Title Page
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S/O & Address
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RSP
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RFS Date
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Conducted by - (Enter name here)
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Conducted On
S/O DETAILS
CUSTOMER DETAILS:
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Name & Contact Number:
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Customer Notes:
SITE INFO
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Site Instructions
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Dog on site?
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Locked Premises?
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Premises type
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Site Notes:
CIVIL WORK DEATILS
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What type of civil work is to be completed?
- Undermine
- Surface Mount
- Grass Trench
- Terrasaw Trench
- Asphalt Trench
- Concrete Trench
- Concrete Slot Cut
- Thrusting
- Paving / Tiles
- Greenfields
- Conduit
- Hard Surface Trench
- PALI on site
- Other - Please Specify
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Distance of each work type:
BILLING INFO
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Default Meters
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Actual distance (FAP - ETP)
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Default meters exceeded? - Explanation
INTERNAL WORK
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Type of internal access
- Back to Back
- Ceiling
- Underfloor
- Existing Draw Wire
- Conduit - B2B
- Existing Low Smoke Tube
- Conduit - Capping
- Ruggedised Tube
- Existing Internal Fibre
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Is there external cabling?
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Meters of conduit/capping/flexi
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Type of internal cabling
- Cavity
- Less than 2.5m Capping
- More than 2.5m capping
- Existing Low Smoke Tube
- Existing Draw Wire
- Cavity pull using phone jack
- Existing Internal Fiber
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Integrating phone line?
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Technician Install Time:
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Preferred location of ONT
- Lounge
- Bedroom
- Kitchen
- Laundry
- Data Board
- Cupboard
- Hallway
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Preferred location of RGW
- Lounge
- Bedroom
- Kitchen
- Laundry
- Data Board
- Cupboard
- Hallway
PHOTOS
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Photo of FAP
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Outline of all work involved -
SIGNED CONSENT
I confirm that; (a) I have seen, read and understood this information and the end user terms and accept those terms, and / or (b) I am not the owner of the property, but I have obtained the consent of the owner to authorize the installation works, and (c) I understand that there maybe an impact on the operation of burglar, medical and monitored alarms, I have been advised to contact my alarm and / or telecommunications services provider.
Recognising the critical nature of Alarms & other monitored services, Enable requires you to contact the provider of these specific monitored services prior to your fibre installation to confirm that your monitored alarm will work over fibre broadband -
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Alarm Information:
- Not Applicable
- House Alarm
- Medical Alarm
- Fire alarm
- I have contacted my monitored service provider and they have confirmed my service will work with the fibre network
- I am retaining a copper connection for my monitored service
- I have an alarm but it is not monitored
- Other - please state in Scoper's Notes section above
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End user signature:
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Add drawing
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Select date
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Scoper's Signature:
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Add drawing
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Select date