Information
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Site
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Postcode:
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Job Number Reference
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Walk Off by:
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Date of Walk Off:
Access Requirements
Site Information
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Number of Dwellings
Comms Cabinet Information
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Comms Cabinet Number
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Photograph of Comms Cabinet
System Information
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Number of DP's
DP number and Test Information
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DP Number
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Number of Properties served
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One test to be carried out per 8 way splitter
Test - Property Number
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Test 1 - Property Number
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Photographs at POE
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Another test required?
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Test 2 - Property Number
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Photographs at POE
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Another test required?
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Test 3 - Property Number
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Photographs at POE
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Another test required?
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Test 4 - Property Number
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Photographs at POE
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Another test required?
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Test 5 - Property Number
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Photographs at POE
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Another test required?
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Test 6 - Property Number
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Photographs at POE
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Another test required?
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Test 7 - Property Number
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Photographs at POE
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Another test required?
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Test 8 - Property Number
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Photographs at POE
Sign Off
Sign Off
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Additional Notes / Information
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Has the installation been completed as per the job pack provided?
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Notes
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Photograph of red line drawing
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Name
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Completed Sign Off
