Permission to Commence Work

Customer Details

Customer Name

Customer Contact No.

Documentation of 'On Approach Call'
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?

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

Details of the installation method and agreed equipment installation location.

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

Authorisation of Completed Works

Installed Equipment

NTD Serial No.

PSU Serial No.

Cable Path

How was the premises fibre installed?

How many meters of conduit were used?

Installation Photo(s)

Details of cable installation (where applicable).

Installation Photo(s)
Installation Documents

Additional details of installation (where applicable).

Surface Type (NTD)

Installation Photo(s)
Customer Authorisation

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

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.

Has the NTD been activated?

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?

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).
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.

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

Supporting documents (where applicable).
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.