MDU
- ROW
- INTERNALS ONLY
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Site instructions
- Civil & Fibre ready crew call first for access
- Customer ok for crews to access freely
- MUST CALL - DO NOT ATTEND WITHOUT CALLING
- Locked gate, call for access
H&S / SITE INFO
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Dogs on site?
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Locked gate?
BILLING INFO
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Default metres
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Actual metres (FAP - ETP)
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If default distance is less than 30m, please explain why necessary to exceed 30m on actual distance
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Internal Radial metres (ETP -ONT)
CIVIL WORK DETAILS
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What work type is to be completed?
- 1. Fenceline
- 2. Grass Trench
- Hard surface trench
- 3. Slotcut
- 4. Thrusting
- 5. PALI
- Undermine
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Distance of each work type?
- Asphalt trench - 1m
- Asphalt trench - 2m
- Asphalt trench - 3m
- Asphalt trench - 4m
- Asphalt trench - 5m
- Asphalt trench - 6m
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Additional notes for civil tech
INTERNAL WORK DETAILS
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Install connect type
- Underfloor
- ceiling
- External ruggerdized
- External Conduit
- Internal capping
- Exposed LZSH cabling
- Back to Back
- Cavity pull
- GREENFIELD wiring
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Preferred location of ONT?
- Master Bedroom
- office
- Bedroom
- study
- kitchen
- Dining room
- sleep out
- Hallway
- Garage
- 2nd lounge
- Media panel
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Preferred location of RGW?
- Master Bedroom
- office
- Bedroom
- study
- kitchen
- Dining room
- sleep out
- Hallway
- Garage
- 2nd lounge
- Media panel
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Phone integration / copper cutover
- Yes
- No
- Customer prefer plug into Modem / ONT
- Customer does not want ph connection
- preferred location for ONT has no existing ph jack & customer is aware existing ph jacks will not be connected to voip service
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Additional notes for install tech
PHOTOS
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Photo of FAP
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Photos - outline of works
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] -
I have read and agree to Enable's End User Terms
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I understand and approve the methodology of works for my fibre install
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Authorised signature :
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Enable representative:
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We will carry out the work in accordance with Enable End User Terms (http://www.enable.net.nz/about-enable/governance/ufb-reference-offer.html ).