Information
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Site
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Postcode:
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Job Number Reference
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City Fibre Release ID
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Routing (PN/SN Number)
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Walk Off by:
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Date of Walk Off:
MDU Build Confirmation
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Has MDU install followed approved job pack?
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Please provide details of changes / reasons
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Photographs
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Has identified asbestos been disturbed?
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Any asbestos identified or suspected, not present on survey?
Access Requirements
Site Information
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Please ensure that if you have to install trunking on this installation or install new cables externally, Fire clips must be installed to comply with the new fire safety regulations and if any fire seals are broken make sure that you seal them before leaving site.
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Number of Dwellings
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Number of Floors
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Photo of building / block
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Photos of job pack
Access Requirements
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Key Type
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Provide details
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Access to gardens
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Dwelling number and contact details if available
Fire regulations site info
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Please note that when installing Fire Clips in trunking you are expected to install then at 300mm up to 1m either side of the door/opening. At a change in direction or in a corner a clip shall be fitted within 150mm from the corner in either direction. On continuous long runs the maximum spacing of 1m shall not be exceeded.
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Have you had to install trunking on this job?
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Please provide pictures of the trunking installed.
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Have you installed the fire clips on the trunking or cable above any door or fire exits?
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Please provide pictures of the fire clips installed in the trunking
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Have you installed ceiling hatches?
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Please provide photographs
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Have you run drop cables internally or externally?
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Please provide photographs
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Did you have to install cables on the external walls of the building across door and fire exits ?
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Please provide pictures of the fire clips installed above any doors or fire exits.
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Have penetrations through compartments been fire stopped?
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Please provide pictures of any fire stopping carried out on site.
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Has the site been loaded onto FIRAS database (if required)
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FIRAS URN Number:
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Light Loss Readings (Please provide photos of 10% of block)
System Information
System Information
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Number of DP's
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP's
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
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Additional DP
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DP number
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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DP Location
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Serves properties
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Photographs of DP
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Photographs of cable
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Notes
Street Cabinet Information
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Street Cabinet / ASN Number
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Photograph of Street Cabinet / ASN
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Fibre Connectivity
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Photographs
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Lead In Location Chamber
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Lead In Building Location
Sign Off
Sign Off
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Additional Notes / Information
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Details of Subcontractor / Crew
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Any accidents, incidents or near misses known to have occurred?
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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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Overall Quality of Installation Acceptable?
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Name
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Completed Sign Off
