FibreNTD_CAForm_v0.3

• TOW

• Location
  Address

Fieldworkers

• Personnel On-site

• RTC Electrical Pty. Ltd. (08) 7220 1300

Customer Details

• Customer Name

• Customer Contact No.

• Documentation of 'On Approach Call'

  Media

Customer Authorisation

• Has the customer, or customer's representative, authorised the proposed method of installation and has he/she agreed to the proposed equipment installation location?

  Yes

• I have agreed to the proposed installation location of NBN Co equipment and have given permission for work to commence.

  Sign

• Details of the installation method and agreed equipment installation location.

• Pre-installation photo(s) and supporting documents (where applicable).

  Media

Installed Equipment

• NTD Serial No.

• PSU Serial No.

Cable Path

• How was the premises fibre installed?

  Back to Back (Via Wall Cavity)

  Via Roof Cavity

  Via Underfloor Cavity

  Via Conduit

  Other

• How many meters of conduit were used?

• Installation Photo(s)

  Media

• Details of cable installation (where applicable).

• Installation Photo(s)

  Media

Installation Documents

• Additional details of installation (where applicable).

• Surface Type (NTD)

  Gyprock

  Brick

  Other

• Installation Photo(s)

  Media

Customer Authorisation

• Is the customer, or customer's representative, able to confirm and authorise the completion of works?

  Yes

  No

  Incomplete Installation

• I agree that the installation of NBN Co equipment, along with all installation works to the premises, have been completed to my satisfaction and that the site has been left clean and free of rubbish.

  Sign

• Has the NTD been activated?

  Yes

• Comments (provide details as to why customer was unable or unwilling to post-sign off the Ticket of Work).

• Have the details and/or reasons for the cesassiation of work been explained and is the customer, or customer's representative, able to confirm and authorise the completion of work in its current state?

  Yes

  No

• Comments (provide details as to why customer was unable or unwilling to post-sign off the Ticket of Work).

• What issue(s) prevented the installation from being completed?

• Supporting documents (where available).

  Media

• I understand that the on-site installers were unable to complete the installation, that the issues preventing the completion of work have been explained, and that where practicable, the installers have left the premises clean and free of rubbish.

  Sign

• What issue(s) prevented the installation from being completed?

• Supporting documents (where applicable).

  Media