G.Network - Customer Sign Off Template

• Order Number:

• Type of Property:

  Residential

  Commercial

• Company/Client Name

• Address:
  Address

• Conducted on:

  Date

• Prepared by:

• INSTRUCTIONS
  ----------------------
  1. Please answer the items below.
  2. Add photos and notes by clicking on the paperclip icon
  3. To add a Corrective Action click on the paperclip icon then "Add Action," provide a description, assign to a member, set priority, and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link

OTHER CLIENT INFORMATION

• Click "Add Engineer"

Engineer

• Engineer Name:

• Start Date of Installation:

  Date

• Finish Date of Installation:

  Date

• ONT Location

  Media

• ONT Serial Number:

• Bandwidth Speed Required

  Select 20 mb 50 mb 100 mb 200 mb 500 mb 1G 10G Other

  • 20 mb
  • 50 mb
  • 100 mb
  • 200 mb
  • 500 mb
  • 1G
  • 10G
  • Other

• Specify Bandwidth Speed:

SPEED TEST RESULTS

• Ookla Speed Test
  http://beta.speedtest.net/

• Click "Add Result"

Result

• Download Speed:

• Upload Speed:

• Take a photo:

  Media

• 1Gbps Handheld Tester Results

  Up:xxx

  Down:xxx

CUSTOMER SIGN OFF

• I am happy that the G.Network Engineer has successfully implemented the installation and that the speeds which I am paying for have been demonstrated to me on my new circuit.

• Customer's Name & Signature:

  Sign

ENGINEER AND JOB PEER SIGN OFF

• Engineer's Name & Signature:

  Sign

• Job Peer Review Name & Signature:

  Sign