Information
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Enter the last 7 digits of the TOW number ( eg 2088443)
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Time and date of the audit
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Prepared by (your full name)
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What is the TOW Address
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Activation Date
LIC and Audit Data
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Civil Capture Data Sheet
INSTALL DETAILS
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1.Enter all fields applicable to civil install
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Install Type
- Existing Telstra LIC
- New LIC Install
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PCD Installed
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Take photo of PCD
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Tether Size Installed from MPT to PCD
- 20m
- 30m
- 40m
- 60m
- 80m
- 120m
- 200m
- 300m
- 500m
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Trench meterage ( PIT - PCD )
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Take some supporting photos.
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Grundomat ( Under Bore ) Required
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Take some supporting photos.
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Concrete Breakout / Reinstatement
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Take some supporting photos.
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Paver Breakout / Reinstatement
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Take some supporting photos.
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Bitumen Breakout / Reinstatement
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Take some supporting photos.
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Core Bore Wall
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Take a photo of core bores
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Core Bore Perimeter Path
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Take a photo of core bores
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Asbestos
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ACM P20 Break Out Completed
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Take photo of pit before breakout
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Take photo of pit after breakout
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Take photo of ACM bag with tag clearly visible
Audit Closure
CIVIL CAPTURE CLOSURE
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By signing the below I agree that the civil install has been completed to depth ( 300mm inside boundary & 450mm outside boundary ), and job site has been left in a tidy and satisfactory manner
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Civil Team Leader Sign Off
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Date